Child Development and Sensory Perception
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Questions and Answers

What is kinesthetic perception?

interpretation of information regarding the relative position of the body parts to each other, the position of the body in space, and an awareness of the body's movements

What is stereognosis?

ability to recognize objects by feeling their form, size, and weight while the eyes are closed

What is the difference between kinesthesia and proprioception?

  • Kinesthesia: sensing the direction of the movement of the body Proprioception: sensing the position of the body in space. (correct)
  • Kinesthesia: sensing the position of the body in space Proprioception: sensing the direction of the movement of the body.
  • Kinesthesia: sensing the speed of the movement of the body Proprioception: sensing the weight of the body in space.
  • What are the stages of self-care development in middle childhood and preadolescence?

    <p>Middle childhood: more independence, can do the things independently, but need reminders/supervision. By preadolescence more independent.</p> Signup and view all the answers

    What are the key characteristics of play development in middle childhood (ages 6-10)?

    <p>Expanded in sports activities, more gender segregated, more self-direction and self-discovery: leisure. (ex- collecting figurines/hobbies/crafts). Social play.</p> Signup and view all the answers

    What is puberty?

    <p>changes in the endocrine system, changes in secondary sex characteristics appear and the reproductive system reaches maturity. Adolescence begins, can be as early as 10 for some girls.</p> Signup and view all the answers

    What is the epiphysis?

    <p>end portion of a long bone, initially separated from the shaft (diaphysis) by a section of cartilage. How children grow in terms of height!</p> Signup and view all the answers

    What is the peak growth velocity in males and females?

    <p>13.5 years in boys and 11.5 years in girls.</p> Signup and view all the answers

    How long does the average adolescent growth spurt last?

    <p>24 to 36 months, during this time the epiphyseal portion of the bone is especially vulnerable.</p> Signup and view all the answers

    What is the obesity rate among adolescents in the United States?

    <p>1 in 5 adolescents (ages 12-19) in the U.S. are classified as obese.</p> Signup and view all the answers

    What is a significant impediment to providing healthcare support for adolescents?

    <p>Peer pressure</p> Signup and view all the answers

    What are Vaillant's Six Adult Life Tasks?

    <p>Chronologically, from adolescent to late adulthood:</p> <ol> <li>Identity (teen)</li> <li>Intimacy (young adult)</li> <li>Career (middle)</li> <li>Generativity (later middle)</li> <li>Keeper of meaning (late)</li> <li>Peace and unity (very late)</li> </ol> Signup and view all the answers

    What are Schaie and Willis' stages of cognitive development?

    <p>Not everyone goes to executive stage- requires both opportunity and intrinsic ability!</p> <ol> <li>Acquisitive</li> <li>Achieving</li> <li>Responsible</li> <li>Reorganizational- retirement, thinking about new roles.</li> <li>Reintegrative Achieve integrity, find meaning + Legacy creating</li> </ol> <ul> <li>Executive can start early</li> </ul> Signup and view all the answers

    Which cognitive abilities peak in early adulthood?

    <p>Fluid intelligence and crystallized intelligence</p> Signup and view all the answers

    What are the two main types of coping mechanisms?

    <p>Adaptive and palliative coping</p> Signup and view all the answers

    What are some of the key role changes that may occur during middle adulthood?

    <p>Role changes: Empty nest or work-role attachment, sandwich generation, grandparenting</p> Signup and view all the answers

    What are some career stages that people may experience during middle adulthood?

    <p>Career stages: Consolidation, maintenance, deceleration</p> Signup and view all the answers

    What is the difference between primary and secondary aging in late adulthood?

    <p>Primary aging is the inevitable decline of biological functions, while secondary aging is the result of lifestyle factors and disease. Primary aging is irreversible, while secondary aging can often be prevented or reversed.</p> Signup and view all the answers

    What is the major difference between primary and secondary aging?

    <p>Primary is irreversible, inevitable. Secondary is preventable, can be reversed.</p> Signup and view all the answers

    What are some extrinsic contextual factors that older adults face compared to early adulthood?

    <p>•More resources •Less demand •More help</p> Signup and view all the answers

    What are some characteristics of high-risk infants?

    <p>children with medical challenges who spend time in NICU. Parents of high-risk infants often experience PTSD and depression. Extensive discharge planning is given.</p> Signup and view all the answers

    What is Failure to Thrive (FTT)?

