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Chapter 5: Infancy- Physical Development
HA
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Heather Amick
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Updated Jun 2, 2022
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Chapters
00:00
Chapter 5: Infancy- Physical Development
00:10
Purpose and Perspective
01:49
Describe patterns of growth in infancy, focusing on the sequences of physical development.
10:53
Describe the nutritional needs of infants, focusing on the pros and cons of breastfeeding.
Audio Transcript
Auto-generated
00:04 - 00:07
Everyone. We're going to discuss chapter five
00:08 - 00:10
infancy, physical development
00:12 - 00:15
and the purpose and perspective of this chapter.
00:15 - 00:19
So, this chapter gives you an overview of
00:19 - 00:24
The biological growth and physical development from birth to about age two
00:24 - 00:28
um patterns and growth in height and weight. Brain um
00:29 - 00:33
brain how the brain is going to mature over this time,
00:33 - 00:37
Motor development, both gross motor and fine motor.
00:37 - 00:38
So make sure you know, the difference
00:39 - 00:39
um
00:40 - 00:44
and changes in sensation and perception
00:44 - 00:49
are examined as well, nutritional needs of infants and toddlers are described
00:49 - 00:52
and we're going to have a discussion in the
00:52 - 00:57
chapter um on breast feeding versus bottle feeding.
00:57 - 00:59
Um So make sure you take a look at that.
00:59 - 01:06
And then also a section on sensory um and uh perceptual development.
01:07 - 01:08
And then
01:08 - 01:12
the author talks about major themes in the book concerning the
01:12 - 01:17
relative influence of nature versus nurture which we we've discussed earlier
01:17 - 01:23
um in development and the question of the child's role, so active or passive
01:23 - 01:25
in the developmental process. So make sure you
01:26 - 01:29
read the chapter and think about those things throughout the chapter.
01:29 - 01:30
Now, in this lecture,
01:30 - 01:33
I'm obviously not going to touch on every single one of those things,
01:33 - 01:35
but I'm going to talk about, you know,
01:35 - 01:36
a few of them.
01:38 - 01:39
So,
01:41 - 01:45
the next thing we're going to talk about here,
01:47 - 01:48
just put my notes.
01:50 - 01:54
Okay, so the first thing we're going to talk about is described patterns,
01:54 - 01:56
describing patterns of growth and infancy
01:57 - 02:00
um and they focused a sequence. Ok,
02:00 - 02:01
so
02:02 - 02:05
there's definitely there's definitely a sequence that happens
02:05 - 02:07
when you are
02:08 - 02:09
developing. Right?
02:10 - 02:11
And
02:12 - 02:15
this happens over that, They said like this, this two year period.
02:15 - 02:17
So the first developmental
02:17 - 02:23
process that takes place is um from the head to the lower parts of the body.
02:23 - 02:26
So we always say head, head, shoulders, knees and toes.
02:26 - 02:28
And when we consider the central role of
02:28 - 02:31
the brain which is contained within the skull,
02:32 - 02:32
um
02:33 - 02:35
this sequence appears quite logical.
02:35 - 02:38
The brain regulates a central functions such as heartbeat
02:39 - 02:41
and through uh the secretion of hormones.
02:41 - 02:43
The brain also regulates the growth and
02:43 - 02:47
development of the body and influences basic drives
02:48 - 02:52
of hunger and thirst. So the head develops more rapidly than the rest of the body
02:53 - 02:53
during
02:54 - 02:57
this embryonic stage. And
03:00 - 03:03
why this is is because the brain is rapidly growing right
03:03 - 03:05
because it needs to control the rest of the body.
03:06 - 03:06
Um
03:07 - 03:07
And
03:08 - 03:09
so
03:10 - 03:13
infants can hold their heads up before they gain control of their arms,
03:14 - 03:15
their torso and their legs.
03:16 - 03:18
They can set up before they can crawl.
03:19 - 03:21
And when they first walk
03:21 - 03:22
they use their hands
03:22 - 03:26
to hold onto a person or object for support.
