Growth and Development: Immediate Adjustment
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Questions and Answers

What happens to a newborn's blood volume right after birth?

  • Blood volume increases due to an influx of blood from the placenta before the umbilical cord is clamped. (correct)
  • Blood volume decreases due to a loss of blood through the umbilical cord.
  • Blood volume remains stable, but the composition of blood changes.
  • Blood volume is not significantly affected.

What is the primary thermal stimulus that triggers the newborn's respiratory system?

  • The sudden chilling of the infant's skin. (correct)
  • The sudden influx of blood to the heart.
  • The sudden increase in oxygen levels.
  • The sudden decrease in pressure in the lungs.

Which of the following is NOT a factor contributing to heat loss in a newborn?

  • Conduction through contact with cold surfaces.
  • Increased metabolic rate. (correct)
  • Radiation from cooler objects.
  • Evaporation of amniotic fluid.

When does a newborn typically start to produce drool?

<p>Between 2 and 3 months of age. (B)</p> Signup and view all the answers

During which stage of psychosocial development, according to Erikson, does a child develop a sense of competence and a desire to engage in activities that lead to a sense of achievement?

<p>Industry vs. Inferiority (D)</p> Signup and view all the answers

What is the significance of the 'square window' assessment in a newborn?

<p>It determines the infant's gestational age. (A)</p> Signup and view all the answers

What is the primary reason for administering Vitamin K to a newborn?

<p>To aid in blood clotting. (A)</p> Signup and view all the answers

During which stage of cognitive development, according to Piaget, does a child develop the ability to understand conservation, meaning they can recognize that the quantity of a substance remains the same even when its appearance changes?

<p>Concrete Operational (D)</p> Signup and view all the answers

What is the primary hormone that stimulates the production and secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) during puberty?

<p>Gonadotropin-releasing hormone (GnRH) (C)</p> Signup and view all the answers

What is the typical weight gain for an infant during the first 5-6 months of life?

<p>5-7 oz per week (A)</p> Signup and view all the answers

At what age does an infant typically start to stand while holding onto furniture?

<p>8-9 months (D)</p> Signup and view all the answers

Which of the following best describes the ability to think abstractly and hypothetically, as developed in Piaget's Formal Operational stage?

<p>The ability to formulate and test hypotheses, and consider multiple possibilities. (C)</p> Signup and view all the answers

Which of the following is a common challenge faced by adolescents during the Identity vs. Role Confusion stage, according to Erikson?

<p>Struggling with the rapid physical changes of puberty and fitting into social roles. (A)</p> Signup and view all the answers

What is the name of the reflex that causes a newborn to push their tongue out when something is placed in their mouth?

<p>Extrusion reflex (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Piaget's Preoperational stage of cognitive development?

<p>The ability to perform mental operations and reason logically. (A)</p> Signup and view all the answers

What is the typical head circumference for a newborn?

<p>33-35 cm (A)</p> Signup and view all the answers

In the process of puberty, how does the hypothalamus stimulate the production of FSH and LH?

<p>By releasing GnRH, which travels to the anterior pituitary gland, stimulating FSH and LH production. (A)</p> Signup and view all the answers

What type of reasoning is characteristic of toddlerhood, where children draw conclusions from one particular event to another, even if they are not logically connected?

<p>Transductive reasoning (C)</p> Signup and view all the answers

At what age do toddlers typically begin to walk alone?

<p>12-13 months (B)</p> Signup and view all the answers

Which of the following statements correctly describes the Tanner Stages of pubertal development?

<p>They describe the stages of physical development based on the size and shape of sex organs and the distribution of pubic hair. (D)</p> Signup and view all the answers

Which of the following is NOT a source of stress commonly experienced by preschoolers?

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

What is the name of the stage in Freud's psychosexual theory that corresponds to the school-age years?

<p>Latency stage (B)</p> Signup and view all the answers

Which of the following is NOT a common childhood injury as identified by the mnemonic 'SAFE PAD'?

<p>Skin infections (C)</p> Signup and view all the answers

Flashcards

Phallic Stage

Developmental stage from ages 3-6 where interest in genitals emerges and differences between sexes are explored.

Latency Stage

Developmental stage from ages 6-12 characterized by energy focused on play, learning, and socialization.

Genital Stage

Stage beginning at age 12 marked by puberty, where sexual tension and relationships become important.

Erikson's Trust vs. Mistrust

The first psychosocial stage (birth to 1 year) where consistent care fosters trust in caregivers.

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Erikson's Autonomy vs. Shame

Developmental stage (1-3 years) focused on independence and self-control.

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Piaget's Sensorimotor Stage

Cognitive development stage from birth to 2 years where infants learn through sensory experiences and motor actions.

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Tanner Stages

Stages of puberty development, graded from 1 (immature) to 5 (mature), assessing physical growth in both sexes.

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Formal Operational Thought

Cognitive development stage starting around age 11 where individuals can think abstractly and use logic.

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Primary thermal stimulus

Sudden chilling of infant that excites sensory impulses to respiratory center.

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Fetal circulation transition

Closure of fetal shunts: foramen ovale, ductus arteriosus, and ductus venosus.

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Non-shivering thermogenesis (NST)

Heat production in neonates that cannot shiver.

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APGAR score

A quick assessment method for newborns focusing on five criteria: heart rate, respiratory effort, muscle tone, reflex response, color.

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Transition phase of assessment

The first 30 minutes post-birth where the infant is alert and responsive.

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Evaporation heat loss

Loss of heat through moisture on the infant's skin.

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Vitamin K function

Essential for synthesizing prothrombin, necessary for blood clotting.

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Developmental milestone: walking

Toddlers walk alone by 12-13 months using a wide stance.

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Egocentrism in preoperational thought

Inability to see situations from perspectives other than one's own.

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Toilet training timeline

Voluntary control of sphincters achieved between 18 and 24 months.

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Major developmental characteristics of vision

Visual acuity improves significantly by 12-20 weeks, with tear gland function starting.

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Developmental growth in preschoolers

Average weight is 14.5 kg by age 3; annual gain is about 2-3 kg.

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Fears in preschoolers

Common fears include separation anxiety and sleeping alone, peaking around age 4.

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Freud’s oral stage

Birth to 1 year; pleasure centers on the mouth through activities like sucking.

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Developmental milestones in feeding

By 12-18 months, toddlers can hold a cup and begin using a spoon.

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Study Notes

Growth and Development (Immediate Adjustment)

  • Respiratory System: Sudden chilling of an infant triggers sensory impulses in the skin, leading to respiratory adjustments.
  • Circulatory System: Fetal circulatory system transitions to a postnatal system involving closure of fetal shunts (foramen ovale, ductus arteriosus, ductus venosus).
  • Thermoregulation: Infants have a large body surface area, compensated by flexion to minimize exposed skin. This is because subcutaneous fat is thin leading to less body heat.
  • Heat production: Infants cannot shiver, relying on nonshivering thermogenesis (NST) for heat production.
  • Hematopoietic System: Blood volume (approx 80-85 ml/kg body weight) is established before clamping the umbilical cord.
  • Fluid and Electrolyte Balance: At birth, infants have approximately 73% fluid, with a higher proportion of extracellular fluid.
  • Metabolic Rate: Infants have a higher metabolic rate than adults, with increased acid formation leading to potential acidosis.
  • Kidney Function: Immature kidneys cannot effectively concentrate urine to conserve water, making infants more prone to dehydration and acidosis.

GI System

  • Liver Function: The liver is the least mature organ in the GI system at birth, with lower glycogen stores and a heightened risk of hypoglycemia.
  • Salivary Glands: Salivary glands are not fully developed, and saliva production is delayed.
  • Stools: First stool is meconium and transitional stools are greenish-brown to yellow-brown. Milk stools usually follow shortly after.

Renal System

  • Kidney Function: Kidneys are not fully developed, decreasing the ability to concentrate urine. This makes infants more susceptible to dehydration.
  • Bladder Capacity: The bladder volume is small at birth (about 15 ml), leading to frequent urination (approximately 20 voids daily).

Defenses Against Infection

  • Antibody Production: Antibody formation requires exposure to antigens, allowing the infant to develop immunity over time.

Sensory Function

  • Vision: Tear glands are not fully functional until 2-4 weeks of age. Eyes structurally incomplete.
  • Hearing: Infants have a fully mature internal ear and middle ear at birth, able to distinguish sounds.

Assessment

  • Four Phases of Assessment: Initial assessment, transitional assessment (during period of reactivity), full physical examination, using factors like heart rate, respiratory rate, muscle tone, reflex irritability, and skin color.
  • APGAR Score: A scoring system (0-2 points each of Appearance, Pulse, Grimace, Activity, Respiration) is used to assess infants immediately after birth for difficulty breathing, and possible complications in the first minutes of life.
  • Transitional Assessment: Immediately following birth, there is a transitional period with increased crying, and high heart rate and respiration rate, followed by a quieter stage of sleeping and calmness (2-4hrs)

Body Temperature

  • Evaporation: Loss of heat through moisture (amniotic fluid or moisture on skin).
  • Radiation: Loss of heat to cooler solid objects in the environment.
  • Conduction: Direct contact of skin with cooler solid objects.
  • Convection: Loss of heat with air currents.

Vitamin K Administration

  • Function: Catalyzes synthesis of prothrombin in the liver of newborns. Important clotting factor.

Promoting Growth and Development (Proportional Changes)

  • Growth: Infants experience rapid weight gain for the first six months, eventually doubling their birth weight. Height also increases. After 6 months, the rate of growth slows down.
  • Locomotion: Infants demonstrate different developmental stages of locomotion by the end of the first year.
  • Sensorimotor Changes: Development of depth perception that is not completely developed until 2-3 years old. Infants begin to understand that they can interact with objects in their environment after birth.
  • Vision changes: Visual acuity will develop between one and several weeks after birth, and continues to improve throughout the first year of life.

Other key factors

  • Common Infant Injuries: Potential dangers include suffocation, asphyxiation, burns, and poisoning
  • Proportional Changes (Gross Motor Development): by 2 years old, birth weight has quadrupled.

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Growth and Development PDF

Description

Explore key physiological changes that infants undergo immediately after birth. This quiz covers topics such as respiratory and circulatory system adjustments, thermoregulation, and metabolic rates. Test your understanding of how infants adapt to their new environment.

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