    <p>Baby's insufficient weight gain or inappropriate weight loss. OTs should ask about feeding and work with parents on infant feeding (feeding positioning, routines, oral-motor, sensory issues, gag reflex).</p> Signup and view all the answers

    What are congenital abnormalities?

    <p>birth defects. Structural or functional. 1 in 33 US babies yearly. 20% of infant deaths.</p> <ul> <li>Congenital heart defects (often in ventricle walls)</li> <li>Cleft lip and palate</li> <li>Neural tube defects</li> </ul> Signup and view all the answers

    What is the most common birth defect?

    <p>congenital heart defects</p> Signup and view all the answers

    What is the most common neural tube defect condition?

    <p>Spina Bifida (opening of spinal cord)</p> Signup and view all the answers

    What is the most common syndrome?

    <p>Down syndrome- most common chromosomal condition</p> Signup and view all the answers

    What is Down Syndrome?

    <p>Full or partial extra copy of chromosome 21 (21st pair has 3 so also called Trisomy 21)</p> Signup and view all the answers

    What is Cerebral Palsy (CP)?

    <p>CP is a group of chronic nonprogressive conditions affecting movement and muscle coordination, caused by brain damage before, during, or shortly after birth. Most common motor disability in childhood.</p> <ul> <li>not typically considered birth defect.-</li> </ul> Signup and view all the answers

    What is a developmental disability?

    <p>lifelong physical and associated mental/intellectual disorders of the developing nervous system that manifest prior to age 22. Includes delay or limitations of function in one or multiple domains, including motor performance, cognition, hearing and speech, vision, and behavior. ex. ASD, ADD, Learning disabilities.</p> Signup and view all the answers

    What is autism spectrum disorder (ASD)?

    <p>difficulties with social interaction and communication, as well as restricted and repetitive behaviors</p> Signup and view all the answers

    What is the difference between learning disabilities (LD) and intellectual disabilities (ID)?

    <p>LD: high IQ but can't use academic skills</p> <p>ID: limitations in intellectual functioning (low IQ) and adaptive behaviors</p> Signup and view all the answers

    What are the different levels of intellectual disability (ID) based on IQ?

    <p>Borderline is 70-85 ID is 70 &amp; Below</p> <p>Mild (most with ID): 50-70, Full independence.</p> <p>Moderate: 35-49, Partial dependence- independent in ADLs, need support with IADLs</p> <p>Severe: 20-34, Limited ADLs.</p> <p>Profound: less than 20. Need full support.</p> <p>IMPORTANT: use functional performance to inform goals and interventions.</p> Signup and view all the answers

    What are mental health disorders?

    <p>affect mood, behavior or functioning.</p> Signup and view all the answers

    What are some common anxiety disorders in preschool years?

    <p>Selective mutism and generalized anxiety disorder.</p> Signup and view all the answers

    What factors influence adult occupations and the experience of disability?

    <p>Contextual factors such as poverty, health policy, science and technological influences, and social support systems, disability subcultures</p> Signup and view all the answers

    How does the timing of acquiring a disability affect self-concept?

    <p>Occurring before age of 10 are more easily integrated into self-concept/identity, than those occurring late adolescence or young adulthood (forcing change in roles, self-concept). Challenging in late adulthood but not as devastating to the person than if it was when they were younger.</p> Signup and view all the answers

    What is the most common cause of disability in adulthood?

    <p>Osteoarthritis &amp; RA</p> Signup and view all the answers

    What is the difference between Osteoarthritis (OA) and Rheumatoid arthritis (RA)?

    <p>OA: later in life, degeneration of joint cartilage and underlying bone. Starts one side.</p> <p>RA: autoimmune disease. affects joints but also inflammatory for organs and tissues. Swelling. Can appear anytime in life. Rapid onset. Both sides of body.</p> Signup and view all the answers

    What is the ADA door width requirement?

    <p>32 inches without frame, 36 inches with frame</p> Signup and view all the answers

    What are the ADA parking space requirements?

    <p>12 feet wide with 48 inches on either side</p> Signup and view all the answers

    What is the minimum floor space required for a wheelchair user?

    <p>5ft by 5ft minimum</p> Signup and view all the answers

    What are the three classic periods of prenatal development?

