The Life Cycle Flashcards

1
Q

Time span of premature birth

A

<37 wks

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2
Q

Time span of very premature birth

A

<32 wks

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3
Q

What is the APGAR score? Use?

A

Appearance (color), Pulse, Grimace (reflex irritability), Activity (muscle tone), Respiration; Used to predict likelihood of immediate survival

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4
Q

Why is the number of premature births so high in the US?

A

No free prenatal care, delayed childbearing, increased maternal age

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5
Q

What are “baby blues”? Serious complications?

A

exaggerated emotionality and tearfulness lasting a few days after birth; Major depression and postpartum psychosis

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6
Q

What are the spheres of development?

A

Motor, social, verbal/cognitive

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7
Q

Describe general developments from infancy to 18 months

A

Attachment, Social smile (@ 12 wks), Stranger Anxiety (@ 9 months), Object permanence comes before separation anxiety, which is in late first year

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8
Q

What is the importance of attachment?

A

Psychoimmunology - attachment can help to bolster immune system

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9
Q

What are 4 reflexes found in an infant?

A

Rooting - touch cheek, and infant turns towards you
Palmar Grasp Reflex - Grip object in palm
Moro Reflex - Limbs extend when child is startled
Babinski Reflex - Dorsiflexion of toes when sole of foot is stroked

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10
Q

When does the Babinski reflex disappear?

A

After 1 year

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11
Q

Describe developments of toddler (18 months to 3 years)

A

Rapprochement (moves away but then comes back), “No!”, Parallel play (Next to, not reciprocal), @ 3 years can spend few hours away from mother, gender identity

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12
Q

Describe developments of child 3 to 6 yo

A

Bowel and Bladder control, sibling rivalry, regression, Dramatic vocab increase, Active imagination (knows imaginary friends are not real), Cooperative play (@ 4 yo), Fear of injury, Body curiosity

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13
Q

Describe regression

A

Stops and starts to development (normal)

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14
Q

At age 4, what percentage of vocab should we understand from a child?

A

100%

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15
Q

Describe milestones at 6 yo

A

Superego, morality, empathy, lying is wrong, finality of death

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16
Q

Describe characteristics of early school age

A

7-11 yo, psychosexual issues dormant, strive for competence, when learning problems are identified

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17
Q

At what age is universality of death recognized?

A

Age 9

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18
Q

Age range of adolescence

A

11 - 20 yo

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19
Q

Characteristics of adolescence

A

Independence/autonomy, myelination, pruning of nearly 50% of synaptic connections

20
Q

Characteristics of middle adolescence

A

Body image/popularity, risk-taking, less likely to comply with medical advice

21
Q

Characteristics of late adolescence

A

Identity Crisis, Role confusion, Some but not all develop abstraction

22
Q

General characteristics of teenage sexuality

A

Daily masturbation, homosexual experience, sexual intercourse,

23
Q

What are three factors that predispose a teenager to pregnancy?

A

Depression, poor school achievement, divorced parents

24
Q

What are the most common genetic factors contributing to mental retardation?

A

Down Syndrome, Fragile X Syndrome

25
Q

What are some challenges of early and middle adulthood?

A

Transitional periods, reappraisal of desires, goals, and values, vulnerable to physical/emotional illness during periods of life change (Midlife crisis), Regression

26
Q

Percentage of marriages ending in divorce?

A

50%

27
Q

What are factors that contribute to divorce?

A

Short courtship, teenage premarital pregnancy, absence of family support, prior divorce in family, differences in religion/socioeconomic background, couples that experience serious illness in child

28
Q

What is at an increased risk in single-parent families?

A

Physical and mental illness

29
Q

What risks are increased in a child coming from divorced parents?

A

School failure, depression, drug abuse, suicide, criminal activity, divorce

30
Q

What is the difference betwixt sole, joint, and split custody?

A

Sole: parent with whom child lives, has legal responsibility for child and makes decisions about care. Other parent contributes to financial support and has scheduled visiting times, Joint: Child spends part of time living with each parent, Split: Each parent has custody of at least one child in the family

31
Q

When should one be told about adoption?

A

At earliest possible age along with all that is known about biological parents

32
Q

Characteristics of early adulthood

A

Role in society defined, physical development at peak, independence, love and gratifying work, adopt parental values after years of rebellion and soul-seeking

33
Q

Characteristics of middle adulthood

A

Unique social responsibilities, health, money, power, authority

34
Q

What is climacterium?

A

Physiological changes that occur in men and women during midlife (Men: Decreased MSK strength, endurance, sexual performance, Women: menopause

35
Q

What are some losses of aging?

A

Social status, spouses, family, friends, health, strength

36
Q

What is the average life expectancy? Men? Women?

A

77, 75, 80

37
Q

What are neurologic changes associated with aging?

A

Decreased cerebral blood flow, decreased brain weight, amyloid plaques, decreased neurotransmitter availability

38
Q

What other physiological losses that accompany aging?

A

Bladder control, strength, vision, hearing

39
Q

What is some major psychopathology found in elderly?

A

Depression (Pseudodementia), suicide, anxiety, substance abuse, delirium

40
Q

What are the Elizabeth Kubler-Ross stages of dying?

A

Denial, Anger, Bargaining, Depression, Acceptance

41
Q

What is abnormal grief?

A

Syx of sadness intensify or persist over time instead of lessening

42
Q

What is bereavement?

A

Normal grief may subside in 1 to 2 years

43
Q

What are Autism Spectrum Disorders? When are they seen?

A

Do not acquire verbal and social skills at the expected age, no reciprocity, restricted range of interests, clumsiness; Seen before age 3

44
Q

What is Rett’s Disorder?

A

Normal development early followed by hand wringing, breathing problems, intellectual impairment, ataxia, and social decline

45
Q

What is Childhood Disintegrative Disorder?

A

2-10 years of normal development followed by late onset developmental delays