unit one FCNC growth and development day 1

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1
  • head-to-tail development

-they’ll learn to control their __________ movements BEFORE they learn to control their ___________ movements (_________ movements)

-ex. they’ll learn to hold their ________ up before they learn to ________/_______/________

Cephalocaudal

head..trunk...body

head..stand/sit/crawl

2
  • __________________: center-to-outward

-_______ out to _________

-they learn to control their __________ before they learn ________ motor skills like using their _________

Proximodistal

trunk..hands

trunk..fine..hands

3
  • Fastest growth periods in our lives are: ___________ ___-____ months and _________

infancy..0-12..puberty

4

Erickson's stage one: _________ vs. ______________

trust..mistrust

5

-Erikson’s theory determines _______________ aspects

psychosocial

6
  • Piaget: _________________

-Piaget’s theory is a __________ theory, about how the infants __________ is developing

Sensorimotor

cognitive..brain

7

neonates will have complete _________ __________ at birth

head lag

8
  • First 28 days of life: __________
  • Up through 12 months: ____________

neonate

infant

9

neonates have ____________ only movements---no ________________ movements

reflexive..purposeful

10

neonates have _______________ reflexes

-nothing is ______________ about their ________ movements or their _________ to things in the early days after delivery

primitive

purposeful..physical..response

11

-it is important that these primitive reflexes are ____________ after _________, if the reflexes are _________ it suggests that there is a _____________ problem

present..birth..absent..neurological

12

it is just as important to assess and make sure the primitive reflexes _____________ as they age (the primitive reflexes should be replaced by ______________ responses as they age)

disappear

13

-primitive reflexes will begin to disappear at about ___ months of age and completely go away ____ months of age

3.. 5

14

-_______________ _____________ ____________ reflex suggests for the neonate that if they EXTEND their right arm and leg, they will FLEX their left arm and leg

asymmetric tonic neck reflex

15
  • ___________ reflex

-other term is the _________ reflex

-you expect in the newborn that if you make a loud noise, they will _________

-when they’re startled, they’ll __________ their arms and legs and their hands will form a ‘_____’ shape

Moro reflex

startle

startle

extend..C

16
  • ____________ reflex

-this reflex is on the foot

-you assess it by stroking the bottom of their foot, starting at the heel and going up the lateral side of the foot and going up to the ball of the foot

Babinski

17
  • Babinski reflex

-when you do this, the infant’s toes will ________ out and ___________ (their toes will point ___________ toward their __________)

-this is a normal finding in the neonate and up until they are ____________ ______________

fan...dorsiflex

back..head

weight bearing

18

-so they will have positive Babinski until they are _________ ____________ which is up to about _____ months

-after _____ years of age the Babinski reflex is considered ABNORMAL, this would suggest that the baby has had a traumatic __________ injury or have ____________ problems

weight bearing..12

2..brain..neurological

19
  • _____________ reflex

-if you stroke the infant’s cheek on one side, they will turn to that side and ________ on the mother’s nipple or the bottle nipple

-mothers are taught to stroke the infant’s on the side that they want the baby to _____________ on

Rooting

root

breastfeed

20
  • ______________ reflex

-once they have rooted onto the nipple they will have the _____________ reflex

Sucking

sucking

21
  • _______________ reflex

-ex. whenever you feed an infant baby food by spoon they will _______ it out with their tongue

Extrusion

push

22

2 months

  • Physical

-____________ fontanel closed

-____________ fontanel is smaller than the ____________ fontanel so it closes first

posterior

posterior..anterior

23

2 months

  • Gross Motor

-partial ___________ _______

-still significant ________ ______, but the infant can hold up ________ for a second or two.

