Chapter 4 Flashcards

1
Q

What are the effects obstetric medications have on the neonate?

A

Obstetric medications can affect the neonate’s respiratory function, muscle tone, and overall health immediately after birth.

These medications can lead to complications such as respiratory depression or reduced alertness.

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2
Q

What is the length of the neonatal period?

A

The neonatal period lasts from birth to 28 days after birth.

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3
Q

Define ‘Fontanel’

A

Fontanel refers to the soft spots on a baby’s skull where the bones have not yet fused.

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4
Q

Define ‘Lanugo’

A

Lanugo is the fine, soft hair that covers a fetus and is usually shed before or shortly after birth.

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5
Q

Define ‘Meconium’

A

Meconium is the first stool of a newborn, consisting of digested amniotic fluid, mucus, and other substances.

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6
Q

Define ‘Vernix caseosa’

A

Vernix caseosa is the waxy, white substance that coats the skin of a newborn, providing protection in utero.

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7
Q

What is the Apgar Scale?

A

The Apgar Scale is a quick assessment tool used to evaluate a newborn’s health at 1 and 5 minutes after birth based on five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration.

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8
Q

What is the Brazelton Scale?

A

The Brazelton Scale is an assessment tool used to evaluate a newborn’s behavioral and neurological responses.

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9
Q

What is the average weight and length of the neonate?

A

The average weight of a neonate is about 7.5 pounds (3.4 kg) and the average length is approximately 20 inches (51 cm).

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10
Q

Define ‘Moro’ reflex

A

Moro is a reflex where a baby throws their arms out and then inward in response to a sensation of falling.

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11
Q

Define ‘Darwinian’ reflex

A

Darwinian reflex refers to the grasp reflex where a baby will grasp an object placed in their palm.

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12
Q

Define ‘Tonic neck’ reflex

A

Tonic neck reflex is when a baby turns their head to one side and extends the arm on that side while flexing the opposite arm.

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13
Q

Define ‘Rooting’ reflex

A

Rooting reflex is when a baby turns their head and opens their mouth in response to a touch on the cheek.

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14
Q

Define ‘Waking’ in infant terminology

A

Waking refers to the state when an infant transitions from sleep to alertness.

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15
Q

What does ‘states of arousal’ refer to in infants?

A

States of arousal refer to the various levels of alertness and activity that an infant exhibits, ranging from deep sleep to full alertness.

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16
Q

What are reasons for the drop in immunizations?

A

Reasons for the drop in immunizations include vaccine hesitancy, misinformation, and access issues.

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17
Q

Why are immunizations important?

A

Immunizations are important because they prevent the spread of infectious diseases and protect the health of individuals and communities.

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18
Q

How do obstetric medications affect the Apgar Scale?

A

Obstetric medications can lower Apgar scores by impacting the newborn’s respiratory and neurological stability.

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19
Q

Discuss the differences between bottle and breastfeeding

A

Bottle feeding provides convenience and measured feeding, while breastfeeding offers nutritional benefits and bonding.

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20
Q

Describe early sensory capacity of the infant in terms of pain

A

Infants have a well-developed capacity to feel pain, showing reactions such as crying or withdrawal.

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21
Q

Describe early sensory capacity of the infant in terms of hearing

A

Infants can hear sounds and respond to familiar voices, showing preference for their mother’s voice.

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22
Q

Describe early sensory capacity of the infant in terms of smell

A

Infants can recognize their mother’s scent and show preference for sweet smells.

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23
Q

Describe early sensory capacity of the infant in terms of vision

A

Infants have limited vision at birth, primarily seeing high-contrast patterns and objects close to their face.

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24
Q

Describe early sensory capacity of the infant in terms of taste

A

Infants can taste and show preference for sweet flavors, often reacting positively to sugar solutions.

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25
Q

Describe early sensory capacity of the infant in terms of temperature

A

Infants can sense temperature changes and react to hot or cold stimuli.

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26
Q

Define ‘temperament’

A

Temperament refers to the innate traits that influence how an individual reacts to the world, including mood, activity level, and emotional reactivity.

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27
Q

What are weight and height changes during the first year of life?

A

During the first year, infants typically triple their birth weight and grow about 10 inches in length.

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28
Q

What are milestones for motor development in infants?

A

Milestones for motor development include rolling over, sitting up, crawling, and walking.

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29
Q

Identify important determinants of a child’s size and shape

A

Important determinants include genetics, nutrition, health, and environmental factors.

