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Pediatric Growth and Development
Test 1
82
Nursing
Undergraduate 3
07/08/2014

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Cards

Term
What are the domains of growth/development?
Definition
Physical domain
Cognitive domain
Psychosocial domain
Term
What does a disturbance in any of the 3 domains cause?
Definition
alter growth & development
In reality human characteristics result from imbalances, excess & deficits
Term
How do humans grow?
Definition
1.) Cephalo – Caudal
2.) Proximal - Distal
Term
What is the individual variability of the physical domain?
Definition
Congenital syndromes
Congenital malformations
Ethnicity
Cultural practices
Term
How many calories do 6 mo. olds need?
Definition
110-120 kcal/kg/day
Term
How many calories do 1 y/o need?
Definition
95-100 kcal/kg/day
Term
How many calories do adolescents need?
Definition
45 kcal/kg/day
Term
If you use formula, what should it contain?
Definition
Iron
Term
A 5 ½ year-old Asian child has fallen off her growth curve. The best intervention would be to?
Definition
Incorporate traditional foods in diet
Term
Initally after birth, how much weight is lost?
Definition
10%
Term
When is the weight lost after birth regained?
Definition
By day 7-14
Term
When should weight double?
Definition
By age 5 months
Term
When should weight triple?
Definition
By age 1 year
Term
When should weight quadruple?
Definition
By age 2
Term
What is considered minimal weight gain in a normal newborn after discharge from the hospital?
Definition
30 gms/day
Term
The most likely weight of a one-year-old child whose weight at birth was 6 ½ pounds would be:
Definition
19 – 20 pounds
Term
You would expect a school age child to:
Definition
Gain about 6 pounds per year
Term
When do central incisors erupt?
Definition
6 – 7.5 months
Term
When do lateral incisors erupt?
Definition
7-9 months
Term
When do the cuspid teeth erupt?
Definition
16-18 Months
Term
When does the first molar erupt?
Definition
12-14 months
Term
When does the second molar erupt?
Definition
20-24 months
Term
When does the permentant central incisor erupt?
Definition
6-8 years
Term
When does the permanent lateral incisor erupt?
Definition
7-9 years
Term
When does the permanent cuspid erupt?
Definition
9-12 yrs
Term
When does the permanent first bicuspid erupt?
Definition
10-12 years
Term
When does the permanent second bicuspid erupt?
Definition
10-12 years
Term
When does the first permanent molar erupt?
Definition
6-7 years
Term
When does the second permanent molar erupt?
Definition
11-13 years
Term
When examining 10-year-old Bob’s teeth you note that the upper incisors slightly overlap the lower incisors. The second & lower 1st molars are absent. Your assessment is?
Definition
Delayed mandibular dentition
(lower) molars usually erupt between ages 6-7. Even allowing for individual differences this is delayed. Hyperdontia refers to supernumerary teeth
Term
What is the cognitive domain?
Definition
Information Processing
Development begins at birth
Initially development via the senses
Term
What is Piaget's theory in the cognitive domain?
Definition
Egocentrism, animism
Invincibility
Exaggerated sense of importance
Term
________ ability precedes expressive.
Definition
Receptive
Term
What happens to communication in the cognitive domain?
Definition
Responds to sounds at birth
Ability to respond to increased complex language
Development of abstract thinking abilities
Term
What is the psychosocial domain?
Definition
Development From Individual to Environment:
Development of temperament
Parent-infant interaction
Attachment
Fears
Home environment
Social environment
Play
Aggression/impulse control
Gender identity
Interpersonal relationships/intimacy
Goals
Term
What are some assessment tools used to assess a child's psychosocial domain?
Definition
Inventory of psychosocial development
Ego identity scale
Omnibus personality inventory
Modes of Being
Thematic apperception test
Term
What is Piaget's theory?
Definition
1.) Sensorimotor (birth - 2)
2.) Preoperational Thinking (2-4)
3.) Intuitive/Preoperational Thinking (4-7)
4.) Concrete Thinking (7-11)
5.) Formal operational thought (11-15)
Term
What is the Sensorimotor stage? (Piaget)
Definition
Reflexes (inborn)
Adapts reflexes to the environment
Sensory abilities increases
Object permanence
Trial & error learning
Simple problem solving
Term
What is the pre operational thinking stage? (piaget)
Definition
Can focus on a single aspect of a situation
Development of intuitive thought
Difficulty distinguishing fact from fantasy
Term
What is the intuitive thinking stage? (piaget)
Definition
Causation initiates
Term
What is the concrete thinking stage? (piaget)
Definition
Capable of logical thought
Logical operations
Term
Wha tis the formal operational thought? (piaget)
Definition
Ability to abstract
Capable of complex problem solving
Term
Which of the following best describes behavior associated with Piaget’s concrete operations?
A. Learning primarily by trial & error
B. Interpreting events in relationship to self
C. Categorizing information
D. Drawing logical conclusions
Definition
C—classification is the thought process that occurs in this stage. Concrete thinking begins to develop during the school age period when children start to understand the characteristics of things and objects.
Term
What is Erikson's Theory?
Definition
Major Tasks Across the Lifespan
Infancy – Trust v. Mistrust
Toddler – Autonomy v. Shame & Doubt
Preschool – Initiative v. Guilt
School age – Industry v. Inferiority
Adolescence – Identity v. Role confusion
Term
What is the Theory of Psychosexual Development? (Freud)
Definition
Id (Pleasure Principle: Early infancy)
Ego (Reality/Self-interest: Preschool)
Superego (Morality/Conscience: Schoolage)
Term
What are Freud's stages of development?
Definition
Infancy – oral stage
Toddler – anal stage
Preschool – phallic stage
School age – latency stage
Adolescence – genital stage
Term
One of the major psychosocial tasks of infancy is?
Definition
Development of secure attachment

