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NR 602 MIDTERM EXAM STUDY GUIDE

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NR 602 MIDTERM STUDY GUIDE Toddler: 12-24 months Preschoolers: 2-5 years old WHO growth charts should be used to measure weight and length for children less than 24 months CDC weight and length charts used for children older than 24 months Average 24 month weighs 26 lbs, length 33.5 in and HC 18.5 ...

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  • April 28, 2022
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NR 602 MIDTERM STUDY GUIDE


Toddler: 12-24 months
Preschoolers: 2-5 years old

WHO growth charts should be used to measure weight and length for children less than 24 months
CDC weight and length charts used for children older than 24 months

Average 24 month weighs 26 lbs, length 33.5 in and HC 18.5 in
Most have no palpable fontanelle by 12 months
Ant fontanelle closes by 18-19 months
3-6 yrs weight gain expectation is 4.5-6.5 lbs/year
3-6 yrs height gain expectation is 2.5-3.5 inches/yr
4 yrs length at birth has doubled
4-5 years old legs grow faster than rest of the body

Use of dominant hand may appear as early as 8-12 months generally emerges 2-4 years old; handedness established at 5yrs

May develop bowel and bladder control by age 3, but many will not. Boys usually take longer than girls to maintain bedtime
bladder control.

Articulation:
-24 months- 25% is understood by a stranger
-24m-36m- 66% is understood by a stranger
-3 years old- 90% should be understood by a stranger
3 and 4-year-old have a normal hesitance or show stuttering, considered abnormal if beyond 5 years of age

,Speech problems often can be from lack of stimulation, hearing problems, ear infections, developmental delay. Early detection
important.

Lexicon:
girls typically say their first word between 8-11 months; boys by 14 months

2 year olds: have more than 200 words in their vocabulary
3 years old: 900 words in vocabulary
3-4 yrs old: able to follow simple commands, talks incessantly
4-5 year olds: add at least 50 new words a month; 1500-2100 words in vocabulary (including names, coins, colors, knows days of
the week)
5 year olds: should be able to define certain words with other words (cup: something you drink with)

Syntax:
8 months: develop receptive language- they understand what a word means before they are able to use it themselves
12-28 months: use holophrases (single words) to express whole ideas
18 months: use telegraphic speech (get milk, go bye-bye)
2 years old: short sentences
3 years old: add plurals, 3-4 word sentences
4 years old: past tense
5 years old: syntax is close to adult style, 5-6 word sentences

Peer relationships:
Toddler: parallel play
Preschoolers: more interactive and social, imaginary play

Body image:
Masturbation starts around 3-4 years old

Theories:

,Erikson Industry Inferiority
team sports/cooperation children must learn that they will not be
Master social studies, math and able to master every skill they attempt
reading
sense of competence and Criticism detrimental at this age
accomplishment

Development of a of “superego” or
conscious develops during
preschool age


Piaget Concrete operations Ages 2-4-Starting to realize world outside
More tolerant and perceptive of their own, realizing they can make things
other’s viewpoint happen (shift from egocentric. Belief in
Children are able to use thought “magical” power of words.
processes to experience events and Ages 4-7- Preoperational intuitive thought-
actions starting to understand time concept but
Judgments made based on reason limited. Example may understand “after
(conceptual) lunch” instead of in 2 hours.

Kohlberg Judge an act based on consequences Can accept the concept of treating others as
(moral of reward and punishment they would want to be treated.
development) They know the rules and behaviors Judge an act based on intention not just
expected of this, but do not consequences
understand the reasons behind them

, Piaget: Preoperational thinking (2-4yrs) - problem solving based on what they see directly
egocentrism - only about them
Centration - Focus only on 1 thing at a time
Animism - things around them are alive
Magical thinking - thoughts are all powerful - their thoughts can cause things to happen

Developmental Assessment:
BP starts at 3 years old or if at high risk
Hearing and Vision at 4-5 years old
Dentist: first tooth eruption or before 12 months; eruption of permanent teeth start at 5 yrs
3 years: Draw circle, cross and vertical/horizontal lines
4-5 years: Trace cross & copy a square, ties shoelaces
5-6 years: Draw a person, copies a diamond and triangle, can print name

2-4 yrs: Animism and magical thinking
Magical thinking continues into 4-7 years

Screening Tools:
Ages and stages Questionnaire: helps with evaluating fine and gross motor development
M-CHAT: evaluates for autism (used for children 16-30 months)
Early language milestone (ELM): brief screening for speech intelligibility (3-4 years old)

Preschool decision: parents should select a preschool with a play based learning curriculum

Immediate referral is required for children who stop eating, demonstrate cruelty to animals or other people, are self- harmful, start
fires, or talk of harming themselves, their peers or others

Children with scores below 85 on intelligence scales predictably have more difficulty in school

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