03:26 - 03:30
And this is you know how they get um
03:30 - 03:31
the start on
03:32 - 03:33
controlling their lower body
03:34 - 03:37
and then this um approx
03:37 - 03:41
these words listen, they're gonna they're gonna throw you off but
03:42 - 03:45
um the next part I think of like proximity,
03:45 - 03:46
so the mid part
03:47 - 03:50
um and this is going to be like your trunk
03:51 - 03:54
um and this is going to be where your central accesses
03:54 - 03:56
and this part
03:56 - 04:01
is your brain and spinal cord follow a central access right so down through the body.
04:01 - 04:04
Um And this is where um
04:06 - 04:11
you're going to find like the operations this the central operation of border.
04:11 - 04:12
Okay so
04:13 - 04:14
in
04:14 - 04:17
in the terms of motor development,
04:17 - 04:19
infants gain control over their trunk
04:20 - 04:23
and their shoulders before they gain control of their arms, hands and fingers.
04:24 - 04:25
And
04:26 - 04:29
it's just how this this order of coordination
04:30 - 04:30
takes place.
04:32 - 04:37
And then differentiation is a child's maturity and
04:37 - 04:39
their behavior becomes less loose and diffused,
04:40 - 04:42
more specific and distinct and
04:43 - 04:43
um
04:44 - 04:45
and then we
04:46 - 04:48
we get into um
04:48 - 04:50
they start to differentiate between
04:52 - 04:56
responses so they respond to pain.
04:56 - 05:03
Um They respond to um if their finger gets you know, stepped on or hurt or whatever.
05:04 - 05:04
Um
05:05 - 05:07
they start to develop this differentiation
05:11 - 05:11
and
05:12 - 05:14
we have these patterns, right? So
05:15 - 05:18
the most dramatic gain in height and weight occurred
05:18 - 05:22
during prenatal development within the span of nine months.
05:22 - 05:26
Um And then during the first year, the first year after birth.
05:27 - 05:31
So although um not by the standards of prenatal gains,
05:32 - 05:34
infants usually double their weight
05:34 - 05:38
In about five months and triple it by the first for their first birthday.
05:39 - 05:40
Um
05:41 - 05:43
So this first year is
05:43 - 05:44
they always say, you know,
05:44 - 05:47
the first year is the most important because that's when
05:47 - 05:50
this brain is really developing to this rapid growth,
05:50 - 05:51
this rapid
05:51 - 05:52
development is happening.
05:55 - 05:56
Um
05:58 - 06:01
And then this growth then continues on.
06:01 - 06:02
Um
06:02 - 06:03
Obviously as
06:04 - 06:05
the child begins to grow in age.
06:06 - 06:06
Um
06:08 - 06:10
and then they become taller
06:11 - 06:11
um
06:12 - 06:14
In about 18 months. Um
06:16 - 06:20
they say that boys are likely to reach half their adult height
06:21 - 06:22
at 18 months
06:23 - 06:24
maybe.
06:24 - 06:26
I mean that may be true, that maybe not true,
06:26 - 06:28
just depends on how they're growing there.
06:29 - 06:29
Typical.
06:31 - 06:31
And
06:32 - 06:36
we go through this like change in body proportions
06:36 - 06:38
um too.
06:38 - 06:43
So whenever you're in this fetal stage and even into this like baby stage,
06:43 - 06:44
you have this like really large head
06:45 - 06:47
and then hopefully
06:47 - 06:48
um
06:49 - 06:52
by the time you're you're you're aging into
06:52 - 06:57
older ages and adulthood, your your head is more proportionate to your body.
07:10 - 07:13
So when we get into um
07:14 - 07:17
another thing that's part of this growth
07:17 - 07:22
um and really well we'll kind of talk about it um
07:23 - 07:28
in this next part a little bit more. But this failure to try this failure to thrive.
07:28 - 07:34
So um what this is is when your body is not growing as it should be
07:35 - 07:36
and
07:37 - 07:38
she's not gaining weight
07:39 - 07:42
at a normal, at a normal speed.
07:42 - 07:43
Um
07:43 - 07:49
And sometimes this will be from refusing, they talk about refusing breast milk.