Erickson states that infants develop trust is the form secure attachment with care giver. If attachment does not develop the infant learns to mistrust the care giver
Term
How do you tell the age of a preemie?
Definition
1.) Subtract your child's birthdate from the date today
2.) Determine the number of weeks born early
3.) Convert weeks to months and days (DIVIDE BY 4)
4.) Subtract corrected age in mo/days from chronological age in mo/days.
Term
What are measurement tools used for growth parameters?
Definition
Growth charts
If child crosses multiple percentile lines—needs further evaluation
BMI should be calculated and plotted from age 2 yrs>>> (WT in Kg) (Ht in meters)
Bone age x-rays (tarsals/carpals)
Term
How do you measure cognitive development?
Definition
Standardized IQ tests
Need at least 2 separate test results to make an assessment of intellect
Toy/play and language-based assessments based on mental age
Term
What is the denver developing screen?
Definition
Generalized assessment tool
Used between birth and 6 years of age
Measures:
Gross motor development
Fine motor development
Language
Personal-social development


NOT AN INTELLIGENCE TEST
Term
What is the gross motor milestone of 2-3 mo?
Definition
Good head control
Term
What is the gross motor milestone of 5-6 mo?
Definition
Rolls back to front
Term
What is the gross motor milestone of 5-6 mo?
Definition
Sits alone
Term
What is the gross motor milestone of 9-10 mo?
Definition
Pulls to stand
Term
What is the gross motor milestone of 11-12 mo?
Definition
Stands alone
Term
What is the gross motor milestone of 12-14 mo?
Definition
Walks
Term
What is the gross motor milestone of 22-24 mo?
Definition
Walks up and down stairs
Term
What is the gross motor milestone of 24-48 mo?
Definition
Jumps
Term
What is the fine motor milestone of 2-3 mo?
Definition
Grasp and shakes rattles
Term
What is the fine motor milestone of 3-4 mo?
Definition
Reaches for objects
Term
What is the fine motor milestone of 5-6 mo?
Definition
Hand-to-hand transfer
Term
What is the fine motor milestone of 6-7 mo?
Definition
Raking grasp
Term
What is the fine motor milestone of 7-9 mo?
Definition
Finger feeding
Term
What is the fine motor milestone of 8-10 mo?
Definition
Pincer grasp
Term
What is the fine motor skill of 10-12 mo?
Definition
Marks on paper
Term
What is the fine motor skill of 17-18 mo?
Definition
Stacks 3 blocks
Term
What is the fine motor skill of 22-24 o?
Definition
Stacks 6-7 blocks
Term
What is the language milestone of age 2-3 mo?
Definition
Smiles and coos
Term
What is the language milestone of 4-5 mo?
Definition
Laughs
Term
What is the language milestone of 5-6 mo?
Definition
Babbles
Term
What is the language milestone of 8-9 mo?
Definition
Mama, dada
Waves bye bye
Term
What is the language milestone of 9-10 mo?
Definition
Understands no
Term
What is the language milestone of 15-18 mo?
Definition
Points to body parts
Term
What is the language milestone of 18-22 mo?
Definition
2 word sentences
Term
What is the language milestone of 22-24 mo?
Definition
30-50 word vocabulary
Term
What are the milestones of 2-5 mo?
Definition
Smiles and coos
Watches a person’s face intently
Follows people & object with eyes
Laughs out loud
Lifts head & chest when on stomach
Holds head steady when pulled to sit
Grasps rattle placed in hand
Startles to loud noise
Term
What are the milestone of 6-9 mo?
Definition
Babbles& combines vowel/consonant sounds
Turns to sound
Responds to name
Rolls over
Sitting independently
Transfers objects
Supports weight on feet
Uses thumb/fingers to pick up object
Crawls
Term
What are the milestones of 10-12 mo?
Definition
Simple action upon request
Purposefully says “mama” or “dada”
Sits independently and play
Pulls to standing/cruise furniture
Communicates by reaching/pointing
Moves purposefully to get desired object
Increasing curiosity
Recognizes people
Uses both hands equally well
Term
What are the milestones of 13-18 mo?
Definition
Scribbles with large crayon
Walks alone
Feeds self with fingers/begin with spoon
Four to ten word vocabulary
Simple direction
Coordinates use of both hands
Responds to name
Points to two pictures upon request
Long jabbering sentences
Throws ball easily
Term
What are the milestones of 19-24 mo?
Definition
Walks up & down stairs
Jumps with both feet
Simple puzzles—circle shapes first
Stacks 6-7 blocks
2 word sentences
30-50 word vocabulary
Term
The NP knows that language is the best single measure of normal cognitive development in early childhood. At what age do children begin to combine two words together?
Definition
18-22 months
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