Nursing-110 Flashcards
Unitary Man and Environment
Development
the pattern of movement or change that begins at conception and continues through the human lifespan
Traditional Approach
extensive change from birth to adolescence, but little to no change during adulthood, and a decline in old age
Life Span Approach
developmental change through childhood and adulthood
Life Span Perspective
development is multidimensional, multicultural, multidisciplinary, contextual, plastic, lifelong, multidirectional
Normative Age Graded Infleunces
influences that are common for individuals in a particular age group
Normative History Graded Influence
influences that are common for individuals in a particular generation
NonNormative Life Events
unusual occurrences that have major impact on an individual’s life
Emerging Adult
the developmental time frame from 18 to 25 years of age; characterized by experimentation and exploration
Normal Aging
peek in middle age and then declines through early 80s
Pathological Aging
individuals who show greater than average declines as they age
Successful Aging
declining later in old age, positive physical, cognitive and socioemotional development is maintained longer
Psychoanalytic Theories
development is primarily unconscious and heavily colored by emotions; early experiences with parents are emphasized
Freud’s Theory
psychosexual stages: focus of pleasure and sexual impulse which shifts from the mouth to the anus and eventually to the genitals
1. Oral-the mouth
2. Anal-the anus
3. Phallic-the penis or clitoris
4. Latency-little or no sexual motivation
5. Genitals-the penis or vagina
Erikson’s Psychosocial theory
psychosocial stages: proposes eight stages of human development with each stage consisting of a unique developmental task that confront individuals with crisis that must be resolved
1. Trust vs. Mistrust
2. Autonomy vs. Shame
3. Initiative vs Guilt
4.Industry vs. Inferiority
5. Identity vs Confusion
6. Intimacy vs Isolation
7. Generatively vs. Stagnation
8. Integrity vs. despair
Cognitive Theories
conscious thoughts
Piaget’s Theory
children actively construct their understanding of the world through four stages:
1. sensorimotor Stage
2. Pre-operational Stage
3. Concrete Operational Stage
4. Formal Operational Stage
Vygotsky’s Theory
sociocultural theory that emphasizes how culture and social interactions guide cognitive development
Information Processing Theory
theory emphasizes that individuals manipulate information, monitor it, and strategize about it
Behavioral and Social Cognitive Theories
development is observable behavior that we can learn through experiences with the environment
Skinner’s Operant Conditioning
behavior followed by a reward stimulus is more likely to recur, whereas a behavior followed by a punishing stimulus is less likely to occur
Bandura’s Social Cognitive Theory
observational learning, people cognitively represent the behaviors of others they see
Ethological Theory
behavior is strongly influenced by biology
Imprinting
the rapid innate learning that involves attachment ot the first moving object it sees, Lorenz believed imprinting needs to take place at a certain time called the critical period
Ecological Theory
Bronfenbrenner’s environmental systems:
1. microsystem-setting in which individual lives (family, peers, school, neighborhood)
2. mesosystem- relations between microsystems (family relationships, school to church relations)
3. Exosystem- individual’s immediate context and a social setting in which the individual does not play an active role
4. Macrosystem- involves culture
5. Chronosystem- consists of the patterning of environmental events and transitions over the life course
Electrical Theoretical Orientation
no single theory can explain all the development, every theory has contributed our understanding
Sex Linked Genes
X linked diseases (common in males, females carry)
Down Syndrome
extra chromosome
Klinefelter Syndrome
extra X chromosome
Fragile X Syndrome
a type of X linked disease
Turner Syndrome
missing an X chromosome, web neck
XYY Syndrome
extra Y chromosome
Cystic Fibrosis
dysfunctional mucus production
Diabetes
body does not produce insulin
hemophilia
clotting issues
Huntington disease
central nervous system deterioration
Sickle Cell Disease
does not carry enough red blood cells which thus limits body of oxygen
Passive Behavior Genetics
children inherit genetic tendencies and parents also provide an environment that matches theoir own genetic tendencies
Evocative Behavior Genetics
the children’s genetic tendencies elicit stimulation from the environment that support a particular trait
Active Behavior Genetics
actively seek out niches in their environment
Prenatal Development
3 periods that last approximately 38-40 weeks:
1.Germinal Period-first two weeks after conception
2. Embryonic Period-2 to 8 weeks after conception
3. Fetal Period-2 months after conception until birth
Birth Defects
-tetralogy and hazards are most sensitive between 3 to 8 weeks
-Anencephaly-brain, skull, or part of the head fails to grow thus the baby dies in utero because the neural tube failed to close
-Spina Bifida-varying degrees of paralysis
Ultrasound Sonography
high frequency waves, 7 weeks
Fetal MRI
magnetic waves that looks at the body and organs
Chorionic Villus Sampling
10 to 12 weeks, look at tiny samples of the placenta to identify any chromosomal abnormalities
Amniocentesis
samples of the amniotic fluid to look for chromosomal abnormalities (15 to 18 weeks)
Maternal Blood Screening
16 to 18 weeks to look for neuronal defects, chromosomal and genital abnormalities
Noninvasive Prenatal Diagnosis
takes pregnant woman’s blood to look at the fetal DNA to determine diseases
Glucose Tolerance Test
25 to 28 weeks
GBS (Group B Strep)
swab of the vagina and test for bacterial infection so that the baby is not affected
The Birth Process
Stage 1: uterine contractions 15 to 20 minuyes apart and last up to 1 minute
Stage 2: begins when the baby’s head starts to move through the cervix and birth canal and ends when the baby completely emerges from the mother’s body
Stage 3: after birth, unbiblical cord, placenta and other membranes are detached and expelled
Apgar Scale
assesses the baby after birth. A score of 0,1, or 2 is given for each of the following: heart rate, body color, reflex irritability, muscle tone, and respiratory effort
