Genetic Influences on Development Flashcards

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1
Q

What is the “heritability index”?

A

A statistic used to estimate the degree to which a particular characteristic can be attributed to genetic factors.

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2
Q

What have studies on the heritability index of intelligence shown?

A

Range from .30 to .70 with average being about .50 meaning that about 50% of individual differences in IQ scores can be explained by genetic factors.

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3
Q

22 of the 23 pairs of human chromosomes are ___________ meaning that they are exact duplicates of each other. They are known as ___________.

A

Homologous; autosomes

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4
Q

23rd pair of chromosomes are made up of the _____ chromosomes. In females the pair is ___________ and called the ____ chromosome pair; in males, the pair is ___________ and called the ____ chromosome.

A

Sex chromosomes; homologous; XX; not homologous; XY

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5
Q

What are some examples of dominant characteristics and recessive characteristics?

A

Dominant = dark hair, immunity to poison ivy, normal hearing, and type B blood

Recessive = red hair, susceptibility to poison ivy, congenital deafness, and type O blood

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6
Q

What is one example of a sex-linked characteristic?

A

Red-green color blindness which is carried on the X chromosome and is twice as common in males than in females.

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7
Q

Give a few examples of disorders due to presence of 2 recessive gene.

A

PKU = lacking enzyme to break down amino acid (phenylalanine) which in undigested form is a toxic agent in brain and causes severe MR. MR preventable by diet low in phenylalanine in first 6-9 years of life (avoid foods like milk, eggs, fish, bread). Tay-Sachs, sickle-cell, cystic fibrosis are other recessive gene examples.

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8
Q

Give an example of a disorder due to the presence of a single dominant gene.

A

Huntington’s Chorea is an example of an autosomal dominant gene disorder. Child of affected parent has a 50% chance of inheriting this disorder.

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9
Q

How many babies born with chromosomal abnormalities?

A

Approximately 1 in 200

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10
Q

Chromosomal abnormalities can be caused by:

A

Extra chromosome, missing chromosome, chromosome translocation (when section of chromosome is attached to another chromosome), or chromosomal deletion (which occurs when part of a chromosome is missing like in Prader-Willi characterized by MR and extreme obesity).

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11
Q

What is the most common chromosomal abnormality?

A

Down Syndrome (trisomy 21); occurs in about 1 of every 800 live births with frequency rising dramatically with increasing maternal age; 1 in 1,900 ages 20-24; 1 in 30 for mothers over 45

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12
Q

Characteristics of Down Syndrome

A

Moderate to profound MR, short, stocky build, flattened face, protruding tongue, almond-shaped eyes; often have heart abnormalities, thyroid dysfunction, malformations of intestinal tract, susceptibility to respiratory infections

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13
Q

Sex-linked chromosomal abnormalities include

A

Klinefelter’s Syndrome and Turner’s Syndrome

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14
Q

Klinefelter’s Syndrome

A

Affects males and caused by extra X chromosome, i.e., XXY; have typical masculine interests and develop normal male identity but show incomplete development of secondary sex characteristics and are often sterile

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15
Q

Turner’s Syndrome

A

Occurs in females when all or part of second X chromosome is missing; they don’t develop secondary sex characteristics, are sterile, and tend to have short stature, stubby fingers, and webbed neck.

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16
Q

Fragile X Syndrome

A

Due to weak site on X chromosome and can occur in both males and females though more evident effects are seen in males who lack influence of normal/2nd X chromosome; constellation of physical, intellectual, and behavioral deficits including mod to severe MR, facial deformities, and rapid, staccato speech rhythm

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17
Q

The effects of exposure to teratogens depend on what kinds of factors (name 3)

A
  1. Amount of exposure
  2. Length of exposure
  3. Period of development when exposure occurs
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18
Q

Over what period of time does the germinal period last? What can effects of teratogens over this time be?

A

Lasts from conception to implantation, occurring 8-10 days later; may only damage a few cells having little to no effect on development OR may affect many cells and cause organism’s death

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19
Q

Over what period of time does the embryonic period last? What can effects of teratogens over this time be?

A

From end of 2nd week after conception to end of 8th week; developing organs are MOST susceptible to major defects, with time of greatest susceptibility depending on particular organ system; i.e., CNS from beginning of 3rd week to beginning of 6th week and heart from middle of 3rd week to middle of 6th week

20
Q

Over what period of time does the fetal period last? What can effects of teratogens over this time be?

A

Beginning of 9th week to birth; organ systems less affected, but exposure can still cause less severe defects, especially to external genitalia and brain; prolonged exposure tends to cause retarded growth and lowered IQ

21
Q

Most common teratogens include

A

Alcohol, drugs (illegal, prescription, OTC), smoking, maternal disease

22
Q

Alcohol as a teratogen info

A

Heavy consumption can lead to severe and largely irreversible abnormalities to child including FAS;

23
Q

FAS

A

FAS sxs vary depending on amount consumed and can include retarded growth, facial deformities, microcephaly (small, underdeveloped brain), irritability, hyperactivity, variety of neurological abnormalities; most children mentally retarded w/IQs between 65-70; it’s the leading cause of MR in US; can be born w/o full syndrome present and w/1 or more sxs, i.e., lowered IQ, irritability; as many as 1 in every 100 births shows FAS or FAE

24
Q

Heroin or methadone

A

Increases risk for prematurity, low birth weight, physical malformations, respiratory disease, mortality at birth; born physically addicted to drug and show w/d sxs at birth; may show similar sxs as maternal marijuana use

25
Q

Marijuana

A

Associated with low birth weight, muscle tremors, increased startle response and visual problems; may show similar sxs as maternal heroin use