-They will continue to try and hold ________ up at 2 months of age

head..lag

head lag..head..

head

24

2 months

-lifts head ______ degrees

45

25

2 months

  • Fine Motor/Sensory

-turns _________ to side with __________ at level of ear

-ex. if you sound a ________ on one side of the infants _______, then they will ________ their ________ to that side

-they can’t ___________ where the sound is coming from, but they can tell which ____________ the sound is coming from

head..sound

bell..ears..turn..head

localize..direction

26

2 months

  • Vocalization/Language

-differential ________

-typically, by 2 months of age, the child will have a different _______ for when they’re hungry, need to be changed, need TLC, and etc

-__________, _______

cry

cry

vocalizes..coos

27

2 months

  • Socialization

-social __________

-ex. when you ________ at them, they’ll ________ back at you

smile

smile..smile

28

3 months

  • Physical

-______________ reflexes fading

primitive

29

3 months

  • Gross Motor

-bears weight on _____________, lifts head ____-____degrees

-pushes self up on ___________

forearms..45-90

forearms

30
  • 3 months

-bears slight ___________ in _____________ position

-when you hold them up under their arm pits at 3 months of age they will put their ________ out and ________ them to the surface of the __________/__________

weight..standing

feet..touch..floor/table

31

3 months

  • Fine Motor/Sensory

-holds ________

-follows objects _________ degrees

-ex. they’ll look at a pen and they can see it in their peripheral vision up to _______ degrees, but past that they won’t follow it bc they haven’t developed __________ ____________ yet

rattle

180

180..object permanence

32

3 months

  • Language

-________, ______, __________

-_____ crying during _______________

squeals..coos..babbles

less...wakefulness

33

3 months

  • Socialization

-recognizes familiar ___________/_________

-they _______ differentiate between mom/dad/grandmother etc. but they can recognize that it is a ___________ face

persons/objects

can’t..familiar

34

3 months

-no __________ __________ yet

stranger fear

35

4 months

  • Gross Motor

-almost no _______ ________

head lag

36

4 months

-if they have ________ _______ that persists at 4 months, then we’ll intervene and teach the parents to put the baby on their __________ and play with them in __________ of them (this is called ‘____________ __________')

-if they still have significant __________ _______ by ___ months of age, there is probably a _______________ problem (this merits a referral to a _______________)

head lag..bellies..front

tummy time

head lag..6...neurological..neurologists

37

4 months

-rolls from ________ to _______

-they are not rolling ____________ yet, but its happening bc of the increased _______________

back..side

purposefully..muscularity

38

4 months

  • Fine Motor/Sensory

-________/__________ with hands

inspects...plays

39

4 months

-carries objects to _________/__________ grasp

-they move almost everything to their __________

mouth..palmar

mouth

40

4 months

-beginning _________/_________ `coordination

-ex. if they _________ their bottle they will _________ it back up

eye/hand

drop..pick

41

4 months

  • Language

-_________ aloud

-________________ sounds

laughs

consonant

42

4 months

  • Socialization

-___________ social interaction

-get ____________ to see ppl

enjoys

excited

43

4 months

-anticipates ______________

-shows _____________

feeding

excitement

44

6 months

  • Physical

-birth weight ____________ by 5-6 months

-first ___________ by 6 months of age

doubles

tooth

45

6 months

  • Gross Motor

-rolls from ______. to ________ at ____ months

-they will roll from ____. to ______ FIRST

-rolls from _____ to ______.

-at 6 months they will roll from ______ to ______

abd...back..5

abd...back

back..abd

back to abd

46

6 months

  • Language

-___________ sounds

-________ syllable utterances -‘____,’ ‘____’ ‘____,’ etc.

imitates

one

-‘da,’ ‘ma’ ‘ba,’

47

6 months

  • Socialization

-briefly searches for _____________ object

-_________ is improving

dropped

vision

48

6 months

-begins to _________ ______________ (__-___months most intense)

-developed a preference for ____________ or ____________ ________ ___________ at 6 months

fear strangers...6-8

parents..primary care givers

49

6 months

  • “____________” Play---- “______-sided” ---infant ____________ to interact;

