PEDIATRIC I Flashcards
-Measurable: Inch, Kg, lbs, cm,
-Observable
Quantitative: GROWTH
-Observable
-Maturation: Predictable
-behavioral Changes
Qualitative: Development
Best indicator of development:
Behavioral Changes
Growth and Development Principles:
Continuous Process
Predictable Patterns
Embyronic development
Start: Conception/Fertilization
O-Z-M-B-E Ovum+Sperm ↓ Zygote: 1st human cell ↓ Morula: 8-16 Cells Stays 3 days in fallopian tube ↓ Blastocyst: Travel Implantation **Upper posterior portion of uterus ↓ Embryo: 8 weeks or 2 months
a complete cessation of cardiopulmonary & circulatory system and the entire brain, including the brainstem.
Death
Epignetic Factor
-Non-modifiable factors
-Genetics
46 chromosomes
23 Pairs: 22- Autosomes; 1- sex chromosomes (xx-F; xy:M)
Mileau/ Environment:
Modifiable Factors
-food, air,water,
-Shelter, home
Two types of learning:
c)Learning factor
Children= Blank slates/ sheets
Enactive learning: Learning by doing
Vicarious learning: Learning by observing
Ideal time for toilet training:
18 months; Readiness
Indication when child achieved Toilet training early:
Delayed Child
Readiness for toilet training:
Physiological: walk, sit, stand, squat (W-S-S-S)
Psychological: verbalize the need to T.T. & Understand simple instructions
Psychosocial: Not shy & afraid
most important readiness for toilet training:
Physiological: walk, sit, stand, squat
(W-S-S-S)
Bowel training: Anal phase
18 months -30 months
*Bowel precedes Bladder:
Day time bladder training
30 mons- 36 mons
Night time Bladder Training
36 months -48 months
What should be resolved before school age that is related to toilet training?
-Enuresis: Bed wetting
-Encopresis: Bed pooping
Bed wetting
Enuresis
Bed pooping
Encopresis:
Discipline during Toilet Training:
FIRM & CONSISTENT
Discipline during Toilet Training:
PROBLEM: Strict/rigid parents
OCPD
Discipline during Toilet Training:
PROBLEM: Lenient/ laxity
Disorganized
NEONATAL REFLEXES MUST DISAPPEAR
A. Feeding Reflexes
-Rooting Reflex
-Sucking reflex
-Spitting/ Extrusion reflex
-Swallowing reflex
Feeding reflexes:
When baby’s cheek is stroked
↓
head will turn to side of stimulation
↓
sucking
Rooting reflex
Feeding reflexes:
Touching baby's lips ↓ creates vacuum with lips
Sucking Reflex
Feeding reflexes:
Baby pushes food placed on the anterior tongue.
-Protective hindrance to complementary feeding.
Spitting/Extrusion Reflex
-Introduction of solid foods
-Increase iron demand
(physiologic anemia)
COMPLEMENTARY FEEDING
Best Time:
Earliest Time:
For complementary Feeding
Best time: 6 months
Earliest time: 4 months
Rationale:
increase iron demand (physiologic anemia)