Development (18) Flashcards

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1
Q

Define premature and very premature:

A

Premature: before 37 wks

Very premature: before 32 wks

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2
Q

What are the components of APGAR scores:

A
A- Appearance (color)
P- Pulse
G- Grimace (reflex irritability)
A- Activity (msucle tone)
R- Respiration

** used to predict the likelihood of immediate survival

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3
Q

T/F the US has a high rate of premature births compared to other developed countries

A

True

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4
Q

What is the physiologic reason for postpartum depression?

A

Oxytocin- dopamine interaction associated with maternal infant bond

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5
Q

What are the different theories of development?

A

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

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6
Q

What is the main focus of the development from infancy to 18 mo?

A

Attachment!

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7
Q

When are each of the following seen:

Social smile
Stranger anxiety
Separation anxiety

A

Social smile- 12 wks

Stranger anxiety- 9 months

Separation anxiety- late in 1st year (object permanence comes first)

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8
Q

Define the following reflexes:

Rooting reflex
Palmar Grasp reflex
Moro reflex
Babinski reflex

A

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

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9
Q

What is the main aspect of development in the toddler years (18mo- 3 yrs)?

A

Rapproachement: moves away but then quickly returns for comfort

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10
Q

What type of play is seen in toddler years?

A

Parallel play (play next to but not reciprocal)

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11
Q

When is gender identity established?

A

3 years

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12
Q

What is the main aspect of development in the preschool years (3-6 yo)?

A

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

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13
Q

What type of play is seen at age 4?

A

Cooperative

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14
Q

What milestones are present at age 6/

A

Development of conscience (superego)

Sense of morality

Empathy

Learns lying is wrong

Understands the finality of death

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15
Q

What occurs in the school age years (7-11)?

A

Lifelong sense of competence, learning problems are identified, concrete operations, more complex motor tasks (sports), rule conscious, peer relationships

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16
Q

What occurs in adolescence (11- 20 yo)?

A

independent/ autonomy and person decision making

Changes in the brain: increased myelination, pruning of neurons, frontal and parietal lobes

17
Q

Describe the time lines of puberty and sexual exploration:

A

Puberty: girls @ 10.5yrs, boys @ 11.5 yrs

First menstruation: 11-14 yrs

First ejaculation: 12-15 yrs

18
Q

What is seen in middle adolescence?

A

Risk taking behavior, spending time with friends, autonomy need tor privacy

19
Q

What is seen in late adolescence?

A

Identity crisus (define and refine place in the world), role confusion

20
Q

Name some emotional and social factors that predispose to teen pregnancy?

A

Depression, poor school achievement, divorced parents

21
Q

What are some challenges of early and middle adulthood?

A

Transition periods where individuals are vulverable to physical and emotional illnesss. Possible regression

22
Q

T/F: close to 50% of marriages in US end in divorce.

A

True

23
Q

What are the three types of child custody?

A

Sole custody, joint custody, and split custody

24
Q

What happens in early adulthood?

A

One’s role in society is defined, physical development at peak and individual is independent

25
Q

What happens in middle adulthood?

A

Generativity vs stagnation, possible midlife crisis, menopause, male sex drive/ muscle changes

26
Q

What are some of the losses of aging?

A

Loss of social status, loss by death of spouses/ family/ friends, decline in overall health and strength

27
Q

What are the different types of living situations of the elderly?

A

Independently (most), cared for by family, assisted living, nursing homes

28
Q

Average life expectancy in the US?

A

77 years

75 for men and 80 for women

29
Q

What are the psychopathologies typically seen in the elderly?

A

Depression, suicide, anxiety, alcohol and substance abuse, delerium

30
Q

Name the stages of dying?

A

Denial, anger, bargaining, depression, acceptance

31
Q

Differences between normal and abnormal bereavement?

A

Abnormal grief intensities or persists over time instead of lessening and involves suicidal thinking or hallucinations