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Fundamentals of Nursing
Chapter 21
24
Nursing
Professional
03/21/2012

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Term
Fetal phase-
Definition
rapid growth during 2nd and 3rd trimesters, affected by genetic and environmental factors
Term
In-utero/Environmental factors of development:
Definition
Oxygen
Nutrition and fluids
Placental circulation
Amniotic fluid
Folic acid (400 mcg/day)
Temperature maintenance
Teratogens
Smoking
Drugs (recreational and prescription)
Alcohol
Mercury (fish)
Term
Neonates job is...
Definition
adjust to life in the real world!
Term
Neonates normal measurements
Definition
Weight 6-8.5 pds
Height 20 inches
Head circumference 14 inches
Chest circumference 13 inches
Term
Trust vs. Mistrust (Erikson)
Definition
Infancy 0-18 mons Learning to trust others vs withdrawal,Parents meet needs promptly, predictably to establish trust
Motor skills
Social development
Cognitive development- sensorimotor phase (Piaget)
Term
Health risks for infants?
Definition
Failure to Thrive (FTT)
Organic or inorganic causes
Colic
10-12 hours/day of crying :’o(
Child Abuse
Shaken baby syndrome
Sudden Infant Death Syndrome
“Back to Sleep” campaign
Term
Health assessment of infants
Definition
Apgar scoring
Growth charts
Developmental screenings
Exams at 2 weeks, 2, 4, 6, 9 & 12 months
Immunizations
Term
Autonomy vs Shame
Definition
Early childhood 18mons to 3 yrs
self control without loss of esteem vs. complusive self restraint of compliance.
Term
Toddlers ( 1 to 3 years) Define
Physical Development
Definition
Physical Development
Fine and gross motor skills
Growth
Sensory abilities
Visual acuity established at 1 year, 20/40 at 2 years
Hearing at adult levels at age 3
Term
Toddlers ( 1 to 3 years) Define
Psychosocial Development
Definition
Anal phase- age 2-3 years (Freud)
Autonomy vs. shame and doubt – ages 18 months to 3 years (Erikson)
Term
Toddlers ( 1 to 3 years) Define
Cognitive development
Definition
Piaget’s 5th & 6th stages of sensorimotor phase and pre-conceptual phase
Term
Toddler & Preschool health risks
Definition
Injuries
Drowning
Automobile crashes
Poisoning
Burns
Falls
Vision problems
Amblyopia/stabismus
Dental caries
Start dental visits at or before age 3
Upper respiratory tract and ear infections
Term
Identity vs Role Confusion
Health Risks?
Definition
Adolescence 12-20years
Health Risks of Adolescents AKA: Frontal Lobe Malfunctions
Risky Behaviors
STI’s
Violence
Eating Disorders
Self-injury
Term
Initiative vs Guilt
Definition
Late childhood 3-5 year olds beginning ability to evaluate one's own behavior vs lack of self confidence.
Term
Industry vs inferioity
Definition
School Age 6-12 years Beginning to create, develope and manipulate vs loss of hope, sense of being mediocre
Term
Preschoolers (4 & 5 year olds)
Physical Development
Definition
Motor skills
Senses
Term
Preschoolers (4 & 5 year olds)
Psychosocial Development
Definition
Initiative vs. Guilt (Erikson)
Problem solving
Imagination
Self-concept
Term
Preschoolers (4 & 5 year olds)
Cognitive/Moral/Spiritual Development
Definition
Intuitive thought (Piaget)
Morally social/kind
Spiritually- imitate behaviors
Term
School-age children (6 to 12 years)
Physical Development and Health Risks
Definition
Pre-pubertal changes
Risks- overweight/obesity
Term
School-age children (6 to 12 years)
Psychosocial Development
Definition
Industry vs. Inferiority (Erikson)
Latency (Freud)
Term
School-age children (6 to 12 years)Cognitive/Moral/Spirtual Development
Definition
Concrete Operations (Piaget)
Cooperative interactions, value of $$
Avoid punishment
Apply reason to faith/beliefs
Term
Adolescents (12 to 18 years)
Physical Development
Definition
Puberty
Growth Spurt
Sexual Characteristics
Term
Adolescents (12 to 18 years)
Psychosocial Development
Definition
Identity vs. Role Confusion (Erikson)
Term
Adolescents (12 to 18 years)
Cognitive/Moral/Spiritual Development
Definition
Formal Operations (Piaget)
Imaginative, idealistic
Evaluate their values
Reconciles spiritual differences
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