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32 Cards in this Set

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Growth and physical development


anterior fontanel

closed by 18 months

Growth and physical development


weight

4 times their weight by 30 months

Growth and physical development height

3 inches per year

Growth and physical development head circumference and chest circumference

usually equal by 1 to 2 years

Gross motor skills 15 months

walks without help; creeps up stairs

Gross motor skills 18 months

assumes standing position; throws ball overhand

Gross motor skills 2 years

walks up and down stairs by placing both feet on each step

Gross motor skills 2.5 years

jumps in place with both feet stands on 1 foot momentarily

Fine motor skills 15 months

uses cup well


builds 2-block tower

Fine motor skills 18 months

manages spoon without rotation


turns book pages 2 or 3 at a time

Fine motor skills 2 years

builds 6 or 7 block tower

Fine motor skills 2.5 years

draws circle; good hand finger coordination

Stage of Cognitive Development for toddler (1 to 3 years of age) according to Piaget
preoperational stage around the age of 19 to 24 months
5 characteristics of preoperational stage
1. object permanence is fully developed
2. have memories of events and demonstrates those that relates to them
3. DOMESTIC MIMICRY (playing house) is evident
4. preoperational thoughts allow them to symbolize objects and people to imitate previously seen activities
5. preoperational thoughts does NOT allow toddlers to understand other viewpoints
3 Stages of Language Development
1 year - use of one word sentences aka holophrases
2 years - use multiword sentences by combining 2 to 3 wordsabout total of 300 words

3 years - combine several words to create simple sentences using grammatical rules

4 PSYCHOSOCIAL development for toddlers
1. Erikson - autonomy VS shame and doubt
2. moral development
3. self-concept development
4. body image changes
Erikson PSYCHOSOCIAL Development Task
autonomy VS shame and doubt (age 1 to 3)
autonomy VS shame and doubt PSYCHOSOCIAL development
1. INDEPENDENCE - attempts to do everything for themselves
2. often uses NEGATIVISM/negative response (saying NO) as they begin to express their independence
3. ritualism or MAINTAINING ROUTINES provides a sense of comfort for toddlers as they begin to explore the environment beyond those most familiar to them
3 definition of moral developments in toddlers
1. closely associated with cognitive development
2. EGOCENTRIC - unable to see others' perspective
3. punishment and obedience orientation
definition of self concept development in toddlers
1. sees self as separate from parents
2. increases explorations away from parents
3 PSYCHOSOCIAL PROBLEMS of toddlers
1. TEMPER TANTRUMS result when toddlers are frustrated with restrictions on independence - parents should provide consistent age-appropriate expectations
2. toilet training can begin with sensation of needing to urinate or defecate - parents should provide
3. discipline should be consistent with well-defined boundaries that are established to develop appropriate social behavior
type of play for toddlers
parallel playin which toddlers observe other children and then may engage in activities nearby
8 age appropriate activities
1. filling and emptying containers
2. playing with blocks
3. looking at books
4. push-pull toys
5. tossing balls
6. finger paints
7. large-piece puzzle
8. thick crayons
4 periods of immunization
12 to 15 months - IPV (6 to 18 months)Hib
5 Nutrition TIPS for toddlers
1. may begin developing taste preferencesgenerally picky resulting in physiologic anorexia

2. toddlers should consume 24-30 oz. of milk per daymay switch from drinking whole milk to drinking low-fat milk after 2 years


3. juice consumption should be limited to 4 to 6 oz. per day


4. diet should include 1 cup of fruit daily


5. food serving size: 1 tbsp. for each year of age or 1/4 or 1/3 of an adult portion

7 foods that are potential choking hazards
1. nuts
2. grapes
3. hot dogs
4. peanut butter
5. raw carrots
6. tough meats
7. popcorn
sleep and rest patterns
average 11 to 12 hours sleep per day including 1 nap
8 common injury incurred by toddlers
1. aspiration
2. bodily harm
3. burns
4. drowning
5. falls
6. MVA
7. poisoning
8. suffocation
A nurse is assessing a 2½-year-old toddler at a well-child visit. Which of the following findings should
the nurse report to the provider?
A. Height increased by 7.5 cm (3 in) in the past year.
B. Head circumference exceeds chest circumference.
C. Anterior and posterior fontanels closed.
D. Current weight equals four times the birth weight.
B. Head circumference exceeds chest circumference.
A nurse is performing a developmental screening on an 18 month-old. Which of the following skills
should the toddler be able to perform? (Select all that apply.)
A. Build a tower with six blocks
B. Throw a ball overhand
C. Walk up and down stairs
D. Draw circles
E. Use a spoon without rotation
B. Throw a ball overhand
E. Use a spoon without rotation
A nurse is providing teaching about age-appropriate activities to the parent of a 2-year-old. Which of the
following statements by the parent indicates a need for further teaching?
A. "I send my child's favorite stuffed animal when she will be napping away from home."
B. "Putting large-piece puzzles together is one of my child's favorite activities."
C. "The soccer team my child will be playing on starts practicing next week."
D. "My child likes to ride a straddle truck in the dining room while I am cooking."
C. "The soccer team my child will be playing on starts practicing next week."
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should
the nurse include? (Select all that apply.)
A. Develop food habits that will prevent dental caries.
B. Meeting caloric needs results in an increased appetite.
C. Expression of bedtime fears is common.
D. Behaviors associated with negativism and ritualism.
E. Importance of annual screenings for phenylketonuria.
A. Develop food habits that will prevent dental caries.
C. Expression of bedtime fears is common.
D. Behaviors associated with negativism and ritualism.