6 - early childhood
6 – early childhood
Early child age = 2-6 years
Preschool period – transition in social, emotional, cognitive domains
Key developmental task = initiative vs guilt – erikson
Play – primary source to learn and social development
Autonomy – growing independence with guidance and support
Language – rapid extension of expressive and receptive abilities
Growth and motor development
18-24 months
- Gross motor skills – run, walk, climb stair with 2 feet, push/pull boxes, unscrew lids
- Fine motor skills – hand preference, stack blocks, turn page, pick up things
2-3 years
- Gross motor skills – run easily, climb
- Fine motor skills – pick up small objects, throw ball
3-4 years
- Gross motor skills – walk up 1 foot at a time, skip, tiptoe, tricycle
- Fine motor skills – catch ball, cut paper with scissors, hold pencil in thumb + finger
4-5 years
- Fine motor skills – use bat, kick, catch, use pencil, thread bead
5-6 years
- Skip on feet, slide, swing
- Fine – thread needle/sew, play ball game
Brain growth, synapse formation, myelinization continue
Lateralization
- Brain function divided between 2 cerebral cortex hemispheres. Strong laterlization = strong language skills in kids
Reticular formation
- Brain structure regulate attention, concentration
Handedness
- Preference for 1 hand, develop 2-6 years.
False belief principle
- Kids can look at situation from another perspective, see what information causes flase belief in that person
Preoperational stage – start using symbol, language, imagination not organised yet
Egocentrism – ability to see form another’s perspective
Centration - focus on one part of situation only
Appearance as reality – believe how something looks is what it actually is
Grammar explosion – learn lots of grammar, words, become fluent
- Fast mapping – use knowledge / clues and compare to make a guess about answer. Ex. Point to eel, even if they don’t know what is by eliminating other knowledge
- Inflections - adding to phrases
- Questions and negatives - who, what, when, why, where + say negative sentence
- Overregularization – using rules when they don’t apply, wrong grammar
- Complex sentences – combine ideas with and or but
Phonological awareness – ability to recognize, manipulate sentences and words – rhyme, alliteration, segmentation into a sentence, identify syllables, blending
Play – take risks, experiment, test boundaries. Promote executive function – pursue goals, language math skills. Solitary (alone) parallel (own games) associate + cooperative
- Sensorimotor – explore, manipulate, put things in mouth
- Constructive – add, build, draw, blocks
- First pretend – pretend play
- Absitute pretend – use objects for different use
- Sociodramatic – play house, roles
- Rule governed – formal pretend games with rules – red light, green light
Prosocial behaviour / altruism – uncovered by play, caring for others, putting others first. Part of empathy – comfort, share, concern
Nurses role
Periodic medical checkups, routine assessments and immunizations
Screening tools. Not a diagnosis
Early intervention – to identify delay in development
Numeracy + intelligence
- Parental influence – early exposure to counting, math concepts
- Evidence for intelligence – hereditary / genetics + environment / family, school + experience
- Preschool program quality
- Foundation – early math help with later academics
Attachment
2-3 years
- Clingy, separation anxiety, seek reassurance
3-4 years
- Reduced separation anxiety, increased independence, understand temporary separation
4-6 years
- More autonomy, more internal attachments, strong peer relationships
Protective function = secure attachment support emotional regulation and social competence
Family structure
Development depend more on how parent figure act than the family structure
Same sex no different than 2 parent families
Divorce
- Stressor – conflicts, economic hardship, disturbed routine
- Response = anger, sadness, confusion, blame, regression (going back to previous state)
- Protective factors – parental cooperation, stability, communication
High conflict but intact homes are worse then those experiencing divorce
Parenting style
Authoritarian – high control, low warmth
- Less success in school, low self esteem, social skills, may be subdued or rebellious/aggressive
Permissive – low control, high warmth
- Worse in school, more aggressive, immature, less independent and responsible
Authorative – high warmth and control
- Independent, friendlty, cooporative, good grades
Uninvolved – low control and warmth
- Emotionally detached, insecure, impulsve, less achievement oriented
Self concept
Categorical self – categorise based on characteristics – gender, physical, friends
Emotional self – label and explain emotions, regulations. Important how parents calm child and control emotions/model. Includes empathy and awareness
Social self – social scripts, understand social rules, social games – different persona/roles with friend/family
Gender identity
Biological – hormones influence gender typical behaviour
Social learning – children imitate models of their gender, reinforces gender appropriate behaviour
Cognitive / gender schema – develop schema, what boy/girl do and act on behaviour
Gender development
2-3 years – label with genders, don’t understand much
3-4 years – gender identity established, prefer gender toys/activities
4-5 years – gender constancy emerge – understand their gender is stable no matter what context/time
5-6 years – full gender constancy, gender typical play preference continue
Health promotion
- Food aversions = neophobia, picky eating normal
- Healthy habit – regular mealtime with family, less processed food
- Screen time – no screen during meal, 1-2 hr a day
- Strategies – exposure to new food, model healthy eating, no food reward
Sleeping
3-5 = 10-13 hours of sleep
Illness
Preschoolers 6-7 colds a year + 1-2 Gi infections
Immunizations
Mmrv and tdap 4-6
Activity
Participate in 60 minutes of physical activity per day
Limit sedentary behaviour
- 3/1000 children have hospitilization accidents
- Home safety + childproofing
Obesogenic enviornments
Kids who are obese have high risk of physical and emotional health problems
Jordans principle
Promote justice and equity for all children in serves like; education, therapry, equipment, mental health
Joyces principle
Give indigenous people right to equitable access with no discrimination, enjoy health