Pediatrics develop.
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carribean groups | forced kneeling for discipline
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yemenite jews | garlic to wrists for infectious disease
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remedies with lead | digestive (mexico), rash/fever (southeast asia), improve eyesight (india)
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burning | southeast asian, enuresis and temper tantrums
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coining | vietnamese, disease
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cupping | steam in cup cools and leaves bruise
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childs self concept develops from | ideas about his or her social roles
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2 things that play a role in childs susceptibility to health problems | hered. and socioeconomic
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hot and cold | imbalance of forces
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2 influences on socialization of children | peers and school
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evil spirits or evil eye | supernatural forces
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cold weather = sick | natural forces
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increase in size and number of cells that results in increased size and weight | growth
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statistical representation of 100 children and each ones placement within the 100 members | percentiles of growth
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gradual change and expansion | development
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cephalocaudal | head to tail growth
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proximodistal | near to far (shoulders before hands)
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age: preference for one hand | 5
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sequential trends | definite predictable sequence
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pace | accel and decel patterns of growth; individualized
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growth: infancy | most rapid; trunk grows faster
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growth: preschool to puberty | slower; extremities grow faster
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growth: puberty to adolescence | rapid; trunk grows faster
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first teeth to come and go | lower central incisors
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lymphs | adult at 6, then get 2x by 12, then back to adult by 18
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neuro | 90% by 6 years
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words: infants | 1-2
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words: toddlers | 2-3 word sentences
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words: school age | 5-7
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words: preschool | 3-4
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temperature stabalizes | 12 yo
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naps: 2yo | 2
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naps: 3yo | 1
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naps: 5 yo | none
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Piaget: 7-11 yo | concrete operations (inductive reasoning and beginning logic)
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Piaget: 11-15 | Formal operations (deductive and abstract reasoning)
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able to classify, sort, and order | concrete operations 7-11
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solve problems in concrete systematic fashion | concrete operations 7-11
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cognitive development | concrete operations
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development of conservation | concrete operations
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4 stages of piaget's cognitive development | sensorimotor b-2
preoperational 2-7
concrete operations 7-11
formal operations 11-15
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adaptability and flexibility | formal operations 11-15
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abstract thinking | formal operations 11-15
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most important influence on growth and development | nutrition
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Playrooms in hospitals | may provide outlet for fears in children. this may be a place where no procedures will happen
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Play: onlooker play | watching other children play (Infancy)
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Play: parallel | same toy no interaction (toddler)
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Play: associative | playing together with no rules or goals (preschool)
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Play: cooperative | organized with others and has goals and rules (school age)
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what play do preschoolers engage in? | associative
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most prominent feature of emotional deprivation | developmental delays
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Difficult children 10% | highly active
irritable
irregular habits
need structure
negative moods
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Slow to warm up child 15% | unless pressured, adapt slowly
inactive
moody
moderate irregularity
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Discipline: reasoning | best for older children
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Discipline: redirection | good for young children
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Discipline: strategy of consequences | choice with a result of each
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dyslalia | articulating problems from being pressured to talk too early
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at what age group can "reasons for rules" be added into education | preschoolers
3-6
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what occurs first in boys maturational changes | testicular enlargement
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what occurs last in boys, right before the decel in growth? | nocturnal emissions
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what occurs first in girls maturational changes? | breast buds
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what occurs last in girls right before decel of growth? | menstruation (2 yrs after first signs)
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what are secondary characteristics the result of | hormonal changes
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Tanners Stages: initial enlargement of penis length | stage 3
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Age of development in breast | 11-13
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Age of development in pubic hair for girls | 11-14
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Age of development of boys secondary sex characteristics | 12-16
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Tanners Stages: between what stages does pubic hair begin to appear on the pubis in females | between 2 and 3
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Tanners Stages: what occurs first in boys | testes enlargment, reddening of scrotal sac, long straight downy hair 9.5 to 14 yrs
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Tanner Stage: does penis length or diameter growth occur first? | length
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what are the hormonal changes of puberty | hypothalamus > anterior pitu > gonads > sperm/eggs
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What causes boys to have a longer growth period in adolescence | slower epiphyseal closure
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Emotionality | adolescent vacillating between adult and child like behavior (NORMAL)
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What is Piagets label for adolescence | formal operations period
-Abstract thinking
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Increased understanding of others increases tolerance | Piagets formal operations period and abstract thinking in adolescence
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All teenagers concerned about what? | Am I normal?
