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APGAR check
when does it happen 2
what score would indicate a healthy baby
what 5 things do they check for
what is each scored by/what is the max mark
Happens at 1 + 5 mins
Score of 7+ = healthy
APPEARANCE (skin colour)
PULSE
GRIMACE (irritation reflex)
ACTIVITY (muscle bone)
RESPIRATION (breathing rate and effort)
each score is marked from 0-2
max score is 10
newborn reflexes: explain
grasping
rooting
sucking
stepping
moro
Grasping: tight grip enough to hold own weight
Rooting: turn mouth towards nipple after cheek is stroked
Sucking: anything that touches lips
Stepping: walking movements when held upright
Moro: response to sudden noise/movement, arms and legs flung out when brought back to body
what are the senses babies can have:
4 (not touch)
Smell: breastfed babies prefer own mothers breastmilk
Taste: suck longer and slower with few pauses with sweet drinks
Hearing: distinguish notes attuned to speech
Vision: preference for large patterns and high contrast stimuli
Visual preferences: hour-old newborns show preference for face-like stimuli
bonding:
who do they bond with
when are the different times to bond with a baby 4
Newborns need bonding with caregivers – a surge of love + tenderness felt for baby
Cant predict child development outcomes
Different times to bind with baby:
During pregnancy
At birth
1st week
After 1st week
name some factors promoting bonding
Factors promoting bonding:
Sucking
Cuddling
Eye contact
Crying
Scent
Smiling
Skin to skin contact
what are the benefits of skin to skin contact
effect on mother and babys mood
physiological effects
hormones involved
Skin to skin contact
Calms/relaxes mother and baby
Regulates babys heart rate, breathing and temperature
Stimulates digestion, encourages pre-feeding behaviour
Enables colonisation of babys skin with mother’s friendly bacteria
Stimulates prolactin and oxytocin hormone release to support breastfeeding
Reduce cortisol levels
Similar response for baby and father
attachment
what is it
how does this act as an imprinting method
Deep emotional, social bond between infant and caregiver
Attachment has a neural basis, imprinting = marking an indv as a ‘mother’
Nurturing is more important that food
attachment theory
why do children need to form attachments
in the 1st year, what do they use caregivers as
secure attachments predicts what at 7-8mo
Important for survival
Children are biologically programmed to form attachments to caregiver
Attached children show proximity-seeking behaviour
(in 1st year) children use caregiver as a secure base to explore world and develop other relationships
Secure attachment predicts social, emotional development
Separation anxiety 7-8months
factors promoting attachment
factors influencing attachment
Factors promoting attachment
Reciprocation of behaviour in carer
Response – fast and appropriate sensitