Week 4 Growth and Development Flashcards

1
Q

define growth

define development

A

growth: physical changes that occur over time
development: process of adapting to one’s environment over time

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2
Q

What is the proximodistal pattern

what is an example

A

begins at the center of the body and moves outward

an infant begins to focus his/her eyes, then lifts head, later pushes up and rolls over

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3
Q

Who developed the developmental task theory and what is the basic concept of it

A

Havighurst; learning is lifelong process and failure to master a task leads to difficulty mastering future tasks and interacting with others

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4
Q

Who developed the psychoanalytic theory

what is the basic concept of it

A

Freud

personality consists of id, ego, and superego

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5
Q

Who developed the cognitive development theory

what is the basic concept of it

A

piaget

3 stages: adaptation, assimilation and accommodation which a child must complete before moving on to the next stage

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6
Q

Who developed the psychosocial development theory

what is the basic concept of it

A

Erikson

individuals negotiate 8 stages as the progress through life span

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7
Q

What stage are infants in according to Erikson

What do they experience at this stage?

A

trust vs. mistrust

if needs are dependable met, infants develop a sense of basic trust

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8
Q

what stage are early childhood children in according to Erikson

what do they experience at this stage

A

autonomy vs. shame and doubt

toddlers learn to exercise will and do things for themselves, or they doubt their abilities

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9
Q

what stage are preschoolers in according to erikson

what do they experience at this stage

A

initiative vs guilt

preschoolers learn to initiate tasks and carry out plans, or they feel guilty about efforts to be independent

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10
Q

what stage are school aged children in according to erikson

what do they experience at this stage

A

industry vs. inferiority

Children learn the pleasure of applying themselves to tasks, or they feel inferior

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11
Q

what stage are adolescents in according to erikson

what do they experience at this stage

A

identity vs. role confusion

teenagers work at refining a sense of self by testing roles and then integrating them to form a single identity or they become confused about who they are

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12
Q

What stage are young adults in according to erikson

what do they experience at this stage

A

intimacy vs. isolation

young adults struggle to form close relationships and to gain the capacity for intimate love, or they feel socially isolated

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13
Q

What stage are middle adults in

what do they experience at this stage

A

generativity vs. stagnation

the middle aged discover a sense of contributing to the world, usually through family and work, or they may feel a lack of purpose

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14
Q

According to erikson, what happens during maturity (older adult) phase

A

ego integrity vs. despair

when reflecting on his or her life, the older adult may feel a sense of satisfaction or failure

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15
Q

Who developed the moral development theory

A

lawrence kohlberg and carol gilligan

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16
Q

Who developed the spirtual development theory

what is the basic concept of it

A

Fowler

theory of faith development

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17
Q

What weeks are considered the embryonic phase

A

the first 8 weeks

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18
Q

When does the embryo become a fetus

A

by the end of the 8th week after all the organs are formed

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19
Q

What happens during the second trimester

A

rapid fetal growth and further development of the body systems

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20
Q

What are teratogens

what are examples

A

substances that interfere with normal growth and development

Ex: alcohol, nicotine, morphine, cocaine, crack, methamphetamine

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21
Q

What are some of the potential risks that maternal age can present with both adolescents and over 40

A

Adolescence = preterm birth, low birth weight and fetal death is higher

over 40 = risk of fetal death and trisomy 21 and other congenital anomalies increase each year over age 35 especially after 42

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22
Q

Vitamins and minerals for pregnant women are ______ % higher than for a non pregnant woman

A

25 to 50%

23
Q

pregnant women should increase their caloric intake by how much

A

10 to 15%

24
Q

What is a consequence of inadequate protein in pregnancy

A

affects formation of the placenta and fetal brain development; crucial for baby’s growth throughout pregnancy

25
Q

How much should pregnant women increase their folic acid intake and why

A

499 mcg daily; reduces the risk of neural tube defects (spina bifida)

26
Q

Screening during pregnancy is also done for complications of pregnancy such as what

A
  • birth defects
  • blood markers and ultrasound screening (neural tube defects, trisomy 21, abdominal wall defects)
  • gestational diabetes
  • Group B strep (35-37 weeks)
27
Q

What are the critical adaptations during the neonatal period (birth to 28 days)

A
  • establishment of respiration (most critical; at birth)
  • independent circulation
  • thermoregulation (keeping warm and dry with cap)
  • production of urine (void 5-25 times during first 24 hrs)
  • bowel function
  • reflexes at birth
28
Q

What are three common health problems related to birth in the neonate

A
  • caput succedaneum: edema of scalp from head compression against cervix; fixed in 1-3 days
  • fracture of clavicle: occurs with breech position or when shoulder gets stuck; no intervention needed
  • birth asphyxia: results from cord prolapse, placental abruption, interruption of blood supply between baby and placenta, or delay in infant respiration
29
Q

What are the categories for APGAR

what score indicates fetal well being (high or low)

A

Breathing, heart rate, muscle tone, grimace, skin color at 1 min and then at 5 mins

a high score indicates fetal well being

30
Q

What does the 1 minute APGAR score indicate

What does the 5 minute APGAR score indicate

A

1 min indicates how well the baby tolerated the birthing process

5 min indicates how well the baby is adapting to the new environment

31
Q

what is the rooting reflex

A

stroking an infants cheek will cause a newborn to turn head toward stimulus

32
Q

what is the moro or startle reflex

A

placing infant on flat surface and striking the surface to startle infant. symmetrical abduction and extension of arms are expected as an indicator of overall neurological health

33
Q

What is the babinski reflex

A

stroking upward along the lateral aspect of the sole; positive response occurs when toes hyperextend and great toe dorsiflexes

reflex disappears when infant begins to walk

34
Q

What are common health problems of the infant

A
  • crying and colic
  • failure to thrive
  • dental caries
  • abuse and neglect
  • unintentional injury (automobile accidents)
  • SIDS
35
Q

What is the number one priority assessment/intervention for the infant

A

safety

36
Q

what are the common health problems for a toddler

A
  • unintentional injury (drowning)
  • infections
  • immz
  • toilet training
37
Q

What should interventions and assessments be focused on for toddlers

A

health promotion and disease prevention and safety

38
Q

What are the common health problems for a preschooler

A
  • similar to toddler
  • communicable diseases
  • poisoning
  • enuresis (bed wetting)
  • child abuse
39
Q

What is the most important assessment for a preschooler and why

A

safety because the preschool child is mobile and involved in active play, accidents increase

40
Q

What are some safety hazards that a preschooler may have

A

stranger danger and importance of seat belts and car seats

41
Q

What are some common health problems for school aged children (6-12)

A
  • obesity
  • asthma
  • falls (most common nonfatal injury)
  • need to wear helmets
42
Q

What is a key developmental part of adolescence (12-18 years)

A
  • marks transition from child to adult

they establish their own identity; driven by the need to belong to a group

43
Q

What are common health problems for adolescents

A
  • substance abuse
  • driving
  • depression
  • suicide
  • eating disorders
  • overweight/obesity
  • risky sexual behavior
44
Q

What are common health problems for the young adult (19 to 40 years)

A
  • STIs
  • substance abuse and intimate partner violence
  • obesity
45
Q

What are the common health problems for middle adulthood (40 to 64 years)

A
  • cancer
  • obesity
  • diabetes
  • hypertension
  • cardiovascular disease
46
Q

What are the options for housing for older adults

Briefly explain each

A
  1. aging in place: live in their own residence and receive supportive services for their changing needs
  2. age friendly residences: accommodations made to the physical structures
  3. age friendly communities: emphasized older people’s continuing participation in social, economic, cultural, spiritual and civic affairs
  4. naturally occurring retirement communities:
  5. retirement communities: services such as home maintenance and repair
  6. continuing care retirement communities or life care communities: offer wide range of living accommodation from residential living (cottages, cluster homes, apartments)
  7. assisted living facilities: provide coordinate personal services, 24 hour supervision and assistance
  8. nursing homes: provide skilled and unskilled nursing care for older adults with disabilities
47
Q

Explain the four theories of aging

A
  1. wear and tear - repeated insults and accumulation of metabolic wastes eventually cause cells to wear out and cease functioning
  2. genetic - time of naturally occurring death is determined at birth
  3. cellular malfunction - a malfunction in the cell causes changes in cellular DNA, leading to problems with cell replication
  4. autoimmune reaction - cell change with age; over time changes result in immune system’s perceiving some cells as foreign substances and triggering an immune response to destroy the cells
48
Q

What age is considered older adulthood

A

begins at age 65

49
Q

What are the ages for young old, middle old, and oldest old

What are the developmental challenges for each

A

young: 65-74; physical and psychological adaptation to retirement
middle: 75-84; increasingly solitary, sedentary lifestyle
oldest: above 85; sensory impairments, oral health, inadequate nutritional intake, and functional limitations

50
Q

What are the common health problems of the older adult

A
  • heart disease, cancer, stroke, diabetes
  • osteoporosis
  • Alzheimer’s disease (primary form of dementia)
51
Q

What are some other health problems of the aging adult

A
  • polypharmacy (use of multiple meds)
  • depression
  • elder abuse
  • ageism
52
Q

What are examples of ADLs and IADLs

A

ADL: bathing, dressing, toileting, transferring, continence, and feeding

IADLs: shopping, using the phone, housekeeping, managing, money, preparing food, managing one’s meds

53
Q

What is the most important intervention for all older adults

A

promoting cognitive function

do this by providing activities and materials that are engaging and involve some degree of cognitive processing