L1 Neonatal Flashcards
Family-Centered Services and Intervention
based on family priorites and needs
strengths based
collaborative
families are involved in decisions
PT should be ready to work with family even if ideas differ on what is best for the child
Fetal Alcohol Spectrum Disorders
associated with use of alcohol during pregnancy
spectrum includes FAS, partial FAS, birth defects, alcohol related neurodevelopment disorder
Degree of FASD
influenced by amount of alcohol consumed
influenced by timing of consumption
Neural changes due to FASD
-CNS may be involved depending on child’s structural brain damage
-differences in brain structure and activity to neuropsychological testing
-functional impairments
-poor sensory processing, sensory motor, adaptive measure testing
Functional impairments in CNS with FASD
memory
info processing
learning disabilities
intellectual disability
social skill
attention
motor skill
executive functioning
behavioral challenges
mental health
Diagnostic Criteria for FASD
- prenatal and postnatal growth retardation
- CNS abnormalities
- distinctive craniofacial abnormalities
- Combo of any of above with intellectual disability
Discriminating Features of FASD
small eye slits
flat midface
short nose
indistinct philtrum
thin upper lip
Secondary Features of FASD
epicanthal folds
low nasal bridge
minor ear anomalies
pointed chin
Neonatal Abstinence Syndrome
-occurs in newborns after exposure to opioids in utero
-neurobehavioral dysregulation characterized by hyperactivity of CNS and ANS
Infant presentation of NAS
irritability
crying
poor state control
hypertonicity
hyperreflexia
tremors and jittery
failure to thrive
hypersenitivity to ordinary stimuli
vomiting and diarrhea
autonomic stress signs (yawning, sneezing, sweating)
Smoking and babies
nicotine crosses the placenta
pregnancy is at 1.8-2.9x greater risk of stillbirth, increased risk with heavier smoking
the ADA…
ensures full civil rights to individuals with disabilities
guaranteed equal opportunity in employment, public and private accommodations, transportation, government services, and telecommunications