    <ul> <li>Germinal Stage: conception-2 weeks</li> <li>Embryonic: weeks 3-8</li> <li>Fetal: Weeks 9-birth</li> </ul> Signup and view all the answers

    What occurs during the germinal stage of prenatal development?

    <p>Conception to Week 2. Zygote -&gt; Rapid mitotic divisions -&gt; Blastocyst -&gt; Travels to uterus</p> Signup and view all the answers

    What happens during the embryonic stage of prenatal development?

    <p>Weeks 3-8 Morphologic development: organogenesis (neural tube formed) Most susceptible to teratogens causing congenital anomalies.</p> Signup and view all the answers

    What period is most susceptible to teratogens and why?

    <p>embryonic period, or conception-8weeks because of organogenesis.</p> Signup and view all the answers

    Developmental problems such as neural tube defects and cleft palate have their etiology in what period?

    <p>embryonic</p> Signup and view all the answers

    What happens during the fetal period?

    <p>During the fetal period, the fetus is growing and maturing.</p> Signup and view all the answers

    What is a term infant?

    <p>37 weeks or more. Less than 37 is preterm.</p> Signup and view all the answers

    What does the neonatal period refer to?

    <p>first month after birth</p> Signup and view all the answers

    When does gestational age begin?

    <p>first day from last menstrual period. Chronological begins at birth.</p> Signup and view all the answers

    What is a major driving force of infant movement?

    <p>reflexes</p> Signup and view all the answers

    What are deep attractor wells?

    <p>hard to change, stable patterns of movement in the infant. Predictable but not obligatory (ex- some infants skip crawling).</p> Signup and view all the answers

    What is the rooting reflex?

    <p>a baby's tendency, when touched on the cheek, to turn toward the touch, open the mouth, and search for the nipple</p> Signup and view all the answers

    What are the grasp and plantar reflexes?

    <p>Primitive reflexes. Pressure in palm or sole of foot. Toes or fingers flex. If sustained too long, will cause issues with motor skills. OTs help integrate these reflexes.</p> Signup and view all the answers

    What is the Moro reflex?

    <p>Primitive reflex where a baby will startle in response to a loud sound or sudden movement by opening up their arms.</p> Signup and view all the answers

    What is the Asymmetrical Tonic Neck Reflex (ATNR)?

    <p>with head turned to one side, arm and leg on face side are extended and arm and leg on scalp side are flexed. this reflex could interfere with an infant's ability to roll from prone to supine if not integrated.</p> Signup and view all the answers

    What is the behavioral state system?

    <p>governs sleep/wake cycles and other intrinsic behaviors</p> <p>I. Deep Sleep II. Active or REM sleep III. Transitioning to wakeful IV. Quiet alert V. Active alert VI. Crying</p> Signup and view all the answers

    Which behavioral state is ideal for occupational therapy interventions?

    <p>IV. Quiet alert.</p> Signup and view all the answers

    What are the types of At-Risk Infants?

    <p>Biologic Risk: Down Syndrome Environmental Risk: Societal level: neglect, air quality, low SES</p> Signup and view all the answers

    What is the last sensory system to develop?

    <p>vision</p> Signup and view all the answers

    What is the perinatal period?

    <p>Neonatal period. period beginning about the seventh month of pregnancy and continuing until about four weeks after birth</p> Signup and view all the answers

    What is wellness?

    <p>condition of good physical, emotional, and mental health.</p> Signup and view all the answers

    What is prevention?

    <p>the management of factors that could lead to impairment, disease, or disability.</p> Signup and view all the answers

    What is health promotion?

    <p>provision of information that makes positive contributions to the health of consumers, whether they are individuals, families, employers, or community groups.</p> Signup and view all the answers

    What are the social determinants of health?

    <p>the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks</p> Signup and view all the answers

    What are the five broad determinants of health identified by the Healthy People 2030 initiative?

    <p>Economic Stability, Education Access and Quality Health Care Access and Quality Neighborhood and Built Environment Social and Community Context</p> <p>-&gt; Goal is to prevent bad outcomes and promote health.</p> Signup and view all the answers

    What is the equivalent of an occupational profile for a community?

    <p>do a community needs assessment (review of existing data, gather info form community).</p> Signup and view all the answers

    What is the equivalent of a reexamination for a community?

