growth and development powerpoint
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Growth and Development
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Overview
Outline
I. Growth
II. Development (motor, psychosocial, cognitive)
III. Health Promotion
Infant 1 month1 year
Toddler 1 year3 years
Preschooler 3 years6 years
School Age 6 years12 years
Adolescence 12 years21 years
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Infant: Growth
0-6mos: gain 1lb2 lb per month
6-12mos: gain 1 lb per month
Double birth weight by 6mos &
triple birth weight by 1 year
0-6mos: increase length 1 inch per month
6-12mos: increase length by inch per month
Increase length by 50% by age 1 year
Head circumference growth rate: 1cm per month
for the first year
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Infant: Development
Ericksons stage: Trust versus Mistrust
Piagets stage: Sensorimotor
Parent-Infant attachment critical Cognitive development parallels motor
development
Language development is a criticalindicator of normal development over the
first year of life (and beyond)
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Infant: Health Promotion
Immunizations
Hearing Screen (usually done at birth)
Feeding
Sleeping
Safety (burns, poisoning, falls, asphyxiation)
Prevention of Lead Exposure
Age Appropriate Toys
Do Not Use Walkers
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Toddler: Growth
Physical growth slows
Weight gain: 5 lb per year
Height: 3 inches per year
2 years: head circumference is 90% ofadult size
Overall head growth: 1.5 inches during
toddler years Immature abdominal musculature and
exaggerated lumbar curve
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Toddler: Development
Ericksons Stage: Autonomy vs. Shame and Doubt
12-24mos: Piagets Stage: Sensorimotor
2-4 years: Piagets Stage: Preoperational
Language accelerates: 300 words by age 2
Kohlbergs Stage: Punishment-Obedience
Learning occurs through trial and error, play, and
exploring freely in a safe environment
Refine ability to walk, build with blocks, and
expanding motor skills for exploration
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Toddler: Health Promotion
Nutrition (finger foods, physiologic anorexia, usecup and spoon)
Teeth care
Consistent limit setting Consistent positive reinforcement
Toilet training (generally not before age 2)
Temper tantrum management
Socialization
Caregiver support
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Preschooler: Growth
Slow and steady growth
Weight gain = 2.25kg (5lbs) per year
Height = 5-7.5 cm (2-3 inches) per year
Appetite decreases Slimmer, more agile appearance
Vital capacity increases and RR slows
Cardiovascular maturation allows the child toparticipate in sustained activity
20 deciduous teeth present by age 3 years
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Preschooler: Development
Ericksons Stage: Initiative versus Guilt
Piagets Stage: Preoperational
Kohlbergs Stage: Premorality
Fine and gross motor ability improve Handedness emerges by age 3 years
By age 4-5 years the child can perform ADLsindependently
>2100 words by 5 years
Rhymes and silly words by age 4 years
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Preschooler: Health Promotion
Need 10-12 hours of sleep/24 hours
Nightmares/night terrors
Magical thinking poses safety issues
Simple, concrete explanations Gun safety, stranger awareness, learn personal
information, good touch/bad touch
Water safety
School readiness Booster seat in car (car seat up to 40 lbs)
Appropriate child care
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School Age: Growth
Slow, steady growth
Weight gain: 5.5 lbs per year
Height: 2 inches per year
Growth spurt age 10-12 years indicates onset of puberty
Average age of puberty is 11-12 years
Girls experience puberty 1.5 years earlier than boys
Lymphatic tissue reaches adult level by age 10 years
Frontal sinuses develop age 7 years
Increased musculoskeletal growth promotes strengthand coordination
Myelinization of CNS continues to age 10; refinement offine motor skills
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School Age: Development
Ericksons Stage: Industry vs. Inferiority
Piagets Stage: Concrete Operations
Kohlbergs Stage: Morality of Conventional Role
Conformity (7-10 years); Law and OrderOrientation (10-12 years)
Increased mastery of language
Emergence of logic Self-esteem development
Friendship skills established
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2 + 3 = 5
53 = 2
Problem Solving
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School Age: Health Promotion
20 primary teeth lost; replaced with 28 permanent teeth
Reading improves language skills
Helmet use
Overestimate ability and maturity
School Refusal Obesity
Regular sleep
Supervise activities
Limit TV viewing/video game playing Media Influence
Emotional support
Sex Education
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Adolescent: Growth
Rapid Growth Period
Tanner Stages (pg. 152-153)
Growth stops in females 2 years after menarche
Growth acceleration in males later than females(begins 10-16 years; ends 13-17 years)
Muscle mass increases in males
Fat deposition increases in females
Cardiopulmonary capacity matures in lateadolescence and is individually variable
Bone calcification is completed after puberty
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Adolescent: Development
Ericksons Stage: Identity vs. Role Confusion
Piagets Stage: Formal Operations
Kohlbergs Stage: Social Contract Orientation
Cognitive development influences psychosocial
development
Establishment of sexual and vocational identity
Refine social relationships Egocentrism and risk taking behavior
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Adolescent: Health Promotion
Address issues related to fatigue Promote physical activity
Nutrition
Assess/Discuss risk taking behaviors
Violence (homicide second leading cause of death age15-19)
Sun Protection
Abstinence/Contraception
STD education
Psychosocial support/Listening Car Safety
Consequences of decisions/making good decisions