Toddler Development Theories: Freud, Piaget, Erikson
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Questions and Answers

How should nurses approach toilet training during Freud's Anal Stage, and what potential negative outcomes should they avoid?

Nurses should approach toilet training positively, and avoid punishment that may cause shame or anxiety.

In what ways can nurses support and promote cognitive growth in toddlers based on Piaget's transition from the Sensorimotor to the Preoperational Stage?

Nurses should encourage play and exploration, and introduce simple concepts.

According to Erikson's theory, what is the primary conflict that toddlers face, and how does it influence their development of independence?

The primary conflict is Autonomy vs. Shame and Doubt. Successfully resolving this conflict allows toddlers to develop independence.

Explain how parents might experience conflicting emotions during the toddler stage as their child transitions from infancy to toddlerhood.

<p>Some parents may miss the nurturing tasks of infancy, while others embrace the energy of engaging with a more active child.</p> Signup and view all the answers

How does a toddler's development of symbolic thinking, as described by Piaget, influence their interactions and understanding of the world?

<p>Toddlers develop symbolic thinking but lack logical reasoning, which influences how they interact with the world.</p> Signup and view all the answers

Summarize the key skills learned by toddlers and their impact on overall development.

<p>Toddlers learn to walk/run, talk and assert independence. These skills reshape family dynamics and provides new ways for parents to engage with their children.</p> Signup and view all the answers

Describe how understanding toddler development can assist healthcare professionals in providing holistic care.

<p>By understanding a toddler's stage of development, a healthcare professional can choose better methods to communicate with their patients. The healthcare professional can also teach the parents what to expect, and thus provide better support for the parents.</p> Signup and view all the answers

Can you describe in your own words what a toddler is?

<p>A toddler transitions from dependent infant to walking and talking young one who begins to assert their independence.</p> Signup and view all the answers

According to Kohlberg's theory, how do toddlers typically make moral decisions in the preconventional stage, and what is one way nurses can guide parents to support their child's moral development?

<p>Toddlers base moral decisions on avoiding punishment or gaining rewards. Nurses can advise parents to use positive reinforcement and model appropriate behavior.</p> Signup and view all the answers

A toddler is brought in for a check-up. The nurse observes that the toddler has a prominent abdomen and a noticeable lordosis. How should the nurse explain these findings to the parents?

<p>These findings are normal for toddlers because their abdominal muscles are not yet strong, and the spinal curve will correct itself naturally.</p> Signup and view all the answers

Describe how a nurse can support a toddler's autonomy during daily care activities, providing specific examples related to feeding or dressing.

<p>Nurses can support autonomy by allowing safe choices and encouraging self-help skills, like allowing the toddler to choose between two outfits or helping with feeding.</p> Signup and view all the answers

At what age should a toddler typically have all 20 deciduous teeth, and what are the names of the teeth that erupt during the second year of life?

<p>A toddler should have all 20 deciduous teeth by 2.5 to 3 years of age. The canines and the first molars erupt during the second year.</p> Signup and view all the answers

Explain why toddlers tend to walk with a wide stance and waddle. What aspect of their physical development contributes to this?

<p>Toddlers walk with a wide stance and waddle because their abdominal muscles are not yet strong.</p> Signup and view all the answers

A nurse is assessing a 2-year-old toddler. List three key physical characteristics that are commonly observed in toddlers of this age.

<p>Speaks in two-word sentences; Pouchy abdomen from weak abdominal muscles; Noticeable lordosis.</p> Signup and view all the answers

Outline two significant changes in the body systems of a toddler compared to an infant?

<p>Heart rate slows from 110 to 90 beats per minute. Stomach secretions become more acidic.</p> Signup and view all the answers

Explain how to interpret BMI percentiles for toddlers, including the ranges that indicate underweight, healthy weight, overweight, and obese status.

<p>Underweight is &lt;5th percentile; Healthy weight is 5th to &lt;85th percentile; Overweight is 85th to &lt;95th percentile; Obese is ≥95th percentile.</p> Signup and view all the answers

Why might a two-year-old frequently say "No," and what should caregivers understand about this behavior?

