Lifespan Development Flashcards

1
Q

Describe the major events of prenatal development

A

1st Trimester - Major organ systems = laid down (3 tissue layers - ectoderm/mesoderm/endoderm)
2nd Trimester - Development of organs + systems
- Changes in body shape and proportions
3rd Trimester - Rapid foetal growth
- Major organ systems = fully functional
- Deposition of adipose tissue
(fully formed by 38 weeks - just laying down fat)

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2
Q

Major organ development (start and critical period)

*Critical period is when most vulnerable to birth defects created by harmful agents

A
  1. Placenta - Begins week 1
  2. Brain + Spinal cord - Begins week 2
    - Critical period = 2-20 weeks
  3. Heart + Foetal Circulation - Begins week 3
    - Critical period = 3-9 weeks
  4. Lungs - Begins week 4
    - Critical period 4-17 weeks
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3
Q

Foetal circulation adaptations before birth

A
  1. Umbilical vein - connects placenta to liver and ductus venosus
  2. Ductus Venosus - connects umbilical vein to inferior vena cava
  3. Hypoxic pulmonary vasoconstriction - Alveoli are filled with fluid = arterioles constrict creating higher pressure in pulmonary artery/right ventricle/right atrium
  4. Forman Ovale - hole between atriums
  5. Ductus arteriosus - connects pulmonary artery to aorta
    (4&5 allow blood to skip wasted trip of lungs due to high pressure)
  6. Umbilical artery - takes blood from internal iliac arteries back to placenta (has a low pressure to create gradient and attract blood)
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4
Q

What happens after the baby’s first breath?

A
  1. Alveoli fill with air - pressure decreases
  2. Blood then rushes to lungs - bypassing ductus arteriosus (then constricts)
  3. Pressure in left atrium rises - higher than right atrium - foramen ovale closes
  4. Umbilical cord is clamped - no blood supply - Umbilical vein and artery constrict
  5. Ductus venosus stays open for few hours but eventually closes due to lack of blood.
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5
Q

Respiratory System in infancy (birth - 2 years)

A

WoB = higher due to:

  • Rib cage = soft and cartilaginous (firms @ 3 years)
  • Intercostals are weak (less type 1) + poorly developed
  • Diaphragm = flatter (more horizonal insertion)
  • Fewer alveoli and less airways connecting each one
  • Airways = less cartilaginous support - prone to collapse
  • Nasal breathing
  • Higher Metabolic rate - require more o2
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6
Q

Musculoskeletal system in infancy (birth - 2 years)

A

Bones
- 300 bones that will fuse to form 206
- soft and cartilaginous - will ossify over time
Muscles
- Fibres are small and water - weak and fatigue easily
Fat
- Laid down until 9 months old (muscular system is fat orientated for early stages)

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7
Q

Neurlogical system in infancy (birth - 2 years)

A

Brain
- 1/4 of total body weight (floppy head)
- Lower Centres = most developed (incl. brainstem and medulla - involuntary control of heart/breathing)
Nerves
- All Present - but need ‘transient exuberance’ = process of learning the correct pathways
- Primitive reflexes e.g grasp/locate breast
- Flexural tone - Extension is difficult ‘foetal position’

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8
Q

In first year

  1. Physical growth
  2. Factors that affect growth/development
A
  1. 1/3 adult height at birth
    - growth will then occur in 3 phases
    - weight will be put on before height
    - different parts grow at different rates
    - first 6 months = 2lbs per month
    - second 6 = 1lb per month
    - @ 1 year: boys ~ 10kg / girls ~ 9.5kg
  2. Genetics (sex/race/physical status)
    Environment (culture/nutrition/climate)
    Delivery (complications/multiple births)
    State of mother (physical and mental health)
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9
Q

Development in childhood (2-10 years)

A
  • Steady physical growth

- Refinement of Motor skills

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10
Q

Development in adolescence (10-20 years)

A
Puberty: 
boys @ 12-16 years 
- enlargement of testes and penis
- hair growth - axilla/pubic region/face
- Increased muscle mass 
- Voice deepens
 girls @ 10-14 years
- Breast development
- hair growth - axilla/pubic region
- menstruation

After puberty - background levels of hormones maintain differences between sexes
Physical maturity = when growth stops ~ 18-21 years
Mental and emotional maturity - has no set age

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11
Q

Musculoskeletal developments in adolescence

A

Bones - accelerated bone deposition - skeleton grows
- epiphyseal plates will close
Muscles - increased strength and endurance (testosterone allows more growth so boys will often be larger)

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12
Q

Neurological and Cardiorespiratory development in adolescence

A

Neurological
- Sex hormones affect the CNS
- Increased sex drive
Cardiorespiratory
- Testosterone causes blood volume to increase
- Testosterone causes growth of larynx and thickening of vocal cords - deepening voice.

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13
Q

Early Adulthood Development (20-40 years)

A
  • Intellectual/Social/Emotional development
  • Most physically capable
  • No real regeneration but equally very little degeneration
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14
Q

Middle Aged Development (40-65 years)

A
  • Generally good health and physical function
  • Menopause
  • Gradual signs of degeneration
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15
Q

Older Age development (65+ years)

A
  • Retirement
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