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30
Q

What was childbirth like in Europe and the United States before the twentieth century?

A

Childbirth was a female ritual that occurred at home and was attended by a midwife. Pain relief was minimal and risks for mother and baby were high.

This reflects practices similar to those in some developing countries today.

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31
Q

What role did midwives play in childbirth before the twentieth century?

A

Midwives attended births at home.

They were the primary caregivers for childbirth during this period.

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32
Q

How did the development of obstetrics impact childbirth?

A

It professionalized childbirth, leading to births taking place in hospitals attended by physicians.

This marked a significant shift from home births to medicalized hospital births.

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33
Q

What advancements have improved safety in childbirth?

A

Medical advances dramatically improved safety for mothers and babies.

These advancements include better prenatal care, sterile environments, and improved surgical techniques.

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34
Q

What are the current options for childbirth for women with normal, low-risk pregnancies?

A

Delivery at home or in birth centers attended by midwives.

These options can be relatively safe alternatives to physician-attended hospital delivery.

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35
Q

True or False: Childbirth in the past was generally attended by physicians.

A

False. Childbirth was typically attended by midwives at home.

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36
Q

Fill in the blank: Before the twentieth century, childbirth was characterized by minimal _______.

A

pain relief

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37
Q

What were the risks associated with childbirth before the twentieth century?

A

High risks for mother and baby.

This highlights the dangers that were prevalent in childbirth practices of that time.

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38
Q

What is the normal preparatory period before birth called?

A

Parturition

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39
Q

What are the three stages of the birth process?

A
  1. Dilation of the cervix
  2. Descent and emergence of the baby
  3. Expulsion of the umbilical cord and the placenta
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40
Q

What can electronic fetal monitoring detect during high-risk births?

A

Signs of fetal distress

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41
Q

What percentage of births in the United States are by cesarean delivery?

A

About 32 percent

42
Q

What can alternative methods of childbirth minimize?

A

The need for painkilling drugs

43
Q

What do alternative methods of childbirth maximize?

A

Parents’ active involvement

44
Q

How do modern epidurals provide pain relief compared to the past?

A

With smaller doses of medication

45
Q

What benefits can the presence of a doula provide?

A

Physical benefits and emotional support

46
Q

What is the neonatal period?

A

A time of transition from intrauterine to extrauterine life

This period marks significant physiological changes as the newborn adjusts to life outside the womb.

47
Q

What happens to a newborn’s systems at birth?

A

They become independent of the mother’s

This includes the circulatory, respiratory, digestive, elimination, and temperature regulation systems.

48
Q

What may occur if a newborn cannot start breathing within about 5 minutes?

A

Brain injury may occur

Timely initiation of breathing is critical for preventing neurological damage.

49
Q

What reflex do newborns have that aids in feeding?

A

Strong sucking reflex

This reflex is essential for breastfeeding and feeding in general.

50
Q

What is meconium?

A

The first stool secreted from the intestinal tract of a newborn

It is typically thick, sticky, and dark green in color.

51
Q

What condition may newborns be subject to due to immaturity of the liver?

A

Neonatal jaundice

This condition is characterized by a yellowing of the skin and eyes.

52
Q

What does the Apgar score assess?

A

How well a neonate is adjusting to extrauterine life

The score is taken at 1 minute and 5 minutes after birth.

53
Q

What is the Brazelton Neonatal Behavioral Assessment Scale used for?

A

To assess responses to the environment and predict future development

This scale helps in understanding a newborn’s behavioral patterns.

54
Q

What conditions are screened for during neonatal screening?

A

Certain rare conditions, such as PKU and congenital hypothyroidism

Early detection of these conditions is crucial for treatment and management.

55
Q

What governs a newborn’s state of arousal?

A

Periodic cycles of wakefulness, sleep, and activity

These cycles influence the newborn’s overall behavior and development.

56
Q

What happens to a neonate’s sleep patterns by about 6 months?

A

Babies do most of their sleeping at night

Sleep patterns typically shift as the infant grows and develops.

57
Q

How do cultural customs affect newborns?

A

They affect sleep patterns

Different cultures may have varying practices regarding infant care and sleep.

58
Q

What are some complications of childbirth?

A

Low birth weight, postmature birth, stillbirth

These complications can significantly affect infant health and survival.

59
Q

What defines low birth weight?

A

Babies that may be either preterm or small-for-gestational-age

Low birth weight is considered a major health risk for infants.

