infancy physical development- chapter 5, Study notes of Nursing

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Childhood & Adolescence: Voyages in Development
Chapter Five: Infancy: Physical Development
Notes:
What Are the Sequences of Physical Development?
Cephalocaudal Development
oUpper part of the head to the lower parts of the body
Proximodistal Development
oTrunk outward – from body’s central axis toward periphery
Differentiation
oTendency of behavior to become more specific and distinct
What Patterns of Growth Occur in Infancy?
Weight doubles at about 5 months; triples by first birthday
Height increase by 50% in first year
Growth appears continuous but actually occurs in spurts
Infants grow 4 to 6 inches in second year; and gain 4 to 7 pounds
oBoys reach half their adult height at 2-years; girls at 18-months
Failure to Thrive
Growth impairment during infancy and early childhood
Causes may be organic or non-organic
oBiologically based or non-biologically based
Linked to physical, cognitive, behavioral, and emotional problems
Deficiencies in caregiver-child interaction may play a role
oReactive attachment disorder
Marasmus
oCondition related to FTT; diet low in essential nutrition
Treatment requires both nutritional and adjustment support
Canalization – catch up growth once FTT is resolved
What Are the Nutritional Needs of Infants?
Overall nutritional status of U.S. children is good compared with most other
countries
oFederal programs assist low-income families
44% of U.S. children live below the federal poverty level
oInclude majority of African American children, Latin American
children, and American Indian children.
Infants require breast milk or iron fortified formula
oRecommendation that infants be fed breast milk through first year
Solid foods may be introduced about 4 to 6 months
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Childhood & Adolescence: Voyages in Development

Chapter Five: Infancy: Physical Development

Notes:

• What Are the Sequences of Physical Development?

➢ Cephalocaudal Development o Upper part of the head to the lower parts of the body ➢ Proximodistal Development o Trunk outward – from body’s central axis toward periphery ➢ Differentiation o Tendency of behavior to become more specific and distinct

• What Patterns of Growth Occur in Infancy?

➢ Weight doubles at about 5 months; triples by first birthday ➢ Height increase by 50% in first year ➢ Growth appears continuous but actually occurs in spurts ➢ Infants grow 4 to 6 inches in second year; and gain 4 to 7 pounds o Boys reach half their adult height at 2-years; girls at 18-months

• Failure to Thrive

➢ Growth impairment during infancy and early childhood ➢ Causes may be organic or non-organic o Biologically based or non-biologically based ➢ Linked to physical, cognitive, behavioral, and emotional problems ➢ Deficiencies in caregiver-child interaction may play a role o Reactive attachment disorder ➢ Marasmus o Condition related to FTT; diet low in essential nutrition ➢ Treatment requires both nutritional and adjustment support ➢ Canalization – catch up growth once FTT is resolved

• What Are the Nutritional Needs of Infants?

➢ Overall nutritional status of U.S. children is good compared with most other countries o Federal programs assist low-income families ➢ 44% of U.S. children live below the federal poverty level o Include majority of African American children, Latin American children, and American Indian children. ➢ Infants require breast milk or iron fortified formula o Recommendation that infants be fed breast milk through first year ➢ Solid foods may be introduced about 4 to 6 months

o Iron-enriched cereal, strained fruits, vegetables, and meats

• Breastfeeding vs. Bottle Feeding

➢ Move from breast feeding to formula was influenced by o Women entering the workforce o View of bottle feeding as scientific o Women’s movement ➢ Choice to breast feed is influenced by: o Domestic and occupational arrangements o Attitudes regarding benefits for bonding and infant health o Fear of pain, unease with breast feeding, and public breast feeding o Community and familial support o Level of education ➢ Colostrum early form of breast milk o High level of nutrients into low volume

• Advantages of Breast Milk

➢ Advantages of breast feeding for the mother o Reduces risk of early breast and ovarian cancer o Builds strength of bones o Lessens weight retention after delivery o Helps response to stress ➢ Babies prefer human milk to formula ➢ It is well-suited to baby’s nutritional needs ➢ It provides life-long health benefits to the baby

• Disadvantages of Breast Milk

➢ Disadvantages of breast milk o HIV, alcohol, drugs, and environmental hazards may be transmitted through breast milk o Mother must be adequately nourished o Physical demands on mother ➢ What about mothers who smoke? o No harmful effects on infants have been noted

• What Are Neurons?

➢ Basic unit of nervous system o Receive and transmit messages ➢ Neurons vary according to function and location, but all contain o Cell Body: contains a nucleus o Dendrites: branchlike structures; receive incoming signals from other neurons (referred to as the head of the cell)

o Myelination of sensory areas ❖ Hearing – from 6th month of pregnancy to age 4 ❖ Vision – shortly before full term, but develops rapidly

• How Do Nature and Nurture Interact to Affect Brain Development?

➢ Brain development is affected by maturation (nature) and sensory stimulation and motor activity (nurture) o Rats in enriched environment ❖ More synapses per neuron o Human infants have more neural connections than adults ❖ If activated by experience, connection survives ❖ If not activated, connection does not survive o Adequate fetal nutrition is necessary, especially during growth spurts

• Motor Development

➢ Developments in the activity of muscles, and changes in posture, movement, and coordination ➢ Follows cephalocaudal and proximodistal patterns o Control of head and upper torso before arms o Control trunk and shoulders before hands and fingers

• Control of the Hands

➢ Newborns track objects with eyes but do not reach for them ➢ Grasp reflex o Grasp but do not release intentionally ➢ Voluntary grasping o Ulnar grasp o Pincer grasp ➢ Visual – motor coordination

• Locomotion

➢ Moving from one place to another ➢ Sequence with variation in ages of initiation o Roll over, sit, crawl, creep, walk (supported and unaided) ➢ Muscle strength, density of bones, balance, and coordination improve o Climb steps, run, walk backward, kick a ball, jump

• How Do Nature and Nurture Interact to Affect Motor Development?

➢ Maturation (nature) o Myelination and differentiation is needed for certain voluntary motor activities ➢ Experience (nurture)

o Experimentation to achieve milestones o Slight effect in training to accelerate motor skills ➢ Reaction range o Limits for the expression of inherited traits

• Development of Visual Acuity and Peripheral Vision

➢ Neonates are nearsighted o Greatest gains in visual acuity between birth and 6 months o By about 3 to 5 years of age, approximate adult levels ➢ Neonates have poor peripheral vision o Perceive stimuli within 30-degree angle o By 7 weeks increases to 45 degrees o By 6 months of age, equal to adult (90 degrees)

• Visual Preferences

➢ Neonates look at stripes longer than at blobs o By 8 to 12 weeks, prefer curved lines over straight ➢ Infants prefer faces o Discriminate maternal and stranger faces o Prefer attractive faces o Pay most attention to edges ➢ Attention is captured by movement and sharp contrasts in brightness and shape

• Development of Depth Perception

➢ Depth Perception o Develops around 6 to 8 months (onset of crawling) ➢ Research using the Visual Cliff o Gibson and Walk (1960) o Heart-rate response to determine fear o Relationship between crawling and fear of heights ❖ Avoidance of the cliff and infants’ posture

• Development of Perceptual Constancies

➢ Perceptual constancy – perception of object remains stable although sensations may differ under various conditions ➢ Size constancy – perception of object’s size remains stable although retinal size may differ o Bower (1974) ➢ Shape constancy – perception of object’s shape remains stable although shape on retina may change

• Development of Hearing