Exam 2 Flashcards
(64 cards)
apgar
quickly assess condition of the newborn
1 min and 5 min after birth
heart rate, respiratory effort, reflex irritability, muscle tone, color
0 - 10 7 < is good
kangaroo care
in countries where poor postnatal care
keep baby close to mother or father on chest
keep baby warm
gentle stimulation
improved survival rate
Infant and neonatal mortality
infant mortality - death within the first year
neonatal mortality - death within the first month
- unexpectedly high in the US due to poor maternal and paternal leave policies
- major causes of neonatal death are physical birth defects (consistant across SES and nationality) and low birthweight (higher in african american and native americans)
Toxemia
- preeclampsia
- high blood pressure
- swelling in the mother
- bed rest and low blood pressure medication
Rh factor incompatibility
mother Rh negative
baby Rh positive
fetus blood crosses to mother and mother makes antibodies
In future pregnancy the antibodies could enter Rh positive fetus
teratogens
environmental agent that causes damage during the prenatal period
-dependent on dose, heredity, other negative influences, age
thalidomide
in canada and europe
used to treat morning sickness
lead to deformities and lack of limbs
diehtyl stilbestrol - mothers took to prevent miscarriages. children were less fertile and had reproductive cancers
-currently most common teratogen is accutane (acne)
Cocaine during pregnancy
-limits blood flow and oxygen for 15 min
Can effect neurons and chemicals in the brain
Smoking during pregnancy
low birth weight
Alcohol during pregnancy
- fetal alcohol spectrum disorder
– fetal alcohol syndrome - effect physical appearance and functionality
–partial fetal alcoholl syndrome - fewer abnormalities
–alcohol related neurodevelopment disorder - only mental effects
folic acid
-folic acid supplements reduce neural tube deformaties by 70%
Growth spurts
- 50% greater height at one year than at birth
- 75% greater height at two years than at birth
- 5 months weight double
- 1 year weight triple to 22lbs
- 2 years quadruple to 30lbs
- grow in spurts, may be very irratble the day before large growth. Not continuous
Growth trends
- fat and less muscle development
- asians slow, african americans fast
- skeletal age is used to determine physical maturity
cephalocaudal trend
head develops more rapidly than the rest of the body
largest proportion at birth
proximodistal trend
near to far
infancy and childhood - arms and legs grow ahead of the feet and hands
neural prunning
neurons not used are returned to the uncommitted state and future development can occur
40% of synapses are pruned
lobes
prefrontal cortex - develops to make synaptic connections
lateralization - left and right brain
–left - processing information, analytical
–right - emotion, holistic, integrated
brain plasticity
- high capacity for learning when synapses are not committed
- other parts can take over the task
experience - expectant brain growth
young brains rapid developing organization, which depends on ordinary experiences, opportunites to explore the environment, interact with people, and hear language and other sounds
experience - dependent brain growth
occurs throughout our lives. consists of additional growth and refinement of established brain structures as a result of specific learning experiences that vary widely across individuals and cultures
Marasmus and Kwashiorkor
malnutrition diseases
language acquisition device
innate system contains universal grammar or rules that enables childrent to pick up on language they hear and speak as soon as they pick up the words
Attachment
strong affectionate tie we have with special people in our lives that leads us to feel pleasure when we interact with them and to be comforted by their nearness in times of stress
ethologiacl theory of attachment
infants emotional tie to the caregiver as an evolved response that promotes survival, is the most widely accepted view
- preattachment phase - birth to 6 wks
- attachment in the making phase - 6wks to 8 months
- clear cut attachment phase - 8 months to 2yrs
- formation of a reciprocal relationship - 2yrs +