07:49 - 07:52
But I feel like this could happen with any child honestly,
07:52 - 07:55
and they'll say that she's failure to thrive.
07:56 - 07:56
Um
07:57 - 07:58
And
07:58 - 08:01
historically researchers have spoken
08:01 - 08:05
of biologically failure to thrive versus non
08:05 - 08:06
biological basis of failure to thrive.
08:07 - 08:09
But the idea is
08:09 - 08:10
that in
08:10 - 08:12
um they call it organic,
08:12 - 08:17
fail to thrive and underlying health problem occurs for the failure to obtain.
08:19 - 08:22
And then nonorganic failure to thrive is um
08:23 - 08:28
it's some type of psychological root um that the infant is not eating.
08:29 - 08:34
So in um infants it doesn't make it doesn't make the normal gains and weights.
08:34 - 08:36
And that's basically what failure thrive is. And
08:36 - 08:40
regardless of why there is a feeding problem.
08:40 - 08:41
And
08:42 - 08:44
what normally happens is that
08:45 - 08:47
those infants get introduced to solid foods
08:48 - 08:48
um
08:51 - 08:57
either either later than normal Children or sometimes it does happen quicker.
08:57 - 08:58
Um
08:59 - 09:00
And
09:01 - 09:05
just finding out like why they don't they don't want
09:05 - 09:10
to eat and they go into things like cognitive development,
09:10 - 09:12
behavioral emotional problems.
09:12 - 09:16
I mean, those are probably more on the extreme
09:16 - 09:17
end of
09:18 - 09:24
the spectrum. Sometimes it's just baby. Just babies do baby things
09:24 - 09:28
and you have to, you know, it's very frustrating for women and mothers.
09:28 - 09:32
Um And even fathers too, but you just have to figure out what like why,
09:32 - 09:36
or sometimes it's the nipple on the bottle or you know,
09:36 - 09:37
it's just a million different things.
09:37 - 09:38
But
09:40 - 09:41
it
09:41 - 09:44
they it can be a more serious issue, but I would
09:45 - 09:45
say
09:45 - 09:47
um just finding out why
09:47 - 09:50
and making sure that the child then puts great wayne
09:50 - 09:52
puts weight back on.
09:52 - 09:54
Um And normally what happens is the child goes on
09:54 - 09:57
to like a high protein or high nutritional type of
09:57 - 10:00
formula or diet to help that happen.
10:01 - 10:01
Um
10:02 - 10:04
And then the catch up growth
10:05 - 10:07
that happens with failure to thrive. Um
10:09 - 10:09
And
10:11 - 10:11
um
10:13 - 10:15
it can it can happen.
10:16 - 10:18
There's there's different
10:18 - 10:19
ways.
10:19 - 10:23
So genetically predetermined course may many organic
10:23 - 10:26
factors including illness and dietary deficiencies.
10:26 - 10:32
Um And then the one problem is alleviated by child's rate of growth frequency
10:33 - 10:36
um and it's accelerated and returns to its normal course.
10:37 - 10:37
Um
10:38 - 10:41
And that's typically I think what happens um
10:42 - 10:43
I think on your um
10:45 - 10:46
you're rare occasions you have
10:47 - 10:50
um Children that need like feeding tubes or other things like,
10:52 - 10:53
okay,
10:53 - 10:55
so the next thing is that we're going to
10:55 - 10:57
get into more of this nutritional fueling development.
10:57 - 11:01
So describe the nutritional needs of infants focusing
11:01 - 11:03
on the pros and the cons of breastfeeding.
11:04 - 11:07
I don't get into pros and cons of breastfeeding, but we'll talk about them.
11:07 - 11:09
Um There's there's pros and cons of everything
11:10 - 11:11
and um
11:11 - 11:13
you can talk for hours about
11:13 - 11:15
pros and cons of breast feeding. It's
11:16 - 11:17
it's a huge,
11:18 - 11:21
it's like a huge concert controversial topic. Um
11:22 - 11:22
But
11:23 - 11:26
nonetheless, the chapter does go into it a little bit more.
