Prenatal developmental concern Flashcards

(47 cards)

1
Q

determinants of intra-uterine growth and birthweight (15)

A

infant sex
ethnicity/race
maternal height
pregnancy weight
alcohol consumption
pregnancy height and weight
maternal birth weight
parity (number of pregnancies)
gestational weight gain
prior low birth weight infant
caloric intake
cigarette smoking
tobacco chewing
maternal age
socioeconomic status

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2
Q

full term infants in 10th percentile

A

2.5x risk of mortality

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3
Q

what is classified as low birth weight

A

<2500 g, 5lbs 8oz

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4
Q

low birth weight 2 distinct groups

A

pre-term
small-for-date

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5
Q

how can low birthweight can impact growth

A

smaller status
possible deficiencies in nm coordination and power

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6
Q

most common reason for miscarriage

A

faulty or incompatible gametes
chromosomal abnormalities

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7
Q

how many pregnancies lost before 20 weeks

A

10-25%

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8
Q

other causes for miscarriage

A

maternal age
illness
lifestyle
trauma

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9
Q

factors that do not cause miscarriages

A

sex, working outside home, moderate exercise

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10
Q

congenital malformation

A

abnormal condition present at birth

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11
Q

causal factors for congenital malformations

A

can be both genetic and environmental

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12
Q

which period is most critical for genetic malformations

A

embryo

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13
Q

how do abnormalities arise

A

alterations to the sequence of development of tissues, organs, systems

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14
Q

causal agents for malformations can include

A

trauma, chemicals, therapeutic drugs
radiation, infections, hypoxia
maternal metabolic imbalances
maternal substance use

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15
Q

prenatal nutrition is related to

A

placental
fetal
maternal factors

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16
Q

placental factors - nutrition

A

circulation and the transport of nutrients form placenta to fetus

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17
Q

fetal factors - nutrition

A

utilization of available nutrients

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18
Q

maternal factors- nutrition

A

overall nutritional status of the mother
adequacy of energy and nutrient intake and weight gain during pregnancy

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19
Q

teratogens

A

an environmental agent that causes harm to the embryo or fetus

20
Q

amount of harm is a function of

A

babys genetic makeup
amount of exposure
time/duration of exposure

21
Q

maternal smoking causes

A

hypoxia
affects weight and height development

22
Q

alcohol consumption is associated with

A

fetal growth restrictions (dec weight)
abnormal facial development
impairment of the cns

23
Q

fetal alcohol syndrome occurs in

A

1 in every 700 births

24
Q

about 1/3 of children born to alcoholic mothers have

25
ARND
alcohol related neurodevelopmental disorders
26
exercise stresses
cv system and msk
27
moderate physical activity
no negative effects on fetal development benefits for mother
28
when is exercise contraindicated
high risk pregnancies
29
FOAD
fetal origins of adult diseases
30
chromosome disorders
down syndrome
31
gene-based disorders
Phenylketonuria cystic fibrosis sickle-cell desease
32
PKU
intellectual disability, seizures, behavioural problems, mental disorders, musty odor timely diagnosis and early treatment key to eliminating developmental issues
33
CF
respiratory dysf, inc. risk of infection, no cure
34
sickle-cell
2 defective genes for Hb cause the disease, 1 causes the trait
35
reflexes dominate movement during
later half of pregnancy and first 4 months of infancy
36
reflexes can provide
important diagnostic information for infant health and neuro maturation
37
primitive reflexes are critical to
ensuring nourishment and protection
38
postural reflexes are considered
the basis for more complex voluntary movement of later infancy
39
infant reflexes
disappear by the end of first year
40
primitive reflexes
dominate first 6 months ensure survival, protection, nutrtion produced subcortically appear during gestation and at birth to 6 months
41
primitive reflexes ex.
42
postural reflexes ex.
43
postural reflexes are produced
cortically
44
some postural reflexes are considered precursors to
complex movements
45
most commonly used reflex used to determine neurological maturation
the moro reflex asymmetrical tonic neck reflex
46
reflexes to monitor motor function
milani comparetti neuromotor development primitive reflex profile
47
stereotypies
rhythmic, patterned, centrally controlled movement behaviour of infancy apparently not learned through imitation or a consequence of external stimuli