<p>Saying &quot;No&quot; is a typical expression of emerging autonomy. Caregivers should recognize it may indicate refusal, misunderstanding, or simply exploration of sounds and boundaries.</p> Signup and view all the answers

How does passive screen time affect language development in toddlers, and what does the American Academy of Pediatrics recommend regarding screen time for children under 18 months?

<p>Passive screen time provides minimal language input, hindering language development. The AAP recommends no screen time before 18 months.</p> Signup and view all the answers

Describe two strategies caregivers can use to encourage language development in toddlers during daily routines or play.

<p>Caregivers can name objects during play and daily routines and encourage children to ask for items, reinforcing their requests by repeating and voicing them.</p> Signup and view all the answers

Explain the difference between receptive and expressive vocabulary in active toddlers, and why one might be larger than the other.

<p>Receptive vocabulary is what a child understands, while expressive vocabulary is what they can speak. Active children may have a larger receptive vocabulary because they understand more than they can verbally express.</p> Signup and view all the answers

According to Erikson, what is the primary developmental task of the toddler years, and how should caregivers support this?

<p>The primary developmental task is developing autonomy vs. shame/doubt. Caregivers should provide consistent rules to support healthy autonomy.</p> Signup and view all the answers

Describe how a toddler's eating habits change as their stomach capacity increases, and at what point are they typically able to eat three meals a day?

<p>As a toddler's stomach capacity increases, they transition to being able to eat three meals a day. This happens as their digestive system matures and can handle larger quantities of food at regular intervals.</p> Signup and view all the answers

How does the play behavior of toddlers at the parallel play stage differ from cooperative play, and why is parallel play considered developmentally normal?

<p>In parallel play, toddlers play <em>beside</em> other children but not <em>with</em> them. It's developmentally normal because they are still developing social skills and learning to share and interact directly.</p> Signup and view all the answers

Explain the relationship between myelination of the spinal cord and a toddler's ability to be toilet trained.

<p>Complete myelination of the spinal cord enables control of the urinary and anal sphincters, which is essential for toilet training. Without this myelination, toddlers lack the necessary physiological control.</p> Signup and view all the answers

Give an example of imitative play seen in two-year-olds, and explain why this type of play is significant for their development.

<p>A two-year-old caring for a doll or &quot;driving&quot; a car is an example of imitative play. This is significant because it allows them to model adult behaviors, understand roles, and develop social skills.</p> Signup and view all the answers

How can understanding a toddler’s preference for independent play inform the selection of suitable toys, and provide two examples of such toys?

<p>Understanding that toddlers enjoy independent play suggests selecting toys they can manipulate on their own. Examples include toy trucks or squeaky toys.</p> Signup and view all the answers

Describe the changes in a toddler's immune system around the age of 2 years, focusing on antibody production and the waning of passive immunity.

<p>Around 2 years of age, a toddler's IgG and IgM antibody production becomes mature, indicating a more developed immune system. Simultaneously, passive immunity acquired during intrauterine life diminishes, making the toddler more reliant on their own immune responses.</p> Signup and view all the answers

How does a 15-month-old toddler typically interact with small objects and writing tools, according to their fine motor skills development?

<p>A 15-month-old toddler typically puts small pellets into small bottles and scribbles voluntarily with a pencil or crayon. They can also hold a spoon but may turn it upside down on the way to their mouth.</p> Signup and view all the answers

Describe the typical gross motor skills of an 18-month-old toddler in terms of running, jumping, and stair climbing.

<p>An 18-month-old toddler can typically run and jump in place. They can also walk up and down stairs while holding onto a person's hand or a railing, usually placing both feet on one step before advancing.</p> Signup and view all the answers

Explain the language development milestones typically achieved by a 24-month-old toddler, including vocabulary size and sentence structure.

<p>By 24 months old, a toddler typically has a vocabulary of around 50 words and begins to use two-word sentences, such as 'Daddy go' or 'Dog talks,' combining a noun or pronoun with a verb.</p> Signup and view all the answers

How does a 30-month-old toddler demonstrate their fine motor skills and cognitive understanding through drawing and self-identification?

<p>A 30-month-old toddler can make simple lines or strokes for crosses with a pencil, demonstrating improved fine motor control. Cognitively, they know their full name, can name one color, and hold up fingers to show their age, indicating self-awareness and cognitive development.</p> Signup and view all the answers

Distinguish between parallel play and imitative play, and provide an example of each as seen in toddlers between 18 and 30 months old.