11:26 - 11:27
So,
11:27 - 11:30
overall nutritional status of Children in the United States
11:30 - 11:33
is adequate compared to Children in other countries.
11:33 - 11:34
Um
11:34 - 11:38
So the nutritional status of poor United States Children has been
11:38 - 11:40
improved through federal programs such
11:40 - 11:43
as food stamps supplemental nutritional programs
11:44 - 11:46
that'd be like quick um
11:47 - 11:51
programs that you get at school. So like the seats
11:52 - 11:53
um
11:53 - 11:55
like the Children and adults
11:55 - 11:57
child food programs
11:57 - 12:00
uh for school lunches. Um
12:01 - 12:05
So we do have some things in place to help Children.
12:05 - 12:06
Um
12:06 - 12:10
politicians are attempting to cut back on food stamps and school lunch programs,
12:11 - 12:13
but still compared to other countries where
12:14 - 12:16
we're really not doing that badly.
12:16 - 12:21
Um But in our country we still have poverty and
12:21 - 12:24
we still have um Children that are going hungry,
12:24 - 12:26
which in our country,
12:26 - 12:29
I mean I personally feel should not be happening um
12:29 - 12:32
with all of the luxuries that we have here.
12:33 - 12:34
Um
12:34 - 12:36
So from birth,
12:36 - 12:41
infants should be Fed either breast milk or iron fortified infant formula.
12:41 - 12:45
And then not until like 4-6 months you start to introduce solid foods.
12:45 - 12:47
And that's just from like that.
12:47 - 12:49
And the only reason why that is is because the tongue
12:49 - 12:54
hasn't developed its reflexes yet to like sort those solid foods and
12:54 - 12:56
um that's swallowing reflex really.
12:57 - 12:57
Um
12:58 - 13:01
And like just with like Justin and getting the right nutrients and things like that.
13:02 - 13:02
Um
13:03 - 13:05
So um
13:06 - 13:09
again do what your pediatrician says, but
13:11 - 13:12
when your mom you'll do what
13:12 - 13:14
you want. But that's the
13:15 - 13:16
that's kind of what they advise.
13:17 - 13:20
Um And the american pediatrics recommends that infants be breastfed,
13:20 - 13:23
read through the first year and longer.
13:23 - 13:27
Um If possible, and you can have your own beliefs on that situation.
13:27 - 13:29
Now, I will tell you I didn't breastfeed either one of my Children.
13:30 - 13:32
Um And it just simply I just didn't want to
13:32 - 13:37
and um they both they both simply turned out just fine.
13:37 - 13:41
Um Now my son had a swallowing disorder. He was born without an epic Gladys.
13:41 - 13:43
So until that developed
13:43 - 13:46
um he had some eating issues. But
13:47 - 13:50
I mean things you will do what you want to do as
13:50 - 13:52
a mom and you will do the right things all the time.
13:52 - 13:54
I mean whatever you do is pretty much the right thing.
13:55 - 13:55
Um
13:56 - 13:59
And then they recommend that the first solid food is
13:59 - 14:04
usually um cereal and then followed by fruits and vegetables.
14:04 - 14:08
Now I will tell you personally I did vegetables and then fruits.
14:08 - 14:11
Because if you give your kids fruits, they will ever want to eat vegetables first.
14:12 - 14:13
Um
14:13 - 14:16
And then you give them like meats and things then later.
14:20 - 14:23
And then we talk about the pros and cons of breastfeeding.
14:23 - 14:26
So in many developing nations women have no choice,
14:27 - 14:29
right? So their only choice is to breastfeed.
14:30 - 14:31
And um
14:32 - 14:33
here in our nation we have
14:34 - 14:35
Formula that's available.
14:35 - 14:41
I mean right now we're going through a little bit of a formula crisis um in 2022. But
14:41 - 14:45
um typically we have two choices. Um
14:45 - 14:48
breast milk today is considered the most
14:48 - 14:50
um preferable choice
14:51 - 14:56
by health professionals. But that doesn't mean that formula is not
14:56 - 14:57
um
14:57 - 14:59
just as good of an option
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