Solitary..one..chooses

50

- developed at about 6 months of age

Stranger Fear

51

Interventions for teething

  • chewing _________ toys (reduces inflammation and applies the pressure to the gums that makes it feel better)
  • ____________ (______________ (_______), ____________)

frozen

analgesics..ibuprofen (motrin)..Tylenol

52

7 months

  • Gross Motor

-________, ___________ forward on both __________

-can’t fully support their __________ so they have to lean forward on their __________ when ___________

-“___________” position

sits..leaning..hands

trunk..hands..sitting

tripod

53

7 months

-bears full _____________ on _______/____________ actively

-if they are being held up

weight...feet..bounces

54

7 months

  • Fine Motor/Sensory -______________ objects

-if you offer them something else in addition to what they have in their hand, then they will _________ that object to the other __________ and ________ both of them

-their _______-_________ coordination is getting better

-can __________ on small objects

transfers

move..hand..hold

eye..hand

fixate

55

7 months

  • Language

-____________ syllables (________, _________, __________)

-____________ in _____________ syllables

chained..dada..baba, mama

speaking..combined

56

7 months

  • Socialization

-increase in _______________ ______________ and _____________ __________

separation anxiety and stranger fear

57

8 months

  • Gross Motor

-______ steadily ________________

-don’t need ________ to ________ themselves up

sits...unsupported

arms..prop

58

8 months

-adjusts ___________ to reach ____________

-ex. reach their __________

posture..objects

toes

59

8 months

  • Language

-syllables “________” “_________”; does not __________ meaning

-they ________ know which is ________ or __________ but they continue to say them bc they know ______________ will _________

dada..mama..ascribe

don’t.. Dada or mama..someone..come

60

8 months

  • Socialization

-responds to word ‘______’

no

61

9 months

  • Gross Motor

-________ on hands and knees (__________ are still on the floor (like a _________)

-pulls self to _____________

creeps..bellies..worm

standing

62

9 months

  • Fine Motor/Sensory

-___________ __________ grasp (previously had ____________ grasp)

-holds things with ____________ instead of __________

crude..pincer..palmar

fingers..palm

63

10 months

  • Language

-says “________” “__________” with meaning

-can _____________ which is _________ and ___________

-comprehends “_________-________”

-_________ syllable _________ other than “dada” and “mama”

dada..mama

differentiate..mama..dada

bye-bye

one..words

64

10 months

  • Socialization

-develops __________ ________________

-they can tolerate mom and dads ___________ a little easier since they have developed _________ _____________

object permanence

absences..object permanence

65

10 months

-imitates ___________ ________________

facial expressions

66

10 months

-reacts to adult __________

anger

67

10 months

-increasing _______________ in ___________, _____________, etc.

-they’ll take ______ their ___________

independence..dressing..feeding

off..clothes

68

12 months

  • Physical

-birth weight ____________

-birth length increase by ______

triples

50%

69

12 months

-__________ circumference __________ _________ circumference

head..equals..chest

70

12 months

-___-___ teeth

-____________ fontanel almost closed (closes by _____-______ month)

6-8

anterior..12-18

71

12 months

-_____________ reflex ______________

-the more ____________ ______________ they are, the more the _______________ reflex disappears

-not concerned if its still there at ____ year of age, but if it is still positive at ____ years of age it is cause for concern

Babinski..disappears

weight..bearing..Babinski

1..2

72

12 months

  • Gross Motor

-________ with 1 hand held

-___________ well

-_______ up on something and hold onto _____________ to ___________

walks

cruises

pull..furniture..walk

73

12 months

-may attempt __________ ________ on their ______

-________ from standing ______________ help

first..step ..own

sits..without

74

12 months

  • Fine Motor/Sensory

-________ ________ grasp by _____ months

-__________ cube in ________

-eye-hand coordination is getting much better and they can _____________ things at will

-turns __________ (___________ at the same time, not __________)

neat..pincer ..11

releases..cup

release

pages..many..one

75

12 months

  • Language

-speaks___-___ words besides ________/________

-comprehends ____________ of several words, but may ________ be able to __________ them yet

-imitates __________ sounds

-understands __________ ______________

3-5..dada/mama

meaning..not..speak

animal

simple..commands