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average weight gain for preschoolers |
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average height gain in preschoolers |
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Refinement of eye-hand and muscle coordination |
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Refinement of eye-hand and muscle coordination |
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Preschool (Children’s drawings before age 6 are similar After age 6 culture and environment influence) |
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Drawing used to assess IQ, personality, & psychosocial adjustment |
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Transition from totally egocentric to social awareness |
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Use language without comprehending the meaning of words Magical thinking |
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Language major mode of communication Vocabulary increases from 500 to 2100 words Give and follow simple commands Use language without knowing the meaning of the words - Why? |
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Preschool (Psychosocial Development Erickson) |
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Developing a sense of initiative Development of superego or conscience Aware of appropriate behavior through punishment and reward Experience a sense of guilt for misbehaving Play provides opportunities to develop communication and socialization skills |
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Preschool (Moral Development Kohlberg) |
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Preconventional or premoral level Punishment and obedience orientation Age 2-4 years Action is judged good or bad based on reward or punishment received Naïve instrumental orientation Age 4-7 Reciprocity or fairness |
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Preschool (Spiritual Development) |
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God is viewed like an imaginary friend Development of conscience is strongly linked to spiritual development Illness may be viewed as punishment for bad behavior |
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Preschool (social development) |
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Individuation-separation process completed Need parental assurance, guidance and approval Hospitalization: Respond to concrete explanations Gain security from familiar items |
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Preschool (Development of body image) |
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Recognize differences in race Vulnerable to learning prejudices Poorly defined body boundaries and minimal knowledge or their internal anatomy Fear that blood can leak out Bandages are critical |
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Preschool (Development of Sexuality) |
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Freud—(Oedipal) resolution with the child identifies with same sex parent Sex Typing Learn sex differences and appropriate behavior Sex role imitation “dressing up” Sexual exploration Manipulate their genitals Questions regarding sexual reproduction Find out what they think and know |
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enjoy associative play, group play without rigid rules Imaginary friends occurs at 2 ½ years Imaginative, imitative, and dramatic play |
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Most critical period for speech development occurs between |
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have the greatest number of real or imagined fears |
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prime time for sleep disturbance Evaluate nightmares versus sleep terrors Children who delay bedtime need consistent bedtime rituals Television viewing just before bedtime can cause resistance and delay sleep onset |
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Temperament Temperamental characteristics may seem exaggerated “Slow to adapt” in addition to normal ritualism of toddlers Biologically active in addition to normal activity level of toddlers |
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12-18 months (part of toddler stage) |
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Like novelty Discover new means of solving problems Trial and error |
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18-24 months (part of toddler stage) |
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Increasingly complex and deferred imitation Use mental strategies to solve problems Use tool to attain objects |
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Magic thinking Egocentricity |
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Magic thinking Egocentricity |
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when the child is trying to get someone to pay attention to the same thing that they have their attention focused on. (a toy ect) this is a sign of autism. |
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Tantrums very common Avoid by Directing child to activities they can master Avoid situations that may overwhelm child Manage by ignoring if possible Restraints if needed |
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Ritualistic Means to have some control in large, unpredictable world Responsibility Can begin to have simple chores with support and positive reinforcement |
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Understands “no no” Remembers “no no” Can verbalize “no no” Beginning control (weak!) Does right thing for fear of punishment Internalized right thing– beginning of conscience |
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Not more than ___ ounces/day (toddlers) |
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Need around ___ calories/kg/day from birth to 6 months |
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ounce a day, pound every two weeks, two pounds a month |
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proper weight gain for toddlers |
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formula is ___ calories/ounce |
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Need iron foods—meat, cereals, leafy greens, beans Self feeding “Not eating enough” Choking hazards Picky eating and food jags Solid food at 4-6 months |
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Sleep patterns of toddlers |
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Needs 12-14 hours/day Sleep problems Sleep onset Night waking Sleeping with parents |
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signs of readiness for toilet training |
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Able to walk Dry for 2 hours Can indicate need by word or gesture Interest in potty procedures Indicates dislike of wet/soiled diapers |
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Sense of competency Beginnings of provacativeness Increased parental vigilance Appetite and growth changes Distal communication |
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Discipline and limit setting Sleep and reawakening Rhythmic behavior Autonomy and negativity Verbalization |
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Activity level Impulse control Pregnancy Fears Shift in play and language Separation |
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Presence of excess adipose (fatty) tissue in the body.
