Wednesday, October 2, 2013

Growth & Devpt - During age 6-12 MO

Growth & Devpt - During age 6-12 MO

PHYSICAL DEVELOPMENT.

Growth slows

sit unsupported (about 7 mo) and
to pivot while sitting (around 9-10 mo) – can handle  several objects at a time
pincer grasp (around 9 mo
begin crawling and pulling to stand around 8 mo
walk before their first birthday either independently or in a walker.
Motor development correlate with increasing myelinization and cerebellar growth.
Tooth eruption occurs, usually starting with the mandibular central incisors
Tooth development reflects skeletal maturation and bone age

Cognitive development.
New object is picked up, inspected, passed from hand to hand, dropped, and then mouthed
A major milestone is (about 9 mo) object permanence (constancy), the understanding that objects continue to exist even when not seen.
At 4-7 mo, infants look down for a yarn ball that has been dropped but quickly give up if it is not seen.
With object constancy, infants starts searching, finding objects hidden under a cloth

Emotional development.
Child looks back and forth between a stranger and parent, may cry.
Separations become difficult.
At night begin to awaken cry.
Does not like to be fed, turns face away as the spoon approaches.
Self-feeding with finger =the pincer grasp
Tantrums appears = conflict with parental controls

Communication.
nonverbal communication, responds to vocal tone and facial expressions.
picture books is ideal for verbal language.

Implications for parents and pediatricians.
Teach about  introducing finger foods or drinking from a cup (before first birthday)
Poor weight gain at this age = struggle between an infant and parent during infant's eating.
                                                Development at each age

28 weeks
Prone:
Rolls over
Pivots
crawls or creep-crawls
Supine:
Lifts head
rolls over
Sitting:
Sits briefly, with support of pelvis
leans forward on hands
back rounded
Standing:
Legs support weight
kicks legs actively
Adaptive:
Reaches out for and grasps large object
transfers objects from hand to hand
grasp uses radial palm
Picks at pellet
Language:
Polysyllabic vowel sounds
Social:
Prefers mother
enjoys mirror
responds to changes of social contact

At 40 Wk
Sitting:
Sits up alone without support
back straight
Standing:
Pulls to standing position
"cruises" or walks holding on to furniture
Motor:
Creeps or crawls
Adaptive:
Grasps objects with thumb and forefinger
pokes at things with forefinger
picks up pellet with assisted pincer movement
uncovers hidden toy
attempts to retrieve dropped object
releases object grasped by other person( Voluntary release of grasp)
Language:
Bi syllables (mama, dada)
Social:
Responds when name is called
plays peek-a-boo or pat-a-cake
waves bye-bye


At 52 Wk (1 Yr)
Motor:
Walks with one hand held -48 wk
Can stand independently
Walks
Adaptive:
Picks up pellet with unassisted pincer movement of forefinger and thumb; releases object to other person on request
Language:
A few words besides "mama," "dada" ( 10 words)
Social:
Plays simple ball game
Helps in dressing


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