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What do peers provide to adolescents | sense of belonging and feeling of strength and power
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TRUE OR FALSE Adolescents may try to manipulate of control parents and have a preference for peers | TRUE
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Crushes to group dating to single | sexual relationships
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Intercourse is done by 1/2 of all by what age | 18
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sex before age ____ could mean abuse? | 14
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SEX ED for adolescents | need for factual info. based on developmental maturity
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Dental health for adolescents | not as many caries
braces in early adolescence
need extra hygiene with braces
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Tetanus vaccines for adolescents | 11-12 yo if 5 years since DTAP
q 10 y after that
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Personal care for teenagers is focused on? | body piercings, sunscreen, personal hygiene (deodorant)
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Greatest cause of serious and fatal injuries in teens | MVA 60 % male
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What is important about sports and adolescents | sport fits body type
protective gear is worn
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Shedding of deciduous teeth to acquisition of permanent teeth at puberty | school age or 6-12
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Height change rate from 6-12 | 2 inches per year
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At what age do males and females differ little in size | 6-10 or until prepubescence
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Age + 2 = | bladder capacity in ounces
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When is the face growing faster than the cranium | 6-12
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important | treat children according to age and not size
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avg age of puberty in boys and girls | girls 12 and boys 14
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what is a strong motivator for school age 6-12 children in gaining independence from parents | peers
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Developing a sense of industry | cooperative, small jobs, independence, participation
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Primary goal of middle childhood | increasing independence from parents
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Inferiority may occur when | disabilities, compared to others, skills not able to master
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Seeing others viewpoints and agreeing or disagreeing | concrete operations of 6-12
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Judgements based on reason rather than what is simply seen (Preceptual thinking to conceptual thinking) | concrete operations of 6-12
example is the concept of conservation
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Conservation is attained at what age | 5-7 years (early school age)
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Love to classify, sort, and collect | concrete operations of 6-12
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Positive self concepts leads to feelings of | self respect
self confidence
happiness
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Able to understand and accept the concept of treating others as they would like to be treated | older school age
(6-7 dont understand reasons)
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Able to judge an act by the intentions that prompted it what age? | older school age
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what type of play? rules, team play, ego mastery, groups, clubs, fantasy, physical skill | cooperative play
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What age is cheating common? | 6, they still don't understand why it is wrong
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Why do children steal | don't understand property rights, revenge, bargaining....
make child take it back and pay
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Why do children lie? | impress, avoid punishment, meet expectations
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bed wetting, regression, head-ache | some of the signs of child stress that needs intervention
p1163
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At what age will children resist going to bed and not know they are tired | 8-11
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hours of sleep needed by school age | 9.5
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T/F All children need regular exercise | True
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what age is eruption of permanent teeth | school age 6-12
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Assitance with flossing until what age? | 8 or 9
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ideal time for formal sex education | middle childhood
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what are normal parental concerns of middle childhood? | separation from family, dishonest behavior, school achievement
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Safety Education of what age group is directed towards safe play areas and equipment and well supervised sport activities? | school age
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Primary Prevention | Immunizations
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Age of discovery and curiosity | preschool 3-6
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Why are preschoolers more vulnerable to abduction? | they are no longer negative or ritualistic and are more eager to please.
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The change from the preconceptual phase (2-4) to intuitive thought phase (4-7) occurs when? | a shift from total egocentrism to the ability to see others veiws (still some egocentrism)
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If A causes B today, then A always causes B | Transductive reasoning (preoperational thought 2-7)
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Attributing life like quantities to inanimate objects | animism (preop thought 2-7)
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Inability to conserve | preoperational thought 2-7
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magical, egocentrism, transductive reasoning, animism are all from? | preoperational thought 2-7
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egocentric communication for preschoolers | play
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over 2000 words by what age | 5
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concept of time not fully understood until | 8-9....preschoolers need the time to relate to an event(casuality)
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Magical thinking and power of words | preschoolers (if told bad, they feel bad)
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Poorly defined body boundaries | cut=leak out preschoolers
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Attachment to opposite sex parent and id with same sex parent; masturbate is COMMON | preschool 3-6
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what type of play do preschoolers do | associative (lots of others, imitative, dramatic, imaginative) discovery and curiosity!
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what is associative play | play with others but no goals
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May have fears (closet under bed) | preschoolers
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most critical time for developing speech problems | 2-4 end of toddlerhood and beginning of preschool
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T/F Stuttering/Stammering is normal during preschool and should not be corrected | True
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difference between nightmares and sleep terrors | nightmares-full awakening
sleep terror-partial arousal from deep nondreaming sleep
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when are sleep problems most common | preschool
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Safety education can begin at what age? | preschool bc they understand reasons for rules!!!!!!!!!!
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Long term safety behaviors are started | with preschoolers
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Kohlbergs Naive Instrumental Orientation | concerned with satisfying their own needs and less frequently the needs of others (Preschoolers)
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Special concern areas of preschool | school, sex ed, stress, fears, speach problems
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sex questions | find out what child knows and be honest
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