Exam 2 Flashcards
Growth during first __ years of life is faster than at any other point. Birth weight typically doubles by __ months and triples by __ months.
3 years
5 months, 12 months
Babies are also almost __ inches longer than at birth by age 1
10
To compare infant growth what do pediatrician’s use?
International growth charts developed by world health organization to document growth of children birth to age 2.
(screen for abnormal/unhealthy growth with BMI)
Failure to Thrive
Child’s growth falter and weight gain not as expected
usually caused by inadequate nutrition, possibly lack of physical contact
Using recording of electrical activity generated by active neurons
EEG (electroencephalography)
Record changes in brain’s electrical activity in response to presentation of particular stimulus
ERPs (event-related potentials)
Use magnetic field to detect blood flow. Identify brain location
Infants must be sleeping/sedated
fMRI (functional magnetic resonance imaging)
Infrared light that passes through the skin and tissues to examine blood flow
See locations, not deepest
Infant can be sitting up, does not require special lab
fNRI (functional near infrared spectroscopy)
Shaken Baby Syndrome
Abusive head trauma
Even 20 seconds= brain damage or death
Early Adversity and developing brain
alter the brain’s neuronal connections, increase the number of stress neurons, and increase the vulnerability to future stress signals
Outcomes to bad experiences depend on
the child’s age, duration of the adversity, and the severity of any additional psychiatric disorders the child may have. The findings also make it clear that the same experiences do not affect all children in the same way and that some children show remarkable resilience.
Factors linked to infant mortality
Vary by race/ethnicity
poverty, inadequate prenatal care, complications of pregnancy, malnutrition, lack of clean drinking water, and low rates of immunization against childhood illnesses and diseases.
US has __ rates of infant mortality than other developed countries
higher
SIDS
Leading cause of unexplained death 1 month –> 1 year
1/1,000
High risk 1-4 months
No single cause
Factors associated with SIDS
Colds, respiratory infection, influenza, smoking, stomach sleep, low SES, bed sharing, excessively covered during sleep
Neurological weakness
Prevent SIDS?
Quit smoking, change sleep position, firm sleep surface, no soft bedding, share bedroom not sleep surface (room sharing down by 50%),
Signs of hunger
Rooting or pressing face against body, bringing fingers to mouth
Parents should try to initiate feeding when these signs appear and before fussing and crying – last indicators of hunger
Signs of fullness
Turning head away from nipple, closing mouth, showing interest in other things
How do we know baby is eating good?
swallowing, gaining weight, and producing 6-8 wet diapers daily
Breastfeeding better?
Yes. First 6 months, first milk colostrum.
Contains all nutrients, immunity to various diseases, digests more easily than formula, may enhance cognitive growth, protects against poor jaw development and tooth decay.
Mother: oxytocin helps uterus return to normal size, burns 500 calories per day
Why avoid breastfeeding.
Metabolic disorder, medication has side effects, HIV (safe if antiretroviral)
When should children be introduced to solid food
After 6 months
Introducing food to early
food allergies, kidney malfunction, iron deficiencies, and strong food dislikes
Properly introduce solid food
1 at a time
Cereals –> strained fruits –> vegetable –> proteins –> egg yolk –> egg while
Parents eat healthy
Don’t rush meals
Birth most infants
19-21 in, 7-8 lbs
Growth Asynchronous
different parts of the body grow at different rates, and growth spurts occur at different times in each body region
Cephalocaudal development
head grows faster than body
Proximodistal development
Growth proceeds outward, first centered on torso and then limbs
.REM and non-REM at `__ weeks; other states at __ weeks
32
38
Babies sleep about __ hours per day
17 hours
By 3/4 months, more during night
Quite Sleep (NREM)
Regular respiration
eyes closed
Baby motionless
Active sleep (REM)
Muscles tense
Eye still or REMS
irregular breath
rhythmic startles, sucks, body movement
1/2 sleep, decreases throughout life
Drowsiness
Open/close eyes
increased activity
rapid/regular breath
occasional smiling
Quiet alert
open eyes, scan environment, baby still, rapid respiration
Active Alert
Awake, body and limb movements, less focused than in quiet alert state
Crying
Elevated activity and respiration rate, cry vocalization, facial expression of distress
Worldwide, is co-sleep popular
yes
Benefits of co-sleeping
no long term risks/benefits
What is the most common reason for co- sleeping
Breastfeeding
What cultures co-sleep?
Not North American white middle class
Waking orienting response
a heightened alertness that includes behavioral localization toward the source of the stimulation (a head turn to the source of a sound)
Waking defense response
a behavioral action that involves withdrawal from the source of stimulation
The frequency of crying increase between birth and ___ months, then decreases
2 months
Do babies have distinct types of cries?
No consistent research by interesting
Colic
the infant cries at least 3 hours a day, on at least 3 days per week, for at least 3 successive weeks
the parents find the crying very intense
the infant is otherwise normal; and
the infant is relatively unresponsive to soothing & feeding
Colic related to
Stressed mothers, infant inattention, emotionally reactivity, sensitivity to stimulation
Effect of crying on adults
Adults perceive crying as an index of distress & they try to figure out the source
nonparents are as responsive as parents
levels of arousal & responsiveness are equal for men & women
Child abusers more upset with crying
Best ways to sooth crying baby
nonnutritive sucking Swaddling daily massage Rocking Continuous sound
Newborn Motor Stage:
Body need tranquility and rest
Attention depends on stress free state of alter
State regulates the types of interactions
Reflexes
Trigged by elicitor
Look the same
Primitive form of orienting behavior/defense
Elementary coordination for later adaption, or no clear function.
When do reflexes disappear
6 months
Drop infant’s head and trunk 30 degrees with arm up, arms and legs extend, abduct,
Moro Reflex
Infant’s palm touched near finger base. Hand makes fist
Palmar grasp reflex
Area below TOES is touched, the infant’s toes curl
plantar grasp reflex
Stroking lateral sole in infant’s foot from heel across ball. Toes flare out
Babinski reflex
Feeding, touch cheek near mouth, head turns
rooting reflex
Needed for normal life, when mouth touched by nipple, begin to suck
sucking reflex
When in supine position, extend arm/leg on the side of head, flex extremities on other side
Fencing reflex/tonic neck reflex
When infants held upright with their feed touching solid surface.
Stepping reflex
___ least controlled parts of infant’s body
arms/hands
Gross motor sills
require whole baby
Fine motor skills
small movements
Motor Stage: 2-5 months
Control posture
Movements of hands/arms
Coordinated reaching
rolling over
Babies motor ability depends on
- existing abilities
- Difficulty of task
- environment supports
Motor Stage: 2-6 months
Adapt to object size/shape
Coordinated eye gaze
point when alert, movement related to emotional state
Resources that help with motor development from parents
Holding infants in good postures