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Life span Development Chapter 8
Mosby's Paramedic textbook 3ED-R
73
Medical
Professional
04/18/2012

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Term
When is a baby called a newborn
Definition
In the first few hours of life
Term
When is a baby called a neonate
Definition
If the child is younger than 28 days
Term
When is a baby called a infant
Definition
From 28 days to 1 year of age
Term
What is an infants vitals during the first 30 minutes of life
Definition
100-200 bpm, respiratory rate is 40-60 breaths/min, BP is 70 mm Hg systolic
Term
What is the average vitals at 1 year of age
Definition
120 bpm, 25 breaths/min, BP is 90 systolic
Term
The baby's head accounts for how much of their TBW (total body weight)
Definition
25%
Term
In the first few days of life, the total body weight may decrease 5-10% because of what
Definition
Excretion of extracellular fluid
Term
What is the average weight gain of a baby per week
Definition
140-168g (5-6 ounces)
Term
What structures are unique to the baby
Definition
ductus venosus(umbilical cord into the vena cava), ductus arteriosus(umbilical to the pulmonary artery), and foramen ovale(opening between the atria)
Term
What causes these structures to close
Definition
The increase in pressure on the left side of the heart and a decrease in pressure on the right side of the heart
Term
What happens to the fluid in the baby's lungs during birth
Definition
During delivery the thorax gets compressed, and the rest of the fluid gets absorbed via the lymphatic and pulmonary circulations. The first couple of strong breaths open the alveoli.
Term
What is the principal support for the chest wall for newborns
Definition
The majority of support comes from the muscles rather than the bones.
Term
In the first month of life, how does the child breath
Definition
The child breaths primarily through the nose
Term
What does facial stimulation do to a baby
Definition
Causes the baby to make sucking movements with the lips (sucking reflex)and also turn its head toward the stimulation (rooting reflex)
Term
How long does the posterior fontanel and anterior fontanel (joints in the skull) remain open
Definition
Until the child is about 3 months of age for the posterior and about 9-18 months for the anterior.
Term
What are the only hard bones in an infant at birth
Definition
the fingers
Term
IN infants how much muscle weight accounts for the entire musculoskeletal system.
Definition
25%
Term
Explain the Babinski reflex
Definition
Stroking the sole of the foot, you should see the toes spread outward and upward
Term
Explain the Babkin reflex
Definition
Pressing on the palms when the baby is lying supine, the infant will open its mouth and close its eyes
Term
Explain the Moro reflex
Definition
A loud noise will cause the infant to stretch its arms and legs, spreads the fingers, and hugs self.
Term
Explain the Palmar grasp reflex
Definition
placing an object into the infants palm, will cause the infant to grasp the object
Term
Explain the Rooting reflex
Definition
Touching the infant's face, will cause the infant's lips to suck, and the infant's face will turn toward the stimulation.
Term
Explain the stepping reflex
Definition
Holding the infant upright with the feet touching the floor will cause the infant to make stepping movements
Term
Explain the sucking reflex
Definition
If the infants lips come in contact with a nipple the infants lips will pucker up and start sucking
Term
Explain the tonic neck reflex
Definition
When the infant is in supine position, the infant will turn its head and extends arms and legs on the side the the head is turned
Term
Explain passive immunity
Definition
enough natural immunity from disease to protect them until they can make enough immunity on their own.
Term
According to Erik Erikson, what is the most critical stage, which occurs in infancy at 1-1/2 yrs of age
Definition
The trust versus mistrust stage.
Term
The trust vs. mistrust stage is based on two things, what are they
Definition
the infant's knowledge the the surroundings are safe and predictable and that the causes and effects can be anticipated.
Term
Explain easy children
Definition
regularity of bodily functions, and low or moderate intensity of reaction. They accept new situations rather than withdrawing. About 40% of all children are easy children
Term
Explain difficult children
Definition
Irregular bodily functions, and intense reactions. They withdraw from new situations. 10% are difficult children
Term
Explain slow to warm children
Definition
low intensity of reaction and a somewhat negative mood. Slowly adjust to new situations. 15% are slow to warm children
Term
Explain reciprocal socialization
Definition
Early social interactions are the child's interactions with others and with the child's environment
Term
What is the baby's development at 2 months of age
Definition
the child can track objects with eyes, and will recognize familiar faces
Term
What is the baby's development at 3 months
Definition
The baby can move objects to mouth with it's hands
Term
What is the baby's development at 4 months
Definition
Drools without swallowing, reaches out to people
Term
Whats the baby's development at 5 months
Definition
Sleeps through the night w/o food, Gains weight to twice the birth weight, and Eruption of teeth may begin
Term
Whats the baby's development at 6 months
Definition
Sits upright in a chair, makes one syllable sounds
Term
Whats the babys development at 7 months
Definition
Fears strangers, quickly changes from crying to laughing
Term
Whats the babys development at 8 months
Definition
Responds to no, sits without assisstance
Term
Whats the babys development at 9 months
Definition
Responds to adult anger, pulls self to standing position, and Explores objects by sucking, chewing, and biting
Term
Whats the babys development at 10 months
Definition
recognizes own name, crawls well
Term
Whats the babys development at 11 months
Definition
attempts to walk unaided, shows frustrations at restrictions
Term
Whats the babys development at 12 months
Definition
walks with assistance, gains weight three times birth weight
Term
What happens to a toddler's/preschooler's cardiovascular system that is advantageous
Definition
Their capillary beds become better developed, therefore can better assist in thermoregulation
Term
What are some social milestones of children 1-3 yrs of age
Definition
combine two different words, complete some word phrases, follows directions, can point to a named part of the body, shows symbolic play when playing with toys, and can remove some clothing
Term
What are some milestones of children 3-5 yrs of age
Definition
can give first and last name, recognizes colors, speech is understandable to strangers, completes short sentences, knows name of friend, accepts temporary absence of primary caregiver, plays independently, increased level of confidence, shows sympathy at appropriate times, likes to hear and tell stories.
Term
Describe a authoritarian parent and its effects on their children
Definition
obedience is a virtue, child gets punished, the child does not have much freedom or independence. Children may have low motivation to achieve, shyness, and hostility, also a low self esteem.
Term
Describe a authoritative parent and its effects on their children
Definition
Rule must be followed, the child is given reasons for rules, the child is allowed to express a viewpoint, but parent has final say. Children tend to be responsible, assertive, self-reliant, and have high self-esteem
Term
Describe a permissive parent and its effects on their children
Definition
Children have alot of freedom, parent demands very little from their children. Children are not independent, cooperative, or assertive, are often discontented, distrustful, self-centered, and have a low self-esteem
Term
How do parents treat the first born child compared to other siblings
Definition
They are expected to show self-control and responsibility when interacting with younger children. Parents are more strict with the first born, more demanding, and less consistent.
Term
What is a factor in which a child develops problem solving and cognitive skills
Definition
playing with toys, other children, acting out fantasies
Term
What two factors have a significant impact on the psychosocial development in a toddler and preschooler
Definition
Divorce, and exposure to aggression or violence
Term
What age is school aged children
Definition
6-12 years of age. Their vitals are 70-110 bpm, respiratory rate 20-30 breaths, and BP 80-120 systolic
Term
How much of the skull's growth done by age 10
Definition
95%
Term
At what age does puberty hit the female
Definition
Between 8-13 yrs
Term
What age does puberty hit the male
Definition
Between 13-15 yrs
Term
What are the vitals for a child 13-19
Definition
HR 55-105, BP 100-120 systolic, res 12-20 breaths a min
Term
What does progesterone affect in females
Definition
breast development, and the menstrual cycle
Term
What does estrogen affect in females
Definition
development of secondary sex characteristics, fat in breasts, thighs, and buttocks, also growth of pubic hair
Term
What does gonadotropin promote in males and females
Definition
In males it promotes testosterone production, and in females it promotes progesterone and estrogen production
Term
what is the psychosocial development of children 13-14 yrs
Definition
Struggles w/ identity, Moody, close friendships, less attention to the parent, interest in style, ability to work, same sex friends, needs privacy, beats off, experiments with cigs, drugs, alcohol, and capacity for abstract thought
Term
Whats the social development for 14-17 yr old
Definition
self-involved, concern with self image, examines personal and inner experiences, channels sexual energy into creative activities, feelings of sexual love and passion, selects role models,and greater capacity for setting goals
Term
whats the social development for 17-18 yr old
Definition
secure personal identity, greater emotional stability, heightened sense of humor, pride in work, concern for others, concern for the future, sexual identity, interest in adult behavior, accepts social norms and cultural traditions, sets goals and follows through
Term
Whats the span for early adult hood
Definition
20-40 yrs old
Term
What is the average vitals for early adults
Definition
HR 70 BP 120/80 mm Hg, Res. 16-20 breaths/min
Term
Whats the social development in early adults
Definition
selecting a mate, learning to live with marriage partner, raising children, managing a home, finding a congenial social group, adult leisure time activities, stable occupation, maintaining a economic standard of living
Term
Whats the span for middle adulthood
Definition
41-60 yrs old
Term
At what age does menopause hit women
Definition
between the ages of 45-55
Term
What is the social developments in middle adulthood
Definition
financial security, may feel pressure to meet life long goal, empty nest syndrome, mid-life crisis
Term
What are some important goals for the middle adulthood group
Definition
help their children be responsible and happy adults, accept and adjust to aging parents, accept physiological changes of middle age
Term
Whats the span for late adulthood
Definition
61 yrs and older
Term
What happens to the the late adulthood body as it ages
Definition
decrease in cardiac output, changes in skin texture and hair color, and the ability to metabolize carbohydrates becomes evident, all of the systems in the body start to slow down/break down.
Term
Describe terminal drop
Definition
a decline in intelligence in later years, that may be caused by conscious or unconscious perception of death
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