Development (18) Flashcards
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