26
Q

Cocaine use

A

Retard fetal growth, can cause preterm birth and malformations of brain, intestinal and genital-urinary tract; Babies may be born w/hemorrhages, lesions and swelling in brain, small head circumference, heart defects, brain seizures, abnormal motor development

27
Q

Cocaine-exposed infants tend to show more…

A

Irritability, rigidity, muscle tremors, difficulty self-soothing, difficulty being consoled, excessively reactive to environmental stimuli; often impaired sensory fx, decreased visual attention, difficulty regulating own state of arousal (asleep, awake, attentive); in school, concentration/memory problems, learning disabilities, & social problems

28
Q

OTC & Prescription Drugs (benzos)

A

Benzos associated w/prenatal syndrome including feeding problems, hypothermia, deficiency in baby’s muscle tone

29
Q

Mood stabilizers

A

Known teratogens; Lithium in 1st trimester increases risk for Ebstein’s Anomaly (heart defect) by 10x & valproic acid increases risk for fetal malformation; lithium around time of birth associated with perinatal syndrome including bluish discoloration of skin and decreased muscle tone

30
Q

Smoking

A

At risk for spontaneous abortion, prematurity, low birth weight, death during period surrounding birth; less responsive to environment more irritable as compared to infants of nonsmokers; prenatal nicotine exposure linked to increased hyperactivity, short attention span, reduced school achievement in reading, math, spelling

31
Q

Most maternal diseases that cause prenatal defects are viral or bacterial?

A

Viral

32
Q

Maternal Rubella virus (German measles)

A

heart defects, eye cataracts, deafness, gastrointestinal anomalies, MR; 20% die shortly after birth; most severe damage during 4th-8th week of pregnancy

33
Q

Maternal Herpes simplex virus (HSV)

A

3x increased risk of miscarriage if contracted in early pregnancy; babies usually contract it through delivery rather than prenatal development; baby typically delivered via cesarean to prevent exposure; exposed babies have high risk for death, brain damage, or blindness; use of antiviral meds helps about 1/2 infected prevent permanent damage (e.g., serious neurological damage, MR, or even death)

34
Q

Cytomegalovirus (CMV)

A

Another type of herpes virus that is very dangerous to fetuses; infection during embryonic stage (weeks 2-8) usually results in death of embryo; later infection baby at risk for retarded growth, blindness, deafness, MR, microencephaly (small head circumference associated w/delayed motor, speech, and mental development), and cerebral palsy

35
Q

Syphilis

A

Baby at risk for birth defects like deafness, facial deformities, malformations of teeth and bones, excess fluid in brain and MR; Tx of mother can protect baby from effects of syphilis

36
Q

HIV virus

A

Transmission from mother to child during pregnancy, labor, and delivery or breast-feeding called perinatal transmission; in US, w/o antiretroviral therapy approx 25% pregnant women infected will transmit virus to child; however, w/therapy, rate can be decreased to 2% or less; risk reduced w/AZT given to mom during last 2 trimesters of pregnancy and to infant during 1st 6 weeks of life; so far no adverse effects of AZT found

37
Q

HIV Newborns

A

Higher-than-average rates of prematurity and small for gestational age; during 1st year of life, most develop early sxs of virus including increased susceptibility to other infections, failure to thrive, swollen lymph nodes, and developmental delays

38
Q

Development of HIV

A

About 25% HIV-infected infants develop AIDS & 15% die during 1st year of life though reports of children living into late adolescence w/current txs of AZT & antibiotics; High risk for infections and immunological abnormalities & CNS dysfunctions including loss of developmental milestones, attention/concentration problems, & declining IQ scores

39
Q

Name 3 other maternal conditions that affect development

A

Prenatal nutrition, emotional stress, & maternal age

40
Q

Prenatal nutrition

A

Depends when it occurs and severity; 1st trimester = spontaneous abortion or congenital malformations; 3rd trimester = low birth weight and low brain weight d/t fewer neurons, less dendrite branching, and reduced mylenization; behavioral consequences can include apathy, unresponsive to environmental stimuli, irritability, abnormally high-pitched cry, intellectual deficits, & lags in motor development

41
Q

Emotional stress

A

Chronic, severe anxiety or stress = more medical complications and infants w/greater number of abnormalities than women who are relatively anxiety-free; stress associated with spontaneous abortion, premature delivery, more difficult labor; high risk for low birth weight, respiratory problems, irritability & hyperactivity, bowel irregularities, sleep & eating problems; high stress during pregnancy doesn’t always lead to negative outcomes and problems associated w/stress greatly reduced w/supportive social relationships

42
Q

Maternal age

A

Majority of women have healthy births regardless of age; percentage of babies w/low birth weight greatest for moms under 15 y.o. and over 45; over 35, slightly higher risk for complications like miscarriage, placenta previa, high BP, diabetes, & cesarean birth; egg & sperm quality decline w/age; increased risk of congenital defects like Down’s Syndrome in older mothers, especially first time moms in 40s

43
Q

Other complications of pregnancy or delivery =

A

Premature infants, small-for-gestational age (SGA), and fetal distress

44
Q

Premature infants

A

Infant born before 37 weeks considered premature; risks linked to lack of prenatal care, malnutrition, maternal age (esp < 15 y.o.), drug use, low SES, multiple gestations; many premature now survive however; w/appropriate medical attention & supportive environment, premature infants w/o significant abnormalities often catch up to peers in terms of cognitive language and social skills by 2-3 y.o.

45
Q

Small-for-gestational age (SGA)

A

Newborn or birth weight below 10th percentile for expected weight; higher risk for respiratory disease, hypoglycemia, & asphyxia during birth

46
Q

Fetal distress

A

Condition during birth process that indicates fetus is at risk d/t change in heart rate, respiration, or anoxia; prolonged anoxia may result in delayed cognitive and motor development, MR, & cerebral palsy