Human growth and development Flashcards

1
Q

Freud stage of psychosexual development: Infancy

A

Oral stage

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2
Q

Freud stage of psychosexual development: toddler

A

Anal stage

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3
Q

Freud stage of psychosexual development: Preschool

A

Phallic stage

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4
Q

Freud stage of psychosexual development: school age

A

Latency stage

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5
Q

Freud stage of psychosexual development: adolescence

A

Genital stage

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6
Q

Erik Erickson stages of development: Infancy

A

Trust vs mistrust

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7
Q

Erik Erickson stages of development: toddler

A

Autonomy vs same and doubt

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8
Q

Erik Erickson stages of development: preschool

A

Initiative vs guilt

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9
Q

Erik Erickson stages of development: school age

A

Industry vs inferiority

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10
Q

Erik Erickson stages of development: adolescence

A

Identity vs role confusion

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11
Q

Erik Erickson stages of development: young adult (17-30)

A

Intimacy vs isolation

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12
Q

Erik Erickson stages of development: middle age

A

Generativity va stagnation

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13
Q

Erik Erickson stages of development: older adulthood

A

Integrity vs despair

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14
Q

Maslow Hierarchy of needs

A

Maslow examined development throughout the lifespan. His hierarchy of needs included physiologic, safety, belongingness and love, esteem, and finally, self-actualization, as the highest level of need.

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15
Q

Preterm

A

less than 37 weeks gestation

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16
Q

late preterem

A

34-36 weeks gestation

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17
Q

low birth weight

A

</= 2500g

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18
Q

VLBW (very low birth weight)

A

</= 1500g

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19
Q

ELBW (extremely low. birth weight)

A

</= 1000g

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20
Q

AGA/LGA/SGA

A

appropriate
large for GA; weight above 90%
small for GA; weight below 10%

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21
Q

IUGR- symmetric

A

symmetric: weight/length/head circ are SGA; reflects longstanding intrinsic fetal compromise (syndrome)

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22
Q

IUGR: asymmetric

A

underweight for length and head circ., reflects acute compromise extrinsic to fetus (placental insufficiency)

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23
Q

Averages in US

A

length: 20in, 7.5 lbs, 14.2 head, chest is 0.8 less than head

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24
Q

weight loss in newborn period

A

8-10@ in first 3-4 days, regained by 7 days (formula) 10 day (breast)

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25
weight gain
doubles by 6 mos, triples by 1 year, quardruples by 2 yrs; 5-7 oz/150-210g per week during first 6 mos, 12-20oz per month (6-12mos), 8-9oz per month in second year
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length
increases by 50% by 1 year, doubles by 1 year, triples by 13 years. increase by 1 in per month (0-6 mos), 0.5in ( per mos 6-12mos)
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head circ
increases 0.5in. per mos (0-6 mos), 0.3in (6-12 mos)
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cranial sutures
-close during 1st year of life: posterior closes 6-8 weeks anterior closes 12-18 mos
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Teeth
formation begins in the third fetal month and continues through adolescence
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survival reflexes
breathing, hiccups, sneezes, spitting up, suck/swallow/breath, temperature control (shiver, cry, tucking legs), feeding ( sucking, rooting, crying, swallowing)
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non-survival reflexes
babinski, stepping, swimming, grasping, moro, startle
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Palmar grasp
strongest by 1-2 mos, disappears by 3 mos
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plantar grasp
disappears after 8 mos
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moro reflex
disappears by 6 mos
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stepping reflex
disappears before voluntary walking
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asymmetric tonic neck (fencing)
diminishes by 3-4 mos, disappears by 6 mos
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vision in newborn
blink and pupil constriction to light are indication of vision, can focus 4-30 inches away, binocular vision develops between 4-6 mos, 20/150-20/400 newborn; 20/70 by 2 years, 20/30 by 5 years
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hearing
infants have great auditory acuity for high frequency sounds, "motherese"
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Piaget development Birth to 1 month
reflexes
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Piaget development: primary circular reactions
1-4 mos, adaptions of reflexes to the environment through coordination of two actions (like seeing and grasping)
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Piaget development: secondary circular reactions
4-8 mos, increased awareness of objects, persons, and expected responses
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Piaget development: coordination of means and ends
8-12 months, object permanence- people and objects exist with out of sight
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Piaget development: Tertiary circular reactions
12-18 mos, active exploration and trial/error learning
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Mental combinations
18-24 mos, ability to problem solve simple situations without trial and error
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social smile
in response to a person begins around 6 weeks
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stranger anxiery
begins around 6 months and peaks at 12mos
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separation anxiety
begins between 8-9 moos, peaks at 14 mos
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language milestones: birth to 5 mos
coos, vocalizes pleasure/displeasure sounds differently, makes noises when talked to
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language milestones: 6-11 mos
understands "no", babbles, says mama/dada without meaning, tries to communicate by actions or gestures, tries to repeat sounds, says 1st word
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language milestones: 12-17 mos
answers simple questions nonverbally, says 2-3 words to label person or object, imitates simple words, vocal of 4-6 words
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language milestones: 18-23 mos
vocal of 50 words, asks for common food by name, makes animal sounds, combines words like more milk, beginning to use pronouns like mine, uses 2 word phrases
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toddler an preschool growth
slower growth, about 3 inches per year, 4 lbs better control and coordination symbolic thinking, increased language development
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Piaget: pre operational thinking
pre conceptual: 2-4 years
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Piaget: Sensorimotor stage
birth- 2 years.,
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motor milestones: Birth to 3 mos
lift and turns head lying prone turns had to her or see something random movements become more purposeful bring hands to mouth grasp reflex
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motor milestones: 3mos-6 mos
moves arm to reach and sweep, grasps object voluntarily, plays with hands/feet, watches/plays with toys at midline, transfers toys hand to hand, when prone- lifts head and chest with weight on hands holds head upright and steady rolls from stomach to back and vice versa
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motor milestones: 6-9 mos
uses index finger to poke hold object in each hand- plays with each transfere hand to hand pivots on stomach pulls hands/knees sits unassisted and plays with toys
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motor milestones: 9-12 mos
picks things up with pincher grasp drops and picks up toys creeps pulls to stand stands without support walks with support independent steps uses both hands together to play
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motor milestone: 12- 18 mos
walks alone begins to walk sideways/backwards comes to standing without support crawls up and down stairs picks up small objects stacks one object on top of another puts objects in and dumps out pulls apart objects fits single puzzle pieces scribbles
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motor milestones: 2-3 years
walks well, runs, steps up, squats down, walks on tiptoes, walks up stairs with alternating foot with hand on rail same step foot placement walking down, jumps 2 inches off ground, Stands on one leg 1-3 sec, kicks ball, throw underhand, learning to catch, stacks more than one object (blocks) strings large beads imitates drawing horizontal lines or circular scribble
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motor milestones: 4-5 years
stand on 1 foot for 10 sec tiptoes for 8 sec hops forward for 5 hops (one foot) walks on line backwards forward somersault gallops/skips forward walks up/down stairs alternating steps without wall catches tennis ball cuts on line continuously copes a cross and square prints some letters
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motor milestones: 5-6
skips and maintains balance/rhythm apps froward 20 ft without loosing balance jumps rope walks on balance beam jumps herders 10 in high, 2 footed take off jumps sideways back an forth cuts out simple shapes copies triangle and prints name colors within lines mature grasp of pencil handedness well established
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Toddler cognitive development
symbolic thinking and increase language development: preoperational thinking 2-4 yrs; intuitive 2-7yrs (piaget); egocentrism, animism (everthing animate or inanimate thinks and feels the way preschooler does); difficulty distinguing fact from fantasy (normative "lying", nightmares, imaginary friends, feel responsible for good or bad things happening based o now thoughts, feelings, behaviors)
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Amenorrhea
Puberty is considered delayed when a female 13 years old or older has no clinical features of puberty on physical examination, or if puberty has not progressed within a timely basis (14 years old or older in males). However, this patient is at a Tanner stage 5 (fully developed); thus, she does not have delayed puberty, but rather, amenorrhea. Amenorrhea is classified as primary (no menstruation) or secondary (menstruation began and then stopped). Primary amenorrhea describes the failure to have a period within 3 years of breast development or by age 15. Secondary amenorrhea is no menstrual periods for three menstrual cycles (90 days), or the absence of menstrual periods for at least 6 months in women who have had at least one period but do not have regular cycles. A careful history, physical exam, and pregnancy testing are the first steps in the evaluation of all cases of amenorrhea.
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toddler language
up to 425 word vocabulary with 75% speech understandable at 2 yrs; 4-5 words sentences at 3 yrs, carries out 2-3 item commands (3yrs), understands opposites (4yrs), understands "if" "because" and "when" (5 yrs)
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authoritative parenting
firm limits but opportunity for dialogue, high expectations, high support, high parent-child communication, best outcomes
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instrumental aggression
common form of aggression among preschool, focused on retrieving an object, space or privilege, decreases with understanding of sharing
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Play; infancy
solitary play, little awareness of other children
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play; toddler
onlooker play, curious watching of others playing, parallel play with minimal interaction
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play: preschool
more social; associative play- some interaction and sharing, not organized or consistent, cooperative= taking turns, activity playing together, dramatic/pretend play- make believe, playing house, rough/tumble- physical, appears aggressive
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gender identigy
2 yrs: can distinguish gender, id as girl or boy 3-4: show sex typed preference, id is firmly established, not likely to change 5-6: express notions about how male/female should dress, feel/behave
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School aged development: growth
average 5 lbs and 2 inches per year
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School aged development: cognitive development
concrete operational thinking (Piaget); reversibility in lath, conservation, classification, seriation- arranging item in series by things like increasing size
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adolescent development: growth
Average US female: 38 lbs and 9 inches (10-14yrs) US male: 42 lbs and 9 inches (12-16yrs)
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precocious puberty
girls: starts before 8 yrs boys: before 9yrs
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delayed puberty
girls: starts after 13 years boys: after 14 years
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puberty
onset: girls: 9-10 boys: 11-2 first physical sign: girls- breast buds boys testicular growth peak velocity: girls: 12.4 yrs boys: 14.4 yrs menarche: 12.5 yrs spermarche: 13-14 Fertility boys and girls; 15
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Tanner staging: Girls
Tanner 1; preadolescent without pubic hair tanner 2: sparse, pale, fine pubic hair tanner 3: darker, more curled, increase amt tanner 4: hair is adult in character, doesn't cover entire area tanner 5: adult distribution
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Tanner staging: Boys
Tanner 1; preadolescent testes, scrotum, penis without pubic hair tanner 2: enlargment of scrotum and testes, scxrotum reddens and roughens, sparse hair tanner 3: penis enlarges primarily in length, increased amt of hair, darker and more curled tanner 4: penis enlarges in breath and development of glans, hair is adult in character, doesn't cover entire area tanner 5: adult size and shape
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surveillance
a continuous process of periodic assessment and monitoring of growth and development over time through direct observation, health history, parent/child interaction, physical exam
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screening
use of standardized or generally accepted methods with well populations in order to identify individuals at risk for abnormality and warrant further assessment
82
assessment
more symptomatic evaluation using a standardized or accepted method leading to recommendations for intervention
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sensitivity
proportion of those with the abnormality who are correctly identified through screening (true positives)
84
specificity
proportion of this without the abnormality who are correctly id as negative through screening (true neg)
85
positive predictive value
proportion of this correctly screened positive of all tho actually have the abnormality
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newborn behavioral assessment scale
assessment of newborns behavioral capacities: state control, autonomic reactivity, reflexes, habituation, and responsiveness to visual and auditory stimuli
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Bayley infant Neurodevelopmental Screener
screens basic neurological receptive, expressive, and cognitive functions in infants 3-24mos
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Bayley Scales of Infant development
current gold standard for diagnosing developmental delays and recommending intervention for children birth through 42 mos with separate mental, motor and behavioral rating scales
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Denver II
screens in personal-social, fine motor adaptive, language, and gross motor domains (birth- 6 years)
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Language testing
Clinical Linguistic and Auditory Milestone Test (CLAMS: 0-36 mos) ELM: early language milestones scale REEL: receptive and expressive emergent language scale (0-36 mos) MacArthur Communicative Development Inventory
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Behaviors testing
Achenbach Connors abbreviated Parent/Teacher questionairre
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Temperament
94
mental health screening and diagnostic classifications
DSM-5: Diagnostic and Statistical Manual of Mental Disorders
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SURVEILLANCE DEFINITION
A continuous process of periodic asesssment and monitoring growth and devel. over time through a variety of methods (direct observation, health history, parent child interaction, physical exam)
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Screening definition
use of standardized or generally accepted methods with well populations in order to identiy indiviulas who may be at risk fo rphysical, cognitive, mor psychocosil abnormality and warrant further assessment (tools are simple, inexpensive, valid/reliable)
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Assessment
More systematic evaluation using a standardized or accepted method leading to recommendations for intervention
98
Sensitivity
proportion of thos with the abnormality who are correctly identified through screening (true positives)
99
Specificity
proportion of those without the abnormality who are correctly identified as negative through screening (true negative)
100
Human belief model
theoretical construct that attempts to explain why people engage in healthier behavior.
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Evolutionary life history theories
Evolutionary life history theories explain how the family environment affects family conflict and child development. These theories hold that behaviors are intrinsic, and that the genetic influences on behavior are largely driven by the biologic imperative to reproduce.
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Parent development theory
Parent development theory asserts that the parenting role begins in childhood, evolving over time, and is influenced by personal experience, social norms, the health of the parent-child relationship, family dynamics, and the child's individual characteristics.
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Family systems theory
Family systems theory is a theory of human behavior that views the family as an emotional unit, and uses systems thinking to describe the complex interactions in the unit. It is the nature of a family that its members are intensely connected emotionally. An individual's emotional dysfunction has a profound impact on the overall health of the family unit.
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SIDS risk factors
Prone and side-sleeping positions (supine is recommended) Small for gestational age (SGA) or low birth weight infant Prematurity Young maternal age High parity Maternal smoking and illicit drug use Co-sleeping
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Vit B12 deficiency
Vitamin B12 is essential for neurologic function, adequate red blood cell formation, and DNA synthesis. SX: megaloblastic anemia, sore tongue, weakness, and neurological deficits. - associated with the build-up of homocysteine, due to the failure of precursor B-12 dependent conversion enzymes.
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Tooth eruption: Age at which at deciduous teeth are in
2 yrs
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Tooth eruption: earliest age at which permanent teeth start coming in
6 years: In most children, the permanent teeth begin erupting when they reach school age (about 6 years old), and the jaws begin to grow.
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There is a total of 32 permanent teeth distributed among four tooth classes: 8 incisors, 4 canines, 8 premolars, and 12 molars. Permanent dentition eruption begins with the mandibular central incisors and ends with the maxillary third molars (also called the wisdom teeth). The shedding and replacement of the primary molars by permanent premolars is usually complete around the fifth grade, or by 12 years old. The total period of permanent tooth eruption (except for the third molars) spans about 6 years in most children.
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Tooth eruption: years until all permanent teeth are in (except wisdom teeth)
The shedding and replacement of the primary molars by permanent premolars is usually complete around the fifth grade, or by 12 years old. The total period of permanent tooth eruption (except for the third molars) spans about 6 years in most children.
110
Vegan and vegetarian diet deficiencies
vegetarian diets (especially vegan diets) may be deficient in some nutrients, specifically protein, vitamin B12, zinc, iron, and vitamin D. Bioavailable vitamins B12 only in animal based foods
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PURPLE
Normal developmental crying: that typically starts at about 2 weeks old, peaks between 3 and 5 weeks old, and may last until 5 months of age. P: Peak of crying U: Unexpected R: Resists soothing P: Pain-like face L: Long-lasting E: Evening
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Weight loss in newborn
Normal newborn infants lose 5% to 10% of their birth weight in their first few days of life.
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