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