Exam 1: General Flashcards
A toddler who can scribble before they can write letters is exhibiting what pattern of development? SATA
- interrelated pattern
- orderly and sequential pattern
- differentiated pattern
- directional pattern
2 + 3
A child who goes from crawling to standing to then walking is exhibiting which type of developmental pattern? SATA
- unique pattern
- orderly and sequential pattern
- general to specific pattern
- all of the above
- we do not know why this is unique but the answer is all of the above.
May be unique because each child is different and may develop an atypical sequence to walking
(i.e. stand, crawl, scoot on buns, then walk)
Suspected Non-Accidental Trauma (SNAT) Types
Physical
Sexual
Emotional
Neglect
SNAT Potential Risk Factors
- Person unrelated to partner (parent)
- Lack of income, education, self-esteem
- SUD/abuse
- History of being abused
- Lack of support
Potential Signs of SNAT
- Vague explanations of injuries or inappropriate responses from child/caregiver
- Delay in seeking care
- Inconsistencies in stories
- Malnutrition
- Dull affect
- School absences
- Munchausen Syndrome by Proxy
- Bruising in non-mobile patient or bruising in places you should not have bruises
- Check for bruises on the chest and back (two thumbprints on the chest, four fingerprints on the back)
- Burn, circumferential or dipping burns
- Multiple injuries
- Enuresis
- Lack of social smile (seen more in little children)
- Attempted suicide
- UTIs/STDs or bleeding from genitalia, anus or mouth
What does it mean to be differentiated?
Development that is broad, goes from simple to complex
What does it mean to be orderly and sequential?
predictable and there is a universal timetable (typical order of development and growth)
What does it mean to be unique?
Ex. 10 m.o. who walks. This would be orderly, but unique.
Falls before or after sequential development
What does it mean to be directional?
cephalocaudal (head to toe) and proximodistal (core develops before extremities).
Gross motor before fine motor!
Babies can steady themselves at their core (sit up) but cant use a fork, for example.
What is solitary play?
play alone with toys that are different from those used by others in same area. interest is centered on their own activity
What is parallel play?
plays independently but alongside other children
play with similar toys but not influencing eachother, no group association
This is characteristic of toddlers but can occur at any age
What is associative play?
play together and engage in similar activities, no group goal, great deal of behavior contagion
What is cooperative play?
organized, children play in a group with other children, plan activities to achieve goal, leader-follower relationship established. E.g. playing tug-of-war
How can play be used during the care of hospitalized children?
Distraction / Diversion
Expression of feelings, communication, and self awareness
Educating child about procedures
Help deal with their concerns and emotions. Play gives child a sense of control and is essential to children’s mental, emotional, and social wellbeing.
