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Peds Exam 1

Toddler & Preschooler Child Development And Health Promotion pt 2

QuestionAnswer
developmental milestones are tracked until 5 years old
physical growth in preschooler: musculoskeletal Increasing bone length Height- grow 6.35 to 7.62 cm (2.5-3 in) per year Weight- gain 1.8-2.3 kg (4-5 lbs.) per year Lose pot bellied look, more slender Muscles mature and strengthen
Muscles mature and strengthen in preschoolers so risk for overuse injury
most children are toilet trained by preschool but boys later than girls
gross motor skills at 3 years Climbs well, runs easily Pedals a tricycle Bends over without falling
fine motor skills at 3 years Feeds self with fork Copies circle Builds town of 9-10 blocks Strings items together- large beads Undressed self, puts on loose clothing
gross motor skills at 4 years Stands on 1 foot up to 5 seconds Throws a ball overhead Kicks ball forward Catches bounced ball
fine motor skills at 4 years Draws person-2-4 body parts, circles, squares Copies capital letters Uses scissors Shows hand preference
gross motor skills at 5 years Hops on one foot Swings and climbs well Stands 1 foot > 10 seconds May skip, skate, swim Somersaults
fine motor skills at 5 years Dresses/undresses independently, fastens some buttons Ties shoelaces Prints letters Draws person -at least 6 parts Mostly cares for own toileting needs
what grade are kids starting at 5 kindergarten
Cognitive Development
Preschooler Piaget Stage Piaget- pre-operational stage (2-7 years)
Cognitive Development
Preschooler Egocentric to social awareness Magical thinking Imaginary friends Symbolic play (pretend play) Animisms Literal Easily fooled and easily confused Irreversibility Cannot tell time
Imaginary friends in preschoolers because can't separate imaginary vs reality
animisms in preschoolers inanimate objects come to life
preschoolers are Easily fooled and easily confused because they don't understand conservation
preschoolers cannot tell time so relate time to TV shows
in preschoolers, comprehension out paces speech so stuttering is normal until about age 8
language development in 3 yo 900-word vocabulary Knows own name and age Asks “why” constantly Short, complete sentences
language development in 4 yo 1,500-word vocabulary Complete sentences of 4 or more words Endless questions, exaggerated stories Knows some basic colors, counts a few numbers Counts a few numbers
language development in 5 yo 2,100-word vocabulary Sentences of 6–8 words Talks about past, future and imaginary events States name and address Counts to 10
language development in 6 yo Mastered sh, l, th and r Bilingual children may lag slightly, but can differentiate and use both languages
Body Image development in preschoolers Recognize differences, appearance, skin color, racial identity Vulnerable to learning prejudices and biases Poorly defined body boundaries Concerned regarding integrity of skin so bandaids are key!!
preschoolers know the meaning of what words r/t body image pretty, ugly
sexuality development in preschoolers Strong attachment to opposite sex parent Identify with same sex parent Role playing Sexual exploration- exploring and manipulating genitalia
psychological development in preschoolers: Erikson stage Initiative vs. Guilt (3–6 years) — two paths from the same behavior
initiative Trying out new ways of doing things Creativity and imagination flourish Begins assuming responsibility
guilt Behaviors showing initiative are discouraged Child stops trying — passivity develops
basically guilt happens if parents don't accept their creativity and curiosity
Moral Development
in Preschoolers: Kohlberg-Preconventional KNOW Perceive rules as definite- need no further explanation Believe rules are set by others Learn standard of acceptable behavior May fight, bite, lie
why might preschoolers fight, bite, or lie to avoid getting in trouble
preschoolers perceive rules as definite- need no further explanation meaning they don't understand why the rule is there
cultural influences in preschoolers Prejudice or bias learned from home Values influenced by attitudes of tolerance or bias Self concept influenced by family values
play for preschoolers is often Role-playing for later life
preschoolers love what kind of play imaginary (3-6 years)
preschoolers become increasingly what social!
parallel play toddler, independent but among others
associative play 3-4 years, building blocks with each other but there is no goal
cooperative play 4-5 years, collaborate to build tower, achieve their goal
activities for preschoolers KNOW: playing ball, puzzles, pretend, dress up, play medical kit, hand puppets, books, sand box, musical toys, electronic games, computer program, reading
nutrition in preschoolers 5 servings of fruits and vegetables a day No sugar-sweetened beverages Try to limit sugar
sleep and rest in preschoolers 10–13 hours a day, including naps Keep a consistent bedtime ritual Nightlight helps with fear of the dark
nightmares in preschoolers Occurs in the second half of the night Child wakes fully and is interactive Remembers the dream Often hard to fall back asleep
what is important for parents to do when preschooler has nightmare important for them to go back to bed, it will help them overcome!
night terrors in preschoolers Shortly after falling asleep Wakes screaming, only partially awake Does not respond to the parent - child still seems asleep Returns to sleep with no memory of it
water safety with preschoolers Teach the child to swim Never leave unattended in the bath or near a pool
wheels and play with preschoolers Wear protective equipment: helmet and pads Supervise all outdoor play
street safety with preschoolers Teach pedestrian safety No playing near the curb or parked cars
firearm safety with preschoolers Keep all firearms locked and stored separately from ammunition
leading cause of death in 1-4 year olds unitentional injury
Created by: leh195
 

 



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