-10 is the highest score while 3 or below indicate an emergency
Low Birth Weight infants
low birth infants weigh less than 5 1/2 pounds at birth
Kangaroo Care
treatment for preterm infants that involves skin to skin contract
Postpartum Assessment
breast, uterus, bowls, bladder, lochia, episiotomy, Homan’s sign, and emotional
Cephalocaudal Pattern
growth always occurs from top downward
Proximodistal Pattern
growth starts in the center of the body and moves toward the extremities
Average New Born Weight and Height
20 inches long and 7 1/2 pounds
the baby will gain 5 to 7 ounces a week
at two years old, the infant weighs 26 to 36 pounds and half their adult height
Shaken baby Syndrome
brain swelling and hemorrhaging
Infant Sleep Recommendation
16-17 hours
REM Sleep
eyes flutter beneath closed lids, sleep cycle begins with REM sleep in infants
Sudden Infant Death Syndrome
a condition in which an infant stops breathing, usually during the night, and suddenly dies without any apparent cause
SIDS is the leading cause of death in infants
Marasmus
severe protein-calorie deficiency resulting in wasting away of body tissues
Kwashiorkor
severe protein deficiency that causes the abdomen and feet to swell up
Reflexes
Built in reactions to stimuli
rooting reflex
infant’s cheek is stroked or the side of the mouth is touched, in response the infant turns its head to find something to suck
Sucking reflex
newborn autonomic sucking when an object is placed in its mouth
Moro/Startle Reflex
startle response that occurs in reaction to a sudden intense noise, the baby arches its back and throws its head back and flings arms
Grasping Reflex
baby closes their fingers; grasping tightly
Tonic Neck
when baby’s head turns to the side it favors to see if the corresponding arm will straighten with the opposite arm bent
Babinsk Reflex
new born fans out toes when sole of the foot is touched
Infant Vision
22/40 vision
Object Permanence
objects continue to exist even when they can not directly be seen, heard, or touched
Classical Conditioning
stimulus becomes associated with a naturally occurring stimulus; the pairing of two stimuli to create a learned association
Operant Conditioning
behaviors are strengthened or weakened based on the consequence that follow them
Attention
the focusing of mental resources on selcet information
3 Month Child’s Attention
Attention can be held for 5-10 seconds
Basic Cry
rhythmic, followed by a brief silence, then a shorter inspiration whistle that is somewhat high in pitch
Anger Cry
variation of the basic cries, loud sound, like shouting
Pain Cry
sudden long, initial loud cry followed by breath holding
Seperation Anxiety
infant’s fear or wariness of strangers
Seperation Protest
crying when the caregiver leaves
Attachment Theorists
- Freud: infants become attached to the person that provides oral satisfaction
- Harlow: infant prefer contact over food
3.Erikson: infants will trust people who provide physical comfort and sensitive care - Bowlby: four phases of attachment
Early Childhood Physical Changes
girls have more fatty tissue than boys; boys have more muscle tissue
Early Childhood Brain Development
brain and head grow more rapidly than any other part of the body; some due to myelination
Early Childhood Recommended Sleep
10 to 13 hours
Narcolepsy
daytime sleepiness
Insomnia
difficulty in getting to sleep
Nightmares
scary dreams
Leading cause of death in Early Childhood
motor vehicle accidents, cancer, cardiovascular disease, and drowning
Sustained Attention
the ability to maintain attention to a selected stimulus for a prolonged period of time
Sensorimotor Stage
spanning from birth to 2 years old, where infants primarily learn about the world through their senses and motor actions
Preoperational Stage
spanning from 2 to 7, children represent the world with words, images, and drawings. Children gain the ability to mentally represent an object that is not present, and cognitions are dominated by egocentrism and magical belief
Childhood Egocentrism
the inability to distinguish between one’s own and someone else’s perspective
Animism
the belief that inanimate objects have lifelike qualities and are capable of action
Zone of Proximal Development
range of tasks that are too difficult for the child alone but that can be learned with guidance
Scaffolding
changing the levels of support during each teaching session
- Trust vs. Mistrust
(0-18 months) infant learns to either trust their caregivers to meet their needs, developing a sense of basic trust, or to mistrust them if their needs are not met, leading to a sense of insecurity and suspicion
- Autonomy vs. Shame
(2-3 years) toddlers who are encouraged to explore and do things on their own will develop autonomy, whereas those who are overly restricted will feel shame and doubt, leading to a lack of independence and confidence
- Initiative vs Guilt
(3-5 years) children grapple with the desire to take initiative and explore their environment versus feeling guilt if their actions are criticized or discouraged by caregivers
- Industry vs. inferiority
(6-11 years) marks the first time a child enters society beyond family. if children succeed in this stage, they can become productive and contributing members of society. if they fail, they may develop a sense of inferiority
- Identity vs. Role Confusion
(12-18) adolescents grapple with questions about who they are and try to establish a sense of self, potentially experiencing confusion if they cannot solidify their identity and in stead feel like they are playing different roles without a clear sene of self
- Intimacy vs. isolation
(19-40) Intimacy is the ability to be able to open up romantically and emotionally to those closest to you; those with intimacy have strong strong relationships with others. Isolation is the inability to form close relationships
- Generatively vs. Stagnation
(40-65) generatively refers to making a positive impact and contributing to the world, such as through raising children, mentoring others, or engaging in meaningful work . Stagnation, represents feeling stuck and unproductive, lacking a sense of purpose
- Ego Integrity vs. Despair
(65 to death) older adults grapple with either feeling satisfied with their life and accomplishments or experiencing regret and bitterness about missed opportunities, leading to despair