paeds (onenote/lect 1.1) Flashcards
Development is: \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_
- cephalocaudal
- proximal to distal
- gross to refined skills
- from lower to more complex stage or development tasks
Weekly weight increase for:
- birth - 6 mths
- 6-12 mths
1) 140 - 200 gms
2) 85 - 140 gms
Monthly height increase for:
- birth - 6 mths
- 6-12 mths
1) 2.5 cm
2) 1.25 cm
Freud’s Psychoanalytic theory
psychosexual stages; focus on particular body part
Erikson’s theory of psychosocial development
importance of culture & society in personality development
At what stage/age will the child learn to control urination and defecation?
Anal stage
1-3 years
At what stage/age will the child learn to be independent? ( autonomy vs shame & doubt)
1-3 yrs
At what stage/age will the child learn to do things and doing things desirable? (intiative vs guilt)
3-6yrs
At what stage/age will the child explore by using mouth esp tongue (oral sensory)?
Birth-1 yr
At what stage/age will the child be able to pronounce ‘mama’?
8 months (prelinguistic)
At what stage/age will the child be able to utter single words that represent the meaning of an entire sentence?
1-1.5 yrs (holophrastic)
At what age should parents introduce finger food and offer fluid after food?
7-9months
At what age should parents introduce weaning diet w/o sugar/salt?
4-6 months
At what age should parents allow children to feed themselves w supervision?
10-12 mths
Is phimosis normal in babies?
It is normal in babies but for older children, may cause UTI.
What is craniosyntosis
premature fusing of the sutures; brain will not be able to expand hence growth is affected
Some evidence of physical abuse
1) Neglect
- underdeveloped
- unkempt
2) Shaken baby syndrome
- vomiting
- changes in constant state
Some evidence of sexual abuse
- injuries of genitalia
- anal dilation “reflex”
- behavioural changes
Haemoglobin breaks down into ________
bilirubin (unconjugated)
High levels of bilirubin can cause _____. Which may develop _________
kernicterus;
cerebral palsy
Symptoms of kernicterus
- lethargic
- high-pitch cry
- irritability
- abnormal tone & posturing
Serum bilirubin level should be done when TcB is at or above the readings of:
1) 0-24 hrs (days of life)
2) 25-36 hrs
3) 37- 48 hrs
4) 49- 72 hrs
1) 140 mmol/L
2) 160
3) 180
4) 200
At what stage/age will the child learn sexual identity through awareness of genital area?
Phallic stage: 3-6 yrs
At what stage/age will the child learn to walk while holding onto object?
10-12 months
At what stage/age will the child learn to sit w/o support?
7-8 months
At what stage/age will the child walk independently?
`12-15months
At what age will the child begin to have primary tooth eruption (Central incisors)?
6 months
At what stage/age will the child manifest “stranger anxiety”?
8 months
At what stage/age will the child show emotions such as jealousy and affection?
12 months
Parallel play precedes cooperative play. T/F?
True