Complex chronic disease involving genetics, metabolism, physiology, environmental, psychosocial factors |
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BMI at 85-95th percentile. |
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BMI at > 95th percentile. |
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5 fruits and vegetables a day Two hours or less of screen time per day One hour of vigorous exercise Zero sweetened juices or drinks |
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Activities directed toward maintaining or increasing health |
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Decreasing the probability of health disruptions in an individual or group |
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environmental or regulatory activities that confer broad based protection |
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Health Education (intervention to promote health) |
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activities to teach parents and children specific health-related information |
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Anticipatory Guidance (intervention to promote health) |
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activities to help parents/children anticipate changes and to plan actions in advance to deal with changes |
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Counseling (intervention to promote health) |
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Mutual problem solving process whereby the nurse provides support and helps client recognize and cope with health-related concerns |
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Screening (Interventions to promote health) |
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activities to detect actual or potential health problems in apparently well individuals so that intervention can be provided to prevent or minimize problems (to detect before they are clinically apparent) |
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specific measures (interventions to promote health) |
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activities such as immunizations |
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Injury prevention (interventions to promote health) |
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actions taken to influence the agent, host or environment in order to minimize or prevent injury. May include education, anticipatory guidance, counseling as well as actions taken at a community or governmental level |
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transfer of antibodies from mother to infant by placenta or breast milk |
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artifical passive immunity |
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temporary immunity by administration of preformed antibodies that lasts 4-6 week. Used in: immunodeficiency disorders when time does not allow natural immunity some snakebites to ameliorate disease already present to prevent disease after exposure when no active immunization exists |
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immunity that results from having the disease |
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artificial active immunity |
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occurs by introduction of weakened or dead antigen into host to cause formation of antibodies |
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4-6 weeks when their immune system is ready to respond |
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immunization in children can be started when... |
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Parent Training Program developed by Carolyn Webster-Stratton |
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This program: Focuses on specific parenting skills with a detailed intervention manual Has been tested through a number of RCTs Uses video tapes, discussion, handouts and homework Was developed as a group model |
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"the proportion of subjects with immunity in a given population". |
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"the reduction of infection or disease in the unimmunized segment as a result of immunizing a proportion of the population". |
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newborn social development |
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Infant enjoys being talked to, cuddled, touched, held Shows subtle preference for parents Prefers to look at human faces |
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newborn motor development |
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Makes crawling movements when prone Lifts head briefly and unsteadily when prone Arms and legs predominately in flexed position Hand-mouth movements |
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newborn visual development |
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Prefers faces Stares at interesting colors, shapes, contrasts Fixes on objects May follow slowly moving object with eyes |
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30 grams/day (1 ounce/day) ½ pound/week 2 pounds/month Double birth weight by 5 months |
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110-120 calories/kilograms/day 110 ml/kilogram/day |
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caloric needs for a newborn |
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average crying time: 1 1/2 hours/day |
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average crying time: 3 hours/day |
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average crying time: 1 hour a day |
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Crying > 3 hours/day, 3 days/week, for > 3 weeks |
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Ego Development Outcome: Trust vs. Mistrust |
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Ego Development Outcome: Autonomy vs. Shame
Basic Strengths: Self-control, Courage, and Will |
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Ego Development Outcome: Initiative vs. Guilt
Basic Strength: Purpose |
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Ego Development Outcome: Industry vs. Inferiority
Basic Strengths: Method and Competence |
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Ego Development Outcome: Identity vs. Role Confusion
Basic Strengths: Devotion and Fidelity |
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18-35 years (young adulthood) |
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Ego Development Outcome: Intimacy and Solidarity vs. Isolation
Basic Strengths: Affiliation and Love |
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