    <p>monitor</p> Signup and view all the answers

    What is the equivalent of individual outcome improvements in activities and participation for a community?

    <p>improvements in morbidity, mortality etc.</p> Signup and view all the answers

    What does Section 504 of the Rehabilitation Act of 1973 prohibit?

    <p>First law to outline the basic civil rights of people with disabilities: prohibits discrimination in federally assisted programs. Ex: Public Schools</p> Signup and view all the answers

    What does the Americans with Disabilities Act (ADA) prohibit?

    <p>Prohibits discrimination in all areas of public life. Also applies to employment: employers have to make reasonable accommodations. Ex: accessible restrooms in restaurants or public spaces. Ex: Accessible transportation.</p> Signup and view all the answers

    What does the Fair Housing Act prohibit?

    <p>The federal law that prohibits discrimination in housing based on race, color, religion, sex, handicap, familial status, and national origin</p> Signup and view all the answers

    What are the key provisions of the Individuals with Disabilities in Education Act (IDEA)?

    <ul> <li>Free Appropriate Public Education (FAPE): Students must receive free tailored education.</li> <li>Least Restrictive Environment (LRE): Educated alongside non-disabled peers (INCLUSIVE CLASSROOM, skills transfer for natural environment)</li> <li>Individualized Education Program (IEP): Customized plan outlining goals, services and accommodations.</li> <li>Related Services: OTs, PTs, speech</li> </ul> Signup and view all the answers

    What is Medicare?

    <p>A federal program of health insurance for persons 65 years of age and older, and for individuals with disabilities, or chronic conditions.</p> <p>PART A: Inpatient PART B: Outpatient PART C: Additional, private premiums. PART D: Prescription Drugs</p> Signup and view all the answers

    What does Medicare Part B cover?

    <p>outpatient services</p> Signup and view all the answers

    Signup and view all the answers

    What is the key difference between Medicare and Medicaid?

    <p>broader coverage in medicaid</p> Signup and view all the answers

    What are some key provisions of the Patient Protection and Affordable Care Act (ACA) - Obamacare?

    <ul> <li>Expands access to medicaid (138% of poverty level)</li> <li>mandates businesses (50 or more employees) offer health insurance</li> <li>Eliminates cost of screenings</li> </ul> Signup and view all the answers

    What is the Basic Health Benefits Program?

    <p>Provided by ACA, must include 10 essential health benefits for people with incomes between 138-200% of poverty level.</p> <ul> <li>Includes rehabilitative and habilitative services.</li> </ul> Signup and view all the answers

    What are habilitative services?

    <p>Often involves children, helping them attain the skills of daily living. EI, pediatrics.</p> Signup and view all the answers

    What is a Political Action Committee (PAC)?

    <p>A committee set up by a corporation, labor union, or interest group that raises and spends campaign money from voluntary donations Ex- AOTA has one, they fundraise</p> Signup and view all the answers

    What are some gross motor milestones for a child between 3 and 3 1/2 years old?

    <ul> <li>Stands on one foot 3 seconds</li> <li>Balances on a beam</li> <li>Walks up and down steps well, alternating feet</li> <li>Jumps with both feed</li> </ul> Signup and view all the answers

    What are some gross motor milestones for a child between 3 1/2 and 4 years old?

    <ul> <li>Hop forward / backward</li> <li>Broad jumps</li> </ul> Signup and view all the answers

    What are some fine motor milestones for a child between 3 1/2 and 4 years old?

    <ul> <li>Small buttons</li> <li>Holds drinking glass</li> <li>Draws person with 2-4 body parts</li> </ul> Signup and view all the answers

    What are some gross motor milestones for a child ages 4 to 4 1/2?

    <ul> <li>Climb up ladder/slide down slide</li> <li>One foot for 10 seconds</li> <li>Hop on one foot</li> </ul> Signup and view all the answers

    What are some gross motor milestones for a child ages 4 1/2 to 5?

    <p>-Beginning to learn to pump the swing -Running is controlled; can start, stop, and turn while remaining balanced -Walks on tiptoe -gallops and skips</p> Signup and view all the answers

    At what age can children typically climb on playground equipment?

    <p>4-4 1/2</p> Signup and view all the answers

    When does hand preference typically become established?

    <p>4 1/2 - 5</p> Signup and view all the answers

    At what age can children typically dress themselves with help?

    <p>3 years - 3 1/2</p> Signup and view all the answers

    Study Notes

    Kinesthetic Perception and Stereognosis

    • Kinesthetic perception involves interpreting information about body part positions, body position in space, and body movements.
    • Stereognosis is the ability to identify objects by feeling their shape, size, and weight with closed eyes.

    Kinesthesia vs. Proprioception

    • Kinesthesia: sensing the direction of body movement.
    • Proprioception: sensing the position of the body in space.

    Self-Care Development in Middle Childhood and Preadolescence

    • Middle childhood: children gain more independence but still need reminders and supervision.
    • Preadolescence: children become increasingly independent.

    Play Development in Middle Childhood (6-10)

    • Play activities often become more structured, like sports.
    • More gender segregation in play.
    • Increased self-direction and self-discovery (e.g., hobbies, crafts).
    • More social play.

    Puberty

    • Puberty involves endocrine system changes.
    • Secondary sex characteristics develop.
    • Reproductive system matures.
    • Adolescence begins, possibly as early as 10 years old in some females.

    Epiphysis

    • The epiphysis is the end portion of a long bone that initially is separate from the shaft (diaphysis) by cartilage.
    • Crucial for growth in height.

    Peak Growth Velocity (Male vs. Female)

    • Boys: 13.5 years.
    • Girls: 11.5 years.

    Adolescent Growth Spurt Duration

    • Typically lasts 24-36 months.
    • Epiphyseal plates are vulnerable during this time.

    Adolescent Obesity Rate (U.S.)

    • One in five adolescents (ages 12-19) in the U.S. is classified as obese.

    Adolescent Health Care Support Impediment

    • Peer pressure is a significant impediment.

    Vaillant's Six Adult Life Tasks

    • A framework of chronological adult life tasks from adolescence to late adulthood.
      1. Identity (teen)
      2. Intimacy (young adult)
      3. Career (middle)
      4. Generativity (later middle)
      5. Keeper of meaning (late)
      6. Peace and unity (very late)

    Schaie and Willis' Stage Theory of Cognition

    • Cognitive stages, not everyone progresses through all.
      1. Acquisitive
      2. Achieving
      3. Responsible
      4. Reorganizational (retirement)
      5. Reintegrative (finding meaning)
    • Executive can appear early on.
    • Intrinsic ability and opportunity are crucial aspects for executive function.

    Early Adulthood Stages/Intelligences/Challenges

    • Stages include Achieving and Responsible.
    • Fluid intelligence peaks in early adulthood (around 30).
    • Crystallized intelligence continues to improve.
    • Stress and coping strategies are important.

    Adaptive vs. Palliative Coping

    • Adaptive coping directly addresses the stressor.
    • Palliative coping focuses on self-care to manage stress.

    Middle Adulthood

    • Roles change (empty nest, sandwich generation, grandparenting).
    • Career transitions include consolidation, maintenance, and deceleration stages.

    Primary vs. Secondary Aging in Late Adulthood

    • Primary aging: gradual deterioration of functions (e.g., wrinkles, bone density loss, muscle mass). Inevitable, irreversible.
    • Secondary aging: changes caused by lifestyle, illness, or disease (e.g., arthritis, sedentary lifestyle). Preventable, potentially reversible.

    Extrinsic Contextual Factors in Older Adults

    • More resources.
    • Fewer demands.
    • More support.

    Intrinsic Contextual Factors in Older Adults

    • Vision loss.
    • Fear of falling.
    • Loss of driving ability.
    • Decreased mobility.

    High-Risk Infants

    • Infants with medical challenges requiring NICU stays.
    • Often associated with parental PTSD and depression.
    • Comprehensive discharge planning is necessary.

    Failure to Thrive (FTT)

    • Insufficient weight gain or inappropriate weight loss in infants.
    • OTs should assess feeding patterns and assist families.

    Congenital Abnormalities

    • Structural or functional birth defects.
    • Affect about 1 in 33 US babies yearly.
    • Account for 20% of infant deaths.
    • Examples: congenital heart defects, cleft lip/palate, neural tube defects.

    Most Common Birth Defects and Neural Tube Defects

    • Congenital heart defects.
    • Spina bifida (a neural tube defect).

    Most Common Syndrome

    • Down syndrome.

    Down Syndrome

    • Extra copy of chromosome 21 (Trisomy 21).

    Cerebral Palsy (CP)

    • Chronic, non-progressive conditions affecting movement and coordination, due to prenatal/perinatal brain damage.
    • Most common motor disability in childhood.

    Developmental Disability

    • Lifelong intellectual, physical, and related disorders, prior to age 22.
    • Includes limitations in various domains (motor, cognitive, speech, etc.).
    • Examples: autism spectrum disorder (ASD), ADHD, learning disabilities.

    Autism Spectrum Disorder (ASD)

    • Difficulties with social interaction, communication, and restricted/repetitive behaviors.

    Learning vs. Intellectual Disabilities

    • Learning disabilities: high IQ but struggles with academic skills.
    • Intellectual disabilities: limitations in intellectual functioning (low IQ) and adaptive behaviors.

    Intellectual Disability (IQ Ranges)

    • Borderline: 70-85 IQ.
    • Mild ID: 50-70 IQ.
    • Moderate ID: 35-49 IQ.
    • Severe ID: 20-34 IQ.
    • Profound ID: <20 IQ.
    • Functional performance must guide goals and interventions.

    Mental Health Disorders

    • Affect mood, behavior, and functioning.

    Common Anxiety Disorders (Preschool)

    • Selective mutism and generalized anxiety disorder.

    Factors Influencing Adult Occupations and Disability

    • Contextual factors: poverty, health policy, technology, social support systems, and disability subcultures.

    Timing of Disability Acquisition and Self-Concept

    • Disabilities occurring before age 10 may be more easily integrated into self-concept compared to those occurring later in adolescence or young adulthood.

    Adult Disability Leading Cause

    • Osteoarthritis, followed by Rheumatoid arthritis.

    Osteoarthritis (OA) vs. Rheumatoid Arthritis (RA)

    • OA: cartilage degeneration, often later in life, usually starts on one side of the body.
    • RA: autoimmune disease affecting joints and other organs, inflammation, can begin at any age, often more rapid onset, usually bilateral.

    ADA Door Width

    • 32 inches (without frame)
    • 36 inches (with frame)

    ADA Parking Space Requirements

    • 12 feet with 48 inches on both sides.

    Wheelchair Floor Space Requirements

    • 5 feet by 5 feet minimum.

    Prenatal Development Periods

    • Germinal (conception-2 weeks).
    • Embryonic (weeks 3-8).
    • Fetal (weeks 9-birth).

    Germinal Stage (Prenatal)

    • Zygote formation to blastocyst development, then implantation.

    Embryonic Stage (Prenatal)

    • Organogenesis (formation of organs) occurs.
    • Most susceptible to teratogens.

    Fetal Stage (Prenatal)

    • Growth and maturation of existing organs.
    • Development of mental functions (reflexes, memory).
    • Development of sensory functions.

    Teratogen Susceptibility Period

    • Embryonic period (conception to week 8) due to organogenesis (formation of organs).

    Neural Tube Defects and Cleft Palate Etiology

    • Embryonic period.

    Fetal Period Description

    • Growth and maturation.

    Term Infant Gestational Age

    • 37 weeks or more.
    • Preterm: less than 37 weeks.

    Neonatal Period Description

    • First month after birth.

    Gestational Age Starting Point

    • First day of last menstrual period.

    Infant Movement Basis

    • Reflexes.

    Deep Attractor Wells

    • Predictable infant movement patterns, though not obligatory (some infants skip stages).

    Rooting Reflex

    • Turning head toward touched cheek and searching for nipple.

    Grasp and Plantar Reflexes

    • Pressure on palm/sole causes toes/fingers to flex.
    • Potential interference with motor development if not integrated.

    Stepping Reflex

    • Coordinated leg lifting resembling walking.

    Moro Reflex

    • Startle response to sudden sound/movement.

    Asymmetrical Tonic Neck Reflex (ATNR)

    • Head turn leads to extended arm/leg on face side and flexed arm/leg on scalp side.

    Behavioral State System

    • Governs infant sleep/wake cycles.
      1. Deep sleep
      2. Active/REM sleep
      3. Transition/wakeful sleep
      4. Quiet alert
      5. Active alert
      6. Crying

    Infant State for OT Intervention

    • Quiet alert state.

    At-Risk Infant Types

    • Biological risk: genetic disorders (e.g., Down syndrome).
    • Environmental risk: societal factors (e.g., neglect, low socioeconomic status).

    Last Sensory System to Develop

    • Vision.

    Perinatal Period Description

    • From about the seventh month of pregnancy to four weeks after birth.

    Wellness

    • State of good physical, emotional, and mental health.

    Prevention

    • Management of factors leading to impairment, disease, or disability.

    Health Promotion

    • Provision of information to positively contribute to health.

    Social Determinants of Health

    • Conditions affecting health, functioning, and overall quality of life (e.g., where people are born, live, etc).

    Healthy People 2030 Initiative Determinants of Health

    • Economic stability, educational access, health care quality, neighborhood and built environment, social and community context.

    Community Examination Method

    • Community needs assessment.

    Community Reexamination Method

    • Monitoring.

    Individual vs. Community Outcomes

    • Individual: activities and participation.
    • Community: morbidity, mortality, etc.

    Rehabilitation Act of 1973, Section 504

    • First federal law outlining civil rights of people with disabilities, prohibits discrimination in federally funded programs.

    Americans with Disabilities Act (ADA)

    • Prohibits discrimination in public life, including employment (reasonable accommodations).

    Fair Housing Act

    • Prohibits housing discrimination based on various grounds, including disability.

    Individuals with Disabilities Education Act (IDEA)

    • Guarantees free appropriate public education (FAPE) for students with disabilities.
    • Emphasizes least restrictive environments (LRE).
    • Mandates individualized education programs (IEP) tailored to each student.
    • Covers related services, including OT, PT, speech.

    Medicare

    • Federal health insurance program for seniors and persons with disabilities.
    • Part A: Inpatient care
    • Part B: Outpatient care
    • Part C: private supplemental insurances.
    • Part D: prescription drugs.

    Medicare Part B

    • Outpatient services.

    Medicaid

    • Joint federal/state health insurance for low-income individuals.

    Medicare vs. Medicaid Comparison

    • Medicaid has broader coverage than Medicare.

    Patient Protection and Affordable Care Act (ACA) - Obamacare

    • Broadened Medicaid eligibility (138% of poverty level).
    • Mandated health insurance for larger businesses.
    • Removed costs for some preventative screenings.

    Basic Health Benefits Program (ACA)

    • Requires 10 essential health benefits for people with incomes between 138-200% of poverty level.
    • Includes rehabilitative and habilitative services.

    Habilitative Services

    • Services to help individuals acquire skills for daily living, often used with children. (e.g., Early Intervention).

    Political Action Committee (PAC)

    • Organization that raises and spends campaign money from voluntary donations. Example: AOTA has one.

    Reflex Testing Lab Review (Card 84)

    • No specific information provided.

    3-3.5 Years Gross/Fine Motor Milestones

    • Gross: stands on one foot briefly, balances, walks/stairs, jumps.
    • Fine: identifies fingers, self-dresses with help, crayon hold (thumb, index, middle).

    3.5-4 Years Gross/Fine Motor Milestones

    • Gross: hops forward/backward, broad jumps.
    • Fine: small buttons, holds cup/glass, draws simple shapes with 2-4 body parts.

    4-4.5 Years Gross/Fine Motor Milestones

    • Gross: climbs up/down ladder/slide, one foot balance, hops.
    • Fine: screws/unscrews, holds materials, puts on simple clothing.

    4.5-5 Years Gross/Fine Motor Milestones

    • Gross: swings, runs, walks on tiptoes, gallops/skips.
    • Fine: manipulates squeeze bottles, established hand preference, laces shoes.

    Hand preference

    • Established between 4.5 and 5 years of age.

    Dresses with help

    • 3-3.5 years.

    Broad jumps

    • 3.5-4 years.

    Table utensils skillfully

    • 4-4.5 years

    Power Grasps

    • Used for large/heavy objects.

    Precision Grasps

    • Used for smaller objects, precise manipulations; more delicate tasks.

    Bimanual Coordination

    • 3 years old, both hands cooperate.

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    Description

    This quiz explores key concepts related to kinesthetic perception, stereognosis, and self-care development during middle childhood and preadolescence. It also covers the impact of puberty on childhood development, play activities, and social interactions. Test your understanding of these important developmental stages!

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