Chapter 4 Birth And Physical Development Flashcards

1
Q

Birthing accomadations

A

iMidwifery
No drugs or monitoring or medical care

iBirthing Rooms
Stimulates your own room

iRooming in
Baby stays in room with mother

iBirthing Centers
They don’t keep you

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2
Q

Stages of the birth process

A

iBirth

iLightening
When uterus moves down / forward for birth

iLabor
Long time, intervals contractions shorten to 45 sec

iDelivery
When infant head passes through the birth canal, cervix, not out

iCrowning
Baby head out

iNeonate
Baby out but still attached to umbilical

iAfterbirth
20 mins later placenta and umbilical cord

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3
Q

Leboyer

A

traumatic birth

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4
Q

vernix

A

Waxy coating on baby

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5
Q

lanugo

A

Hair

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6
Q

milia

A

Baby acne

White heads

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7
Q

iElectronic Fetal Monitoring-

A

Continuous monitoring

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8
Q

The Apgar Test-

A

1 min and 5 mon, want score 7-10

See slide image

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9
Q

Brazelton Neonatal Behavioral Assessment Scale-

A

hrs to 1 week after birth, 27 tests

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10
Q

Parent infant bonding

A

iProcess of interaction and mutual attention that occurs over time and builds an emotional bond.

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11
Q

iParentese or motherese speech-

A

Raise pitch

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12
Q

Complications of Pregnancy and Birth

A

Complications of Pregnancy and Birth

1 in 7 in the US

iAnoxia, NICU

iCaesarian section delivery (25%)

iPlacenta previa
Placenta covers the cervix

iPreeclampsia
Blood pressure is high

iBreech
Feet first
or transverse presentation
Sideways

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13
Q

•At risk infants

A
•At risk infants
•Preterm infants
•Postmature infants
   Placenta only ment to last 40 weeks so baby not healthy, placenta could calcify 
•Drug exposure
•Born with  HIV
•Born with FAS (Fetal Alcohol Syndrome)
•Prenatal exposure to chemical toxicants
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14
Q

Kangaroo care

A
  • Skin to skin contact
  • Provides comfort to babies
  • Use energy to initiate breastfeeding
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15
Q

Couvade syndrome

A
Couvade syndrome
•Expectant fathers express sympathy
•Uncomfortable physical symptoms
•Dietary changes
•Weight gain
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16
Q

Survival rate for preemies

A

Survival Rates for Preemies

•1.1 pound (500g) to 1.5 pounds (700g), the survival rate is about 43%.
•For babies weighing between 1.5 pounds and 2.2 pounds (1000g), the survival rate is about 72%.
•The average hospital stay:
ranges from 125 days for infants weighing between 1.3 and 1.5 pounds (600 and 700g) to 76 days for babies in the 2- to 2.2-pounds (900 to 1000g) birth-weight range.

17
Q

Newborn states

A

Newborn States
iSleep
i Alertness
iVigorous activity

18
Q

Primitive reflexes

A
Primitive reflexes (present at birth)
•Moro
•Rooting
•Suck/Swallow/Gag/Cough/Yawn/Blink
•ATNR
•STNR  
•Palmar grasp
•Traction response
•Plantar response
•Stepping
19
Q

Sensation

A

Sensation – reception of information by sense organs (visual, auditory, tactile, vestibular, proprioceptive, gustatory, olfactory)

20
Q

Perception

A

•Perception – interpretation of sensations

21
Q

Hearing

A

Hearing
•Hear sounds 3 months before birth

  • Vernix and amniotic fluid in auditory canal at birth decrease hearing for a few hours/days
  • Synchrony of infant’s movements to human voice patterns
  • Crucial to ID hearing loss early
  • Ear infections
22
Q

Taste

A
  • Taste- present at birth
  • Preference for sweets
  • Grimace for sour
  • Inconclusive for salt
23
Q

Smell

A

Smell- present at birth

Increased motor activity in response to intensity and quality of new smells

Habituate to a smell

24
Q

Cutaneous

A

Cutaneous
•Responds to heat, cold, pressure, pain at birth

  • Responsive to pressure in utero
  • Experience sensations of pain
25
Q

General motor principles

A
General Motor Principles
•Cephalo  caudal
•Proximal  distal
•Mass movement  differentiation
•Stability  mobility
•Gross  fine
26
Q

Motor behaviors

A

Motor Behaviors
iRhythmic

iLocomotion

iManual Skills

27
Q

Fine motor development principles

A
Fine Motor Development Principles
•Palmar  fingertips
•Ulnar  radial
•Flexion  extension
•Bilateral  unilateral
•Reflexive and random  voluntary
28
Q

What are the basic fine motor developmental skills?

A
What are the basic fine motor developmental skills?
•Reach
•Grasp
•Finger isolation
•Release
•In-hand manipulation
•Bilateral hand use
•Tool Use
29
Q

•Cephalocaudal

A

Brain and head

Head to tail

30
Q

Proximal distal

A

Working inside out