Unit 2 Child Flashcards
Obesity BMI
> 95th percentile
>30 kg/m2
Prevalence of overweight/obesity in age 2-19
1 in 3
Children with disabilities are ____ likely to be obese
2x more likely
Activity recs for children
60min daily, mostly aerobic
At least 3 days of musc/bone strength
LE characteristics of obese
tight quads
genu valgus
genu recruvatum
Gait characteristics of obses
hip ADD, knee valgus, rearfoot inversion
Forces more medial -> lateral
LE malalignment in obese children can lead to
early onset OA
BMI >35 has what effect on the need for joint replacement surgeries?
Occur at younger age due to early onset OA
COG shifts ____ in pregnant
forward
WB mostly where in pregnant
anterior met heads
Supine during pregnancy
<5min
Prone during pregnancy
none after 16wk
is estim allowed during pregnancy?
NO
Supine Hypotensive Syndrome - what is it?
uterus compresses on aorta & inferior vena cava
Supine Hypotensive Syndrome - when does it occur?
> 20wk
Supine Hypotensive Syndrome - presentation
Pallor, dizzy, sweat, nausea, decreased femoral pulse.
Early = tachycardia
Later = bradycardia
Pregnancy Induced Osteoporosis - usually where?
femoral neck
Pregnancy Induced Osteoporosis - presentation
severe pain, unable to WB or antalgic gait
Pregnancy Induced Osteoporosis - how do we dx it?
Patella Pubic Percussion Test
Imaging usually not allowed during preg
Diastasis Rectus - how do we dx?
palpate for tenderness
Carnetts sign
Diastasis Rectus - what should we observe?
breathing mechanics (pump vs bucket handle, ab excusion, rib mobility)
Exercise recs for pregnant
30min moderate on most or all days
If previously active, can continue in moderation
If previously inactive, start slow
Exercise while pregnant contributes to low birth weight
FALSE
Exercise while pregnant contributes to early delivery or miscarrage
FALSE
Exercise while pregnant negatively affects breast milk composition
FALSE
But work with dietician to ensure proper caloric intake with exercise
Signs to stop exercise while pregnant (9)
Vaginal bleeding; amniotic fluid leakage; preterm labor.
Dyspnea; dizzy, headache; chest pain.
Musc weak; calf pain or swelling.
Decreased fetal movement.
Advantages of EI
neuroplasticity fewer secondary impairments support positive family relations decreased isolation decreased stress
Challenges to EI
family stress unknown underlying conditions state regulation schedules, home space irritability noncompliant caregivers
center of pressure in infants with motor delays
more regular
center of pressure in typically developing infants
more variability and increased distance
why is COP variability important?
exploration
EI HEPs should be formatted how
written AND illustrated
IDEIA stands for
Individuals with Disabilities Education Improvement Act
IDEIA age
3-21yr
Part B
public school
Part C
EI
Is family consent required for EI initial referral?
no
After initial referral, how many days to IFSP?
45
After IFSP, how many days to EI service?
30
Eligibility for EI
- Developmental delay
2. Established condition
after inital referral, how many days to IEP eval?
90
IEP stands for
individualized education plan
School evals consider what?
only the needs related to education
Eligibility for IEP
- Student with disability (14 categories)
- Disability has an adverse effect on academic performance
- Student requires specially designed instruction in order to access general curriculum
IEP services must
meet students needs
prepare for further ed/employment/indep living
be related to educational need
When are IEP goals written?
before determining which services are required
Least Restrictive Environment
special classes or separate schooling only occurs when the nature/severity of the disability doesnt allow satisfactory education in regular classes
FAPE
Free and Appropriate Public Education
2 transition periods identified by IDEIA
From EI (Part C) to Pre-K (Part B) From school to adulthood
when does transition planning begin
age 14