60
Q

Why is low birth weight significant?

A

It is a major factor in infant mortality and can cause long-term physical and cognitive problems

Understanding the implications of low birth weight is crucial for neonatal care.

61
Q

What is the prognosis for very-low-birth-weight babies compared to those who weigh more?

A

Very-low-birth-weight babies have a less promising prognosis

Their survival rates and health outcomes tend to be poorer.

62
Q

Fill in the blank: Low birth weight is a major factor in _______.

A

infant mortality

63
Q

True or False: Postmature birth is considered a complication of childbirth.

A

True

64
Q

What are the two classifications of low birth weight babies?

A

Preterm, small-for-gestational-age

These classifications help in assessing risks and care needs.

65
Q

Where do the vast majority of infant deaths occur?

A

In developing countries

66
Q

What can reduce infant mortality?

A

Postnatal care

67
Q

Is the infant mortality rate in the United States high?

A

Yes, especially among African American babies

68
Q

What is the leading cause of death in infancy?

A

Birth defects

69
Q

What are the other leading causes of death in infancy after birth defects?

A
  • Disorders related to prematurity and low birth weight
  • Sudden infant death syndrome (SIDS)
  • Maternal complications of pregnancy
  • Complications of the placenta, umbilical cord, and membranes
70
Q

What is the leading cause of postneonatal death in the United States?

A

Sudden infant death syndrome (SIDS)

71
Q

How have SIDS rates changed in the United States?

A

They have declined markedly

72
Q

What recommendation has contributed to the decline in SIDS rates?

A

Lay babies on their backs to sleep

73
Q

What has happened to vaccine-preventable diseases as immunization rates have improved?

A

They have declined

74
Q

Are many preschoolers fully protected from vaccine-preventable diseases?

A

No, many are not fully protected

75
Q

What are the two principles that guide normal physical growth and sensory and motor development?

A

Cephalocaudal and proximodistal principles

76
Q

During which year of life does a child’s body grow most dramatically?

A

1st year of life

77
Q

What health advantages does breastfeeding offer?

A

Health advantages and sensory and cognitive benefits

78
Q

For how long should breastfeeding be done exclusively if possible?

A

At least the first 6 months

79
Q

What system controls sensorimotor activity?

A

Central nervous system

80
Q

What does lateralization enable in the brain?

A

Each hemisphere to specialize in different functions

81
Q

When does the brain grow most rapidly?

A

Months before and immediately after birth

82
Q

What processes occur as neurons migrate to their assigned locations?

A

Form synaptic connections, undergo integration and differentiation

83
Q

What improvements enhance the efficiency of the nervous system?

A

Cell death and myelination

84
Q

What are reflex behaviors indications of?

A

Neurological status

85
Q

What happens to most early reflexes during the 1st year?

A

They drop out as voluntary, cortical control develops

86
Q

How can environmental experience influence brain development?

A

Positively or negatively

87
Q

When do sensory capacities develop in infants?

A

Rapidly in the first months of life

88
Q

What is the first sense to develop and mature?

A

Touch

89
Q

Are newborns sensitive to pain?

A

Yes

90
Q

Which senses begin to develop in the womb?

A

Smell, taste, and hearing

91
Q

What is the least well-developed sense at birth?

A

Vision

92
Q

What visual abilities develop within the first few months?

A

Peripheral vision, color perception, acuteness of focus, binocular vision, ability to follow a moving object

93
Q

What is the sequence in which motor skills develop?

A

Motor skills develop in a certain sequence that may depend largely on maturation, context, experience, and motivation.

94
Q

How do simple motor skills progress?

A

Simple skills combine into increasingly complex systems.

95
Q

What is the impact of self-locomotion on development?

A

Self-locomotion brings about changes in all domains of development.

96
Q

How is perception related to motor development?

A

Perception is intimately related to motor development.

97
Q

When do depth perception and haptic perception develop?

A

Depth perception and haptic perception develop in the first half of the 1st year.

98
Q

What does Gibson’s ecological theory state about sensory perception and motor activity?

A

According to Gibson’s ecological theory, sensory perception and motor activity are coordinated from birth.

99
Q

What does Thelen’s dynamic systems theory suggest about motor skill development?

A

Thelen’s dynamic systems theory holds that infants develop motor skills through active coordination of multiple systems of action within a changing environment.

100
Q

Fill in the blank: Cultural practices may influence the pace of early _______.

A

motor development