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In order to provide the optimum environment for healthy infant and toddler growth and development, it is essential to understand markers that characterize each stage of growth. If a number of these markers are absent or delayed, there may be an underlying physical or mental condition that needs to be addressed. Early identification of problems is vital to children's health. Teachers and child care workers may spot problems that parents have not noticed or have been afraid to acknowledge. They may also be able to identify abused or neglected children who exhibit abnormal development. Child development may vary according to culture and environment. Socioeconomic status also plays a major role in development. A child growing up in poverty may develop more slowly in response to nutritional deficiencies and a lack of social stimuli. Limited access to safe food and water and proper healthcare may also delay development.

Early in the 20th century, child development scholars in industrialized nations began to understand that children were not just “small adults” but were individuals with unique personalities and distinct needs. In 1933 during the Great Depression, the Society of Research in Child Development (SRCD) was established to apply this concept to improving the lives of America's children. The focus was on understanding how poverty and social deprivation affected development and on using that knowledge to design policies and programs to alleviate negative effects of poverty. In 1965, President Lyndon Johnson (1908–73) launched his War on Poverty, and Congress established the Head Start Program, which teaches reading and math skills to qualifying children from birth to three years to promote school readiness. Working under the auspices of the Department of Health and Human Services, the program also offers health, nutritional, and social support to children and families enrolled in the program.

Infancy

Within hours of a normal birth, most infants are alert and beginning to react to their surroundings. Although immature, all body systems are operating. Infants have the ability to swallow, suck, gag, cough, yawn, blink, and eliminate waste.

Hearing is well developed, but it takes several years for vision to reach adult levels. Studies conducted on newborns demonstrate that newborns can already discriminate face-like shapes from straight lines. The startle reflex is also apparent, and newborns react to sudden, unexpected movements and load noises. The grasping reflex allows even the tiniest infants to hold onto someone's finger. The sense of smell and taste are also evident, and infants will turn away from unpleasant smells and express preferences for sweet tastes over bitter.

Physically, heads are large in proportion to the rest of the body. Average birth weight varies from 6.5 to 9 pounds (3 to 4.1 kg) and length varies from 18 to 21 inches (45.7 to 53.3 cm). After losing five to seven percent of birth weigh, infants begin to gain an average of five to six ounces a week. Over the next few days, infants develop their own patterns, alternating from sleep to crying to alertness and returning to sleep. Young infants sleep in the fetal position and should be placed on their backs to offset the chance of sudden infant death syndrome (SIDS). Many infants sleep from three to four hours between feedings, initially requiring from six to 10 feedings per day.

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