Development (18)
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Define premature and very premature:
Premature: before 37 wks Very premature: before 32 wks
What are the components of APGAR scores:
A- Appearance (color) P- Pulse G- Grimace (reflex irritability) A- Activity (msucle tone) R- Respiration ** used to predict the likelihood of immediate survival
T/F the US has a high rate of premature births compared to other developed countries
True
What is the physiologic reason for postpartum depression?
Oxytocin- dopamine interaction associated with maternal infant bond
What are the different theories of development?
Chess and Thomas: temperament Erikson: critical periods of social goals Piaget: cognitive or learning capabilities Mahler: Separation- individuation Freud: parts of the body in which pleasure derived
What is the main focus of the development from infancy to 18 mo?
Attachment!
When are each of the following seen: Social smile Stranger anxiety Separation anxiety
Social smile- 12 wks Stranger anxiety- 9 months Separation anxiety- late in 1st year (object permanence comes first)
Define the following reflexes: Rooting reflex Palmar Grasp reflex Moro reflex Babinski reflex
Rooting reflex: touch cheek turn toward nipple Palmar Grasp reflex: gril any object put in palm Moro reflex: limbs extend when child is startled Babinski reflex: dorsiflexion of toes when the sole of the foot is stroked
What is the main aspect of development in the toddler years (18mo- 3 yrs)?
Rapproachement: moves away but then quickly returns for comfort
What type of play is seen in toddler years?
Parallel play (play next to but not reciprocal)
When is gender identity established?
3 years
What is the main aspect of development in the preschool years (3-6 yo)?
A little regression and an active fantasy life but they are aware that the imaginary friends are not real. Also there is a strong fear of bodily injury
What type of play is seen at age 4?
Cooperative
What milestones are present at age 6/
Development of conscience (superego) Sense of morality Empathy Learns lying is wrong Understands the finality of death
What occurs in the school age years (7-11)?
Lifelong sense of competence, learning problems are identified, concrete operations, more complex motor tasks (sports), rule conscious, peer relationships
What occurs in adolescence (11- 20 yo)?
independent/ autonomy and person decision making Changes in the brain: increased myelination, pruning of neurons, frontal and parietal lobes
Describe the time lines of puberty and sexual exploration:
Puberty: girls @ 10.5yrs, boys @ 11.5 yrs First menstruation: 11-14 yrs First ejaculation: 12-15 yrs
What is seen in middle adolescence?
Risk taking behavior, spending time with friends, autonomy need tor privacy
What is seen in late adolescence?
Identity crisus (define and refine place in the world), role confusion
Name some emotional and social factors that predispose to teen pregnancy?
Depression, poor school achievement, divorced parents
What are some challenges of early and middle adulthood?
Transition periods where individuals are vulverable to physical and emotional illnesss. Possible regression
T/F: close to 50% of marriages in US end in divorce.
True
What are the three types of child custody?
Sole custody, joint custody, and split custody
What happens in early adulthood?
One’s role in society is defined, physical development at peak and individual is independent