<p>Parallel play involves playing beside, but not directly interacting with, another child, such as two toddlers playing with blocks in the same area without collaboration. Imitative play involves mimicking household chores or parents' actions, like a toddler pretending to dust furniture.</p> Signup and view all the answers

How does a toddler in Piaget's sixth stage of sensorimotor development typically approach problem-solving?

<p>Toddlers in this stage begin to use symbolic thought to solve problems, but their reasoning is often prelogical, and they may struggle to differentiate similar objects.</p> Signup and view all the answers

Describe how a toddler transitioning to the preoperational stage might react when struggling with a toy or object, according to the provided text.

<p>A toddler may try to adapt the situation to their thoughts rather than adapting their thoughts to the situation. For example, they might shake a hammer instead of pounding with it.</p> Signup and view all the answers

Why might spending quality time with a child help reduce attention-seeking tantrums?

<p>Spending quality time with a child ensures they receive positive attention and recognition, decreasing the need to act out to gain attention.</p> Signup and view all the answers

A child is having a tantrum because they are hungry and tired. What time-out method is most appropriate, and why?

<p>Offering a quiet space to calm down and then addressing their basic needs (food, rest) is most appropriate. This approach recognizes the tantrum's cause and provides comfort rather than punishment.</p> Signup and view all the answers

Explain why simply ignoring a refusal tantrum might not be the most effective strategy.

<p>Ignoring a refusal tantrum doesn't address the child's feeling of powerlessness or their desire to control the situation, potentially escalating the behavior.</p> Signup and view all the answers

What is the recommended approach for handling destructive tantrums, and what is the rationale behind it?

<p>The recommended approach is to implement a time-out to remove the child from the situation. This helps to ensure the safety of the child and others, prevent further destruction, and allow the child to calm down.</p> Signup and view all the answers

How does deferred imitation relate to the development of symbolic thought in toddlers?

<p>Deferred imitation is when toddlers imitate actions later. This suggests that they can hold a mental representation of an action in mind, which is a clear indication of symbolic thought.</p> Signup and view all the answers

Describe how consistency plays a role in managing refusal tantrums, and explain why it is important.

<p>Being consistent means always following through with the established rules &amp; boundaries. It is important because it teaches the child what to expect, reducing confusion and testing of limits, which in turn reduces refusal tantrums.</p> Signup and view all the answers

Flashcards

Developmental Milestones

Key developmental achievements toddlers reach between 1-3 years.

Freud's Anal Stage

Stage where toddlers gain control over bowel and bladder functions (1-3 years).

Piaget's Sensorimotor Stage

Initial stage where toddlers develop sensory and motor skills (0-2 years).

Preoperational Stage

Toddler stage (2-7 years) characterized by symbolic thinking; no logical reasoning yet.

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Erikson's Autonomy vs. Shame

Stage where toddlers learn independence; crucial to develop self-confidence.

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Fine Motor Skills

Small movements, like grasping or writing, involving fingers and hands.

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Gross Motor Skills

Larger movements, like running or jumping, involving arms and legs.

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Holistic Care Understanding

Recognition of the importance of developmental milestones in promoting overall toddler care.

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Supporting Autonomy

Encouraging safe choices and self-help skills in toddlers.

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Kohlberg's Preconventional Stage

Moral decisions based on avoiding punishment or gaining rewards.

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Toddler Physical Growth

Weight gain of 5-6 lb and height increase of 5 in during the second year.

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Body Mass Index Percentiles

Classification of weight status: underweight, healthy, overweight, obese.

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Toddler Body Contour

Toddlers have a prominent abdomen and wide-based gait due to muscle development.

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Deciduous Teeth Eruption

Eight new teeth erupt during the second year; all 20 by age 3.

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Average Toddler Appearance

Speaks in two-word sentences, has noticeable lordosis, and a wide-based gait.

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Body Systems Maturation

Body systems mature: slower respirations, decreasing heart rate, and brain growth.

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Two-Word Phrases

Language development stage where toddlers start combining words.

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Autonomy vs. Shame

Erikson's stage highlighting the struggle for independence in toddlers.

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Passive Screen Time

Viewing screens without interaction; minimal language gain.

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Naming Objects

Encouraging language by identifying items during play and daily activities.

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Imitation in Toddlers

Children learn by observing and copying adults' actions.

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Parallel Play

Playing beside other children without direct interaction, typical for toddlers.

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Receptive vs. Expressive Vocabulary

Understanding (receptive) vs. using (expressive) language skills in toddlers.

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Pronoun Mastery

Challenge for toddlers; usually mastered between 3.5-4 years old.

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Little Scientists

Toddlers exploring actions and their outcomes during the sensorimotor stage.

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Deferred Imitation

Ability to imitate actions later, showing memory of observed behavior.

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Object Permanence

Understanding that objects continue to exist even when not seen; fully developed by toddlers.

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Transition to Preoperational Stage

Shift from sensorimotor to preoperational thought, unable to adapt thoughts to situations.

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Attention-Seeking Tantrums

Outbursts aimed at getting caregiver's attention, often through crying or whining.

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Frustration or Fatigue-Related Tantrums

Tantrums due to tiredness, hunger, or difficulty completing tasks.

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Refusal Tantrums

Outbursts caused by not wanting to comply with instructions or demands.

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Destructive Tantrums

Tantrums that involve throwing or breaking items and harming others.

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Toddler Growth Pattern

Toddler development involves slow and steady growth compared to rapid infant growth.

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Toilet Training Readiness

Toilet training is possible when urinary and anal sphincters are myelinated.

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Fine Motor Skill at 15 months

At 15 months, toddlers can scribble and put small items into bottles.

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Gross Motor Skill at 18 months

By 18 months, children can run, jump, and navigate stairs while holding on.

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Language Development at 24 months

By age 2, toddlers use about 50 words and form two-word sentences.

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Imitation in Play

Toddlers mimic adult chores during play as a part of learning.

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Language Development Importance

Toddlerhood is crucial for developing language skills.

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Study Notes

Nursing Care of a Family with a Toddler

  • Toddlers are typically defined as children aged 1 to 3 years
  • They experience significant growth and development during this stage
  • They transition from dependent infants to walking and talking young ones who begin to assert their independence
  • This evolution involves achieving various developmental milestones that reshape both the child and family dynamics
  • Parents may need to adjust their approaches
  • Some parents might miss the nurturing tasks of infancy, while others embrace the energy of engaging with a more active child
  • Understanding what a toddler is means recognizing these crucial developmental changes and their impact on family life

Objectives

  • After an hour of varied lecture discussion, students will be able to enhance their positive attitude, recognize key developmental milestones in toddlers, and gain foundational knowledge for promoting healthy growth and well-being in this age group
  • Define the key developmental milestones of toddlers using Freud, Piaget, Erikson, and Kohlberg's theories
  • Describe the physical, emotional, and cognitive characteristics of toddlers
  • Differentiate between fine and gross motor skills, providing at least three examples of each
  • Summarize the key skills learned by toddlers and their impact on overall development
  • Appreciate the significance of understanding toddler development in promoting holistic care

Developmental Theories: Toddler

  • Freud's Anal Stage (1-3 years): Focuses on toddlers gaining control over bowel and bladder functions. Nurses should support toilet training positively, avoiding punishment to prevent shame or anxiety related to bodily functions.
  • Piaget's Sensorimotor Stage transition to the Preoperational Stage (2-7 years): Toddlers develop symbolic thinking but lack logical reasoning. Nurses should encourage play and exploration to promote cognitive growth and introduce simple concepts for better understanding.
  • Erikson's Autonomy vs. Shame and Doubt: Emphasizes independence. Nurses can support parents in fostering autonomy by allowing safe choices and encouraging self-help skills, like feeding and dressing.
  • Kohlberg's Preconventional Stage: Toddlers base moral decisions on avoiding punishment or gaining rewards. Nurses can teach parents to use positive reinforcement and model appropriate behavior to shape their moral development.

Nursing Assessment of a Toddler to Developmental Milestones

  • This nursing assessment systematically evaluates a toddler's developmental progress across physical, cognitive, social-emotional, and linguistic domains to facilitate early detection of any delays and enable timely intervention.

Physical Growth

  • Weight: 5 to 6 lb (2.5 kg)
  • Height: 5 in (12 cm)
  • Head Circumference: Increases only about 2 cm during the second year compared to about 12 cm during the first year.

Body Mass Index (BMI)

  • Underweight: <5th percentile
  • Healthy weight: 5th–<85th percentile
  • Overweight: 85th–<95th percentile
  • Obese: ≥95th percentile

Body Contour

  • Toddlers tend to have a prominent abdomen
  • Abdominal muscles are not yet strong
  • They have a forward curve of the spine at the sacral area (lordosis)
  • Toddlers often waddle or walk with a wide stance

Teeth

  • Eight new teeth (the canines and the first molars) erupt during the second year
  • All 20 deciduous teeth are generally present by 2.5 to 3 years of age

Appearance of the Average Toddler

  • Speaks in two-word sentences
  • 20 deciduous teeth present at 2.5 years
  • Heart rate: 90 to 110 beats/minute
  • "Pouchy" abdomen from weak abdominal muscles
  • Chest circumference becomes bigger than head circumference at 2 years
  • Noticeable lordosis
  • "Baby fat" begins to disappear
  • Wide-based gait

Body Systems

  • Respirations slow slightly but continue to be mainly abdominal
  • Heart rate slows from 110 to 90 beats per minute
  • Blood pressure increases to about 99/64 mm Hg
  • The brain develops to about 90% of its adult size
  • In the respiratory system, the lumens of vessels enlarge progressively, so the incidence of lower respiratory infection decreases
  • Stomach secretions become more acidic
  • Stomach capacity increases to the point that a child can eat three meals a day
  • Control of the urinary and anal sphincters becomes possible with complete myelination of the spinal cord, so toilet training is possible
  • Immunoglobulin (IgG) and IgM antibody production becomes mature at 2 years of age. Passive immunity obtained during intrauterine life is no longer operative

Developmental Milestones

  • The developmental milestones of the toddler years are less numerous but no less dramatic
  • This is a period of slow and steady growth
  • Toddler development influenced by social contact and opportunities to explore new degrees of independence
  • Strongly influenced by individual readiness for a new skill

Fine and Gross Motor Skills (Ages 15-24 months)

  • Specific milestones are listed by age in the provided images (see the age-specific milestones)

Language Development

  • Assess any 2-year-old not using two-word phrases
  • "No" is a common expression of emerging autonomy
  • Children need to be exposed to conversations
  • Limit screen time
  • Active children may have larger receptive (understanding) vocabularies than expressive (spoken) vocabularies
  • Children learn by imitation
  • Pronouns (I, me, him, her) may be challenging; mastery may not occur until 3.5-4 years old

Emotional Development

  • Children change in their ability to understand the world and how they relate to people
  • Autonomy is a developmental task involving independence vs shame and doubt
  • Caregivers should provide consistent rules to support healthy autonomy
  • Independence vs Clinging
  • At 15 months, toddlers may be still enthusiastic about interacting with people
  • By 18 months, toddlers imitate caregiver actions
  • By 2 or 4 years, toddlers become aware of gender

Play Behavior

  • Play is a significant aspect
  • Parallel play: toddlers playing beside, not with, other children is typical and normal
  • Independent play: toddlers enjoy toys that allow them control

Cognitive Developmental Milestones

  • Toddlers are still in the final stages of Piaget's sensorimotor stage, described as "little scientists"
  • Begin problem-solving and symbolic thought
  • May struggle to differentiate similar objects
  • Exhibit prelogical reasoning (faulty conclusions)
  • Demonstrate deferred imitation (imitating actions later)
  • Object permanence is fully developed
  • Transition to preoperational stage: Difficulty adapting thoughts to situations; instead, they adapt the situation to their thoughts

Tantrums and Time-Out Methods

  • Different types of tantrums (attention-seeking, frustration/fatigue-related, refusal, or destructive)
  • Corresponding time-out methods which promote a safe environment and calm response
  • Strategies for addressing behaviors and needs during these periods

References

  • Maternal and Child Health Nursing (Care of the Childbearing and Childrearing Family) 9th edition

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Explore toddler development through the lens of Freud, Piaget, and Erikson. Learn about toilet training during the anal stage, cognitive growth during the sensorimotor to preoperational transition, independence, symbolic thinking, and key skills learned by toddlers.

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