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holds head steady while sitting |
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transfers object from hand to hand |
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smiles in response to face/voice |
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2 words other than Mama, Dada |
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pedals tricycle, alternates feet going upstairs |
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alternates feet coming down stairs |
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imitates verticle or circular strokes |
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2 word sentences, follows 2-step commands |
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speech 25-50% intelligible to a stranger |
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describes most recent experiences |
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knows alphabet, address, and phone number |
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overly dependent, aggressive |
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anal retentive or anal repulsive |
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virtue of trust vs mistrust |
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autonomy vs. shame and doubt |
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virtue of autonomy vs shame and doubt |
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virtue of initiative vs guilt |
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11- years to end of adolescence |
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what are concrete operations? |
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able to see someone else's perspective; rules, order, grouping; syllogistic reasoning; conservation; reversibility |
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what are formal operations? |
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thinking is formal, logical, systematic, and symbolic; abstract thinking, deductive reasoning |
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virute of industry vs. inferiority |
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identity vs identity confusion |
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virute of identity vs role confusion |
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13 years or puberty - adulthood |
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fixation of latency stage |
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excess or lack of inner control |
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sexual development at 5 years |
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gender stereotyping; modest self control about exposing body |
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sexual development at 6 years |
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slang/jokes about elimination |
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sexual development at 7 years |
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self conscious about body and body exposure |
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sexual development at prepuberty |
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sex play with peers; masturbation; genital comparison; intensified romantic interests; beginning interest in dating, kissing, fondling |
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sexual development at adolescence |
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masurbation may include sexual fantasies; sexual behavior with peers; awareness of sexual identity |
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first signs of puberty in girls |
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breast buds (8-13 years); menses 1-2 years later |
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first signs of puberty in boys |
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enlargement of the testes (10-14 years) |
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what are the stages of family development? |
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the first baby; the toddler; the child aged 3 to 6 years; sibling rivalry; the school-age child; the adolescent |
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concrete operations stage |
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sexual development at 2 years |
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sexual development at 3 years |
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genital differences/ gender identity |
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sexual development at 4 years |
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what are the leading causes of death in infants? |
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1. short gestation; 2. congenital anomalies; 3. SIDS; 4. respiratory distress; 5. maternal pregnancy complications |
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what are the leading causes of death in young children? |
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1. unintentional injury; 2. congenital anomalies; 3. homicide; 4. malignancy; 5. heart disease |
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resembles intrauterine life |
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mother-infant as a single fused entity; social smile |
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attention away from self, distinctiveness from mother appreciated; stranger anxiety |
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ability to move leads to exploration of the world; separation anxiety |
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need for independence alternates with need for closeness |
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comprehend permanence of mother/others even when not in their presence |
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immortality vs extinction |
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prime adaptive ego quality of immortality vs extinction |
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prime adaptive ego quality of integrity vs despair |
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generativity vs stagnation |
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prime adaptive ego quality of generativity vs stagnation |
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prime adaptive ego quality of intimacy vs isolation |
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what are the two leading causes of death in adulthood? |
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decrease in serum concentration and free levels of testosterone |
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clinical symptoms of andropause |
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sexual dysfunction; decreased bone mineral density; decreased muscle mass; decreased muscle strength; decreased muscle strength; decline in cognitive function |
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loss of ovarian folicles; no menstrual periods for 12 months; estrogen deficiency |
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clinical symptoms of menopause |
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irregular bleeding cycles; hot flashes; sleep disturbances; skin changes; bone loss; mood disturbance |
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USPSTF heart and vascular disease screening |
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abdominal aortic aneurysm; BP check; lipid check; aspirin use; tobacco cessation |
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USPSTF abdominal aortic aneurysm recommendations |
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men 65-75 who have ever smoked |
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USPSTF BP screening recommendations |
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USPSTF lipid screening recommendations |
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USPSTF aspirin use recommendations |
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men 45-79 for myocardial infarction; women 55-79 for ischemic stroke |
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breast, cervical, colorectal, prostate |
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USPSTF breast cancer screening recommendations |
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women 50-74 with mammogram every 2 years |
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USPSTF cervical cancer screening recommendations |
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PAP smear for women 21-30 every 2 years; 30 + every 3 years |
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USPSTF colorectal cancer screen recommendations |
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adults 50-75 with occult blood testing, sigmoidoscopy, or colonoscopy |
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USPSTF prostate cancer screening recommendations |
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clinical exam for men (digital rectal exam prefered, but PSA is also used) |
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approach to a typical annual physical for adult |
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general (appearance, body habitus, level of distress); CV (heart sounds/ heart murmur); abdomen (bowel sounds, palpate for tenderness, masses); skin (bruises, rashes, mole abnormalities); musculoskeletal (assess joint pain); neuro (gait evaluation; strength; sensation; reflexes); social history (tobacco, alcohol, drug use; sexual activity; seatbelt use and gun safety; safety in home) |
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medical tests to be performed on a 25 year old at a check-up |
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PAP smear, HIV test, BP, lipids |
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medical tests to be performed on a 50 year old at a check-up |
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PAP smear, HIV test, BP, lipids, mammography, colorectal cancer, aspirin use |
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medical tests to be performed on 85 year old at checkup |
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