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Peds Development OTA

Pediatric Practice Growth & Development LP3

What is the definition of "growth"? maturational changes that are physically measurable, such as height and weight
What is the definition of "development"? developmental and sequential changes in function of individual
What are the 9 principles of development? 1. sequential, orderly; 2. environment; 3. individual pace; 4. cephalo-caudel; 5. proximal-distal; 6. general to specific; 7. increasingly integrated; 8. critical periods; 9. continuous, many factors influence
What is a critical period? fixed time period very early in development during which certain behaviors optimally emerge (e.g.,walking or talking)
What are the 3 anatomical directions of development? 1. cephalo-caudel, 2. proximal-distal, 3. ventral-dorsal
Gross motor, 1-3 months * head control * reflexes
Gross motor, 3-6 months * rolls over * pivots * prone on elbows prone on extended arms
Gross motor, 6-9 months * sits * bears weight on legs * crawls 4-pt. creeps
Gross motor, 9-12 months * pulls to stand * transition in/out of positions * cruises * walks with one hand held * stands alone
Fine motor, 1-3 months * looks at hands * follows objects with 180 deg. * bats at objects
Fine motor, 3-6 months * reaches * brings hands together * picks up objects * object to mouth * shakes rattle
Fine motor, 6-9 months * transfers objects hand to hand * explores objects with hands * reaches from prone position * forward parachute
Fine motor, 9-12 months * releases objects into container * pokes at objects * pincer grip (thumb-finger)
Language, 1-3 months * listens to sounds * vocalizes randomly
Language, 3-6 months * turns head to sound * coos * laughs vowel sounds
Language, 6-9 months * responds to own name * babbles * imitates sounds vocalizes to get attention
Language, 9-12 months * recognizes names of common objects * first words spoken enjoys listening to music understands "no"
Cognitive, 1-3 months * smiles * brings hands to mouth
Cognitive, 3-6 months * looks from 1 object to another * repeats act that brings pleasure * mouths objects * shakes rattle * tracks adult walking
Cognitive, 6-9 months * looks for dropped object * peek-a-boo * pat-a-cake * attention seeking * uncovers face
Cognitive, 9-12 months * finds hidden object (memory) * imitates use of toy * begins demonstrating cause/effect * pulls string to secure ring
Social, 1-3 months * social smile * quiets to face or voice * quiets when picked up
Social, 3-6 months * recognizes familiar faces * smiles to mirror image
Social, 6-9 months * stranger anxiety * reaches for familiar person * social games * prefers to be with people
Social, 9-12 months * can play alone for short periods * separation anxiety * offers toy * performs for social attention
Self-help, 1-3 months * comforts self with thumb/pacifier * coordinates suck, swallow breath
Self-help, 3-6 months * pureed foods from spoon * integration of bite and rooting reflex * gums soft foods (e.g. cracker, Cheerios)
Self-help, 6-9 months * reaches for bottle * finger feeds * holds bottle * drinks from cup with help
Self-help, 9-12 months * attempts spoon feeding * drinks from cup with spilling * ceases drooling * bites and chews cracker
Created by: ota2012