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Most common cause of mortality in all age MVA
groups > 1 y.o.
2nd most common cause of mortality in Cancer
children 5-14 y.o.
2nd most common cause of mortality in Suicide
children > 14 y.o.
Accounts for 50% of morbidity in children Respiratory
Most common chronic disease among Asthma
children
"Do no harm" Atraumatic care
What are the 4 aspects of atraumatic care? 1. Eliminate psychological and physical distress.
2. Prevent or minimize the child's separation from their family.
3. Promote a sense of control.
4. Prevent or minimize bodily injury and pain.
Assent is more of an ethical rather than a 8 years old (children are beginning to move into concrete
legal requirement in pediatrics. At what age thinking)
do children have the right to assent?
The family is a system that continually Systems Family Theory
interacts with its members and its
environment. Any change in one part of a
family system affects all other parts of the
family as a whole. Too little or too much
change leads to dysfunction.
How families react to predictable and Family Stress Theory
unpredictable stressors that it may
encounter. These stressors may occur
simultaneously and may overwhelm the
family putting the family's coping ability at
risk for maladaptation. Resiliency allows the
family to perform better after a crisis.
,Families develop and change over time in Developmental Family Theory
similar and consistent ways. Each family has
to go through set developmental stages
with time specific tasks at each stage to
launch successful children.
Marker for the Family Developmental Theory The age of the oldest child
Married couple and their biological children Traditional nuclear family
(full brothers and full sisters)
Two parents (not necessarily married) and Nuclear family
their children with parent-child ties being
biological, step, half, foster, or adoptive.
Includes at least one stepparent, Blended (reconstituted) family
stepsibling, or half-sibling. The stepparent is
the spouse of a child's biological parent and
exists at the beginning of the new family
formation.
What family system can move to a nuclear Blended (reconstituted) family
family system over time?
What are the keys to reducing power Negotiating the new customs and cooperative parenting
conflicts and stress in the newly formed (open communication, flexibility, and mutual support are
blended family system? critical)
Multigenerational family. (Grandparents may Extended family
be the primary caregiver)
Result of divorce, death, desertion, or Single-parent family
single-parenthood.
A family post-divorce with 2 separate Binuclear family
households holding joint custody and c-
parenting over the children. Continuing the
parenting role while terminating the spousal
unit.
Characteristics (5) common to small families: 1. Emphasis on individual development
2. Intensive parenting
3. Constant pressure to measure up to the family's
expectations
4. Children's developmental and achievement are measured
against other children in the neighborhood/social class
5. Adolescents identify more strongly with the parents
Characteristics (6) common to large families: 1. More easily able to adjust to a variety of changes and crises
2. Emphasis on the group rather than the individual
3. Cooperation is essential
4. Children turn to each other to get what they cannot get
from their parents
5. Older siblings may administer discipline
6. Adolescents are more peer-oriented than family-oriented
,How to inform a child of their adoption Adoption should NEVER be kept a secret and the child should
status: be told young so that the child does not remember a time in
which they did not know they were adopted (the time to tell
will arise naturally).
How to discuss divorce with children: Initial disclosure should include both parents and all siblings,
followed by individual discussions with each child
In order to develop a sense of self, youth External and internal assets
need to receive what from the community?
Support, empowerment, boundaries, and External assets
constructive use of time
Commitment to learning, values, social Internal assets
competency, and identity
As long as an individual's strength and Evil eye
weakness remain in balance, he or she is
unlikely to become a victim. Infants and
small children, because of immature
development of their internal strength-
weakness states, are especially vulnerable.
What cultures uses the concept of the "evil Mediterraneans and Latin Americans
eye"?
Occurs before the 12th week of gestation Malformation
resulting in abnormal formation of body
parts (ex. cleft lip and palate)
Occurs from a specific cause and results in a Syndrome
recognizable pattern (ex. down syndrome)
A single copy of a mutant allele is sufficient Autosomal Dominant
for a disease to be expressed
A copy of the mutant allele is needed from Autosomal Recessive
each parent in order for the disease to be
expressed (homozygous)
Males have a 50% chance of being affected X (sex)-Linked Recessive
by the mother. Females are always carriers.
Both males and females are equally X (sex)-Linked Dominant
effected. All daughters of affected men will
be affected and have a 50% chance of
passing on the defective allele.
The most dramatic time of physical, motor, Infancy
cognitive, emotional, and social
development
At what age do children generally learn 3 years old
lifelong habits?
U.S. ranking in infant mortality 30th
, Infant mortality rate 6.05
At what age group is using reasoning as a Older children (reasoning involves explaining why an act is
discipline appropriate? wrong, younger children in the preoperative stage (toddlers
and preschoolers) can not be expected to "see the other side"
due to their egocentricism and have limited ability to
distinguish between their point of view and that of others.
Rule for the proper length of a time-out 1 minute per year of age
Birth - 12 months Infants
When does the posterior fontanel close? 6-8 weeks
When does the anterior fontanel close? 12-18 months
Fine motor skill that enables infants to grasp Prehension grasp
objects starting at 2-3 months (reflexive)
When does the prehension become 5 months
voluntary?
At what age can infants hold a bottle and 6 months
play with their feet?
At what age does grasping progress to 7 months
hand-to-hand transfer?
What fine motor skill allows the infant to Pincer grasp
pick up objects with their thumb and
forefinger occurring at 8-9 months as the
palmar grasp is replaced?
When is the pincer grasp well established? 10 months
Gross motor established at 4-6 months Head control (infant can lift their head at 2 months, but it is
not proficient enough to prevent suffocation)
Gross motor skill developed at 5 months Rolling over abdomen to back
Gross motor skill developed at 6 months Rolling over back to abdomen
At what age can an infant sit alone in a 7 months; 8 months
tripod fashion? Unsupported?
At what age can the infant crawl/creep? 9 months
At what age can the infant pull to a standing 9-10 months
position (maneuvering back down by
falling)?
At what age does an infant begin to walk 11 months
with the help of holding onto furniture, toys,
or 2 hands.
At what age does an infant begin to walk 12 months
with the help of one help or independently?