Chapter 11 Flashcards

(47 cards)

1
Q

What is the primary factor in forming attachments in infants?

A

Infants become attached to individuals who are sensitive and responsive in social interactions

Consistent caregivers during the first two years are crucial for attachment development.

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2
Q

Define open Neural Tube Defects (NTDs).

A

Open NTDs occur when there is a herniation of nervous system tissue through an opening in the skull or vertebrae

Myelomeningocele (spina bifida) is a well-known subtype.

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3
Q

What are closed Neural Tube Defects (NTDs)?

A

Closed NTDs are malformations of fat, bone, or membranes, which may cause few or no symptoms in some individuals

Tethered cord is a common example.

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4
Q

What is cerebral palsy (CP)?

A

Cerebral palsy is a group of chronic conditions affecting body movement and muscle coordination due to early brain damage

It is nonprogressive but may show variations in functional abilities over time.

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5
Q

What is a significant challenge for children with cerebral palsy?

A

Children with cerebral palsy often have limitations in motor control, impacting functional limb use and speech production.

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6
Q

What is a neural tube defect (NTD)?

A

An NTD is an opening in the spinal cord or brain that occurs when the neural tube does not close completely during early development.

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7
Q

What percentage of orofacial clefts are isolated?

A

About 70 percent of orofacial clefts are isolated, occurring without other birth defects.

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8
Q

What is Down syndrome?

A

Down syndrome, or Trisomy 21, occurs when an individual has a full or partial extra copy of chromosome 21.

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9
Q

What is the most common congenital infection today?

A

Congenital cytomegalovirus (CMV) infection.

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10
Q

Define congenital heart defects.

A

Congenital heart defects are the most common severe structural birth defects, affecting nearly 1% of births in the U.S.

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11
Q

What is failure to thrive (FTT)?

A

FTT is a diagnostic term describing insufficient weight gain or inappropriate weight loss.

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12
Q

What are technology-dependent children?

A

Children who cannot survive without medical technology such as mechanical ventilation or parenteral nutrition.

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13
Q

What is the back sleep position associated with?

A

The back sleep position carries the lowest risk for sudden infant death syndrome (SIDS).

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14
Q

Define chronic disease in infants.

A

A chronic disease is any serious health condition that persists for three months or more.

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15
Q

What characterizes children with special health care needs?

A

They have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition requiring additional services.

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16
Q

What are iatrogenic health problems?

A

Medical or psychological problems resulting from medical treatment.

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17
Q

What is the most common type of congenital heart defect?

A

Ventricular septal defect (VSD).

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18
Q

What defines major birth defects?

A

Major birth defects are structural abnormalities requiring medical or therapeutic intervention.

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19
Q

What is the focus of palliative care?

A

Palliative care concentrates on reducing the severity of disease symptoms.

20
Q

What is a key consideration for discharge planning for high-risk infants?

A

Individualized parental education and a clear written discharge plan.

21
Q

True or False: Most NICUs serve large regions and may separate mothers from their infants.

22
Q

What is the role of occupational and physical therapists for newborns?

A

Preparing the family for the discharge of their child and supporting care routines.

23
Q

Fill in the blank: The term _______ refers to when multiple birth defects occur together with a similar cause.

24
Q

What is a common emotional challenge for mothers of high-risk infants?

A

Symptoms of post-traumatic stress disorder (PTSD) related to their child’s medical challenges.

25
What is the impact of chronic sorrow on caregiver interactions?
It can lead to insecure attachments when caregivers are unable to respond interactively.
26
What are some common defects associated with Down syndrome?
* Congenital heart defects * Hypothyroidism * Gastrointestinal tract anomalies * Hearing loss * Cognitive impairment
27
What are the challenges of feeding in high-risk infants?
Feeding intervention and therapy are common and require specialized training for health professionals.
28
What is fragmentation of health care services?
A situation where care is divided among multiple specialty clinics, leading to poor case management and potential misunderstandings.
29
What is palliative care?
An area of health care that focuses on reducing disease symptoms and supporting quality of life in the presence of illness.
30
Which children are at the greatest risk for developmental problems?
Children at both ends of the illness severity spectrum.
31
What is chronic sorrow?
A normal grief response that continues over time in situations such as parenting a child with severe disabilities.
32
What are the core principles of health care ethics?
* Autonomy * Beneficence * Nonmaleficence * Justice
33
What does trauma-informed pediatric care mean?
Incorporating an understanding of the impact of traumatic stress on ill or injured children and families while treating medical aspects.
34
What is family-centered care?
A standard of practice that assures the health and well-being of children and families through a respectful partnership.
35
What are the five developmental areas targeted by early intervention services?
* Physical development * Cognitive development * Communication * Social or emotional development * Adaptive development
36
What is the significance of socioeconomic status in health care?
It may act as a barrier or facilitator in the care of infants with serious illness and chronic disabilities.
37
What is the impact of having an at-risk infant as a sibling?
Possible emotional and developmental challenges for the sibling.
38
What does the uncertainty in illness theory explain?
How uncertainty develops in patients with an acute illness and how they cope with it.
39
What is the role of parents during their infant's hospitalization?
To participate in the child's care and coordinate services.
40
What does IDEA stand for?
Individuals with Disabilities Education Act.
41
What is a poster child?
A child with a disease who is featured in posters to solicit funds for combating that disease.
42
What does the term 'stigmatization' refer to?
A social mark of disgrace associated with a particular circumstance, quality, or person.
43
Fill in the blank: Early intervention is the process of providing services, education, and support to young children who are deemed to have an _______.
established condition
44
What factors influence parenting and health decisions in families dealing with chronic conditions?
Cultural identity and cultural beliefs.
45
What is the prediagnostic stage in the uncertainty in illness theory?
The phase where the family explores resources and seeks help before a diagnosis is made.
46
What kind of conditions are associated with the greatest family stress?
Conditions with sudden onset, instability, functional limitations, and high visibility.
47
True or False: Parents of at-risk infants may have unrealistic expectations about their child’s potential.
True