L1 Neonate Flashcards

1
Q

Neuromaturational Theories

A

-Development set, invariant
-Tightly tied to CNS
-Occurs cephalocaudal, proximal to distal
-Recent research acknowledges that there is variation in sequence and input from all systems

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2
Q

Cognitive Theories

A

thinking develops in stages of increasing complexity

organize mental schemes through mental operations

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3
Q

Behavioral theories

A

behavior is shaped by environment

assumes most behaviors learned responses

primary concepts used in applied behavior analysis

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4
Q

Psychoanalytical/psychosocial theories

A

Biologically determined drives, unconscious conflicts

initial drive for survival when basic needs met, see self-actualization

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5
Q

Ecological, contextual. theories

A

environment has a very strong influence on overall development

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6
Q

Dynamic Systems theories

A

movement emerges based on internal milieu, external environment, task

movement directed by dynamic, interacting systems

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7
Q

Neuronal Group Selection

A

Infant motor development with increased and decreased periods of variability, resultant from changes in CNS

Structure and function of neural networks created via genetic coding in infant development and environmental exposure/active movement related to behavioral experience

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8
Q

Prenatal

A

before birth

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9
Q

Gestation

A

measured in weeks, from the first day of the woman’s last menstrual cycle to the current date

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10
Q

Fertilization

A

egg fertilized by sperm to form zygote

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11
Q

Embryo

A

week 2-8 after fertilization

(beginning at week 2 accounts for the menstrual cycle)

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12
Q

Fetus

A

Developing week 9-37

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13
Q

Full term

A

equal to or greater than 37 weeks

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14
Q

Premature

A

less than 37 weeks

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15
Q

Neonate

A

infant up to 28 days after birth

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16
Q

Gastrulation Layers

A

Ectoderm
Mesoderm
Endoderm

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17
Q

Mesodermal cells

A

form notochord

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18
Q

Ectodermal cells

A

overlying cells at neural place fold inward to form neural tube, joining ends form neural crest

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19
Q

Neural tube

A

becomes CNS
formed from ectoderm

20
Q

Neural Crest

A

forms PNS, enteric nervous system, melanocytes, facial cartilage, cornea, inner ear, odontoblasts, enterochromaffin cells, spiral membrane

21
Q

Remaining Ectoderm…

A

will form epidermis of skin, hair, exocrine glands, anterior pituitary gland

22
Q

Cardiovascular Development

A

mesoderm
first system to develop
heart beat by week 4

23
Q

Pulmonary Development

A

lower tract begins day 22, will form on ventral wall of primitive endoderm

lungs develop in 5 stages

24
Q

5 stages of lung development

A

Embryonic –> 3-6 weeks
Pseudoglandular –> 5-17 weeks
Canalicular –> 16-25 weeks
Saccular –> 24 weeks to birth
Alveolar –> 36 weeks to 8 years

25
Q

Gastrointestinal Development

A

Contains all three neuronal layers

Ectoderm–PNS, neurons to GI tract
Mesoderm–wall of gut, smooth muscle
Endoderm–epithelial lining of GI tract and GI organs

26
Q

Musculoskeletal Development

A

Mesoderm–bone, cartilage, muscle

all bones derive from mesenchyme, which is connective tissue from mesoderm

27
Q

Ovum and sperm chromosomes

A

each have 23 chromosomes

28
Q

Environmental Influences

A

Access to prenatal care
Teratogens
Intrauterine Infections

29
Q

Access to prenatal care

A

nutrition
vitamins
vaccinations
management of conditions

30
Q

Teratogens

A

heavy metals
radiation
medications
illicit drugs
infectious agents
chronic maternal illness

31
Q

Intrauterine infections

A

(TORCH)
Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes simplex

32
Q

The F Words of Development

A

Functioning
Family
Fitness
Fun
Friends
Future

33
Q

APGAR Score

A

Developed by Virginia Apgar in 1952

Completed at 1 minute after birth to determine tolerance during birth process
Completed again at 5 minutes to determine tolerance out of womb

34
Q

APGAR

A

appearance, pulse, grimace, activity, respiration

Breathing effort
Heart rate
Muscle Tone
Reflexes
Skin Color

35
Q

Breathing Effort

A

not breathing = 0
Respirations slow, irregular = 1
Cries well = 2

36
Q

Heart Rate

A

No heartbeat = 0
<100 beats/min = 1
>100 beats/min = 2

37
Q

Muscle Tone

A

muscles loose and floppy = 0
Some muscle tone = 1
Active motion = 2

38
Q

Reflexes

A

No reaction = 0
Grimacing = 1
Grimacing and cough, sneeze or vigorous cry = 2

39
Q

Skin color

A

pale blue = 0
body pink and extremities blue = 1
entire body pink = 2

40
Q

Calculating Age with prematurity

A

done when born at less than 37 weeks

chronological age, based on DOB - total # months and # days

41
Q

28 weeks of gestation

A

rooting, palmar grasp, flexor withdrawal, cross extension, galant, moro

42
Q

20 weeks of gestation

A

Asymmetrical tonic neck

43
Q

Suck/swallow

A

28-34 weeks of gestation

44
Q

Positive support

A

35 weeks of gestation

45
Q

Autonomic walking/reflex stepping

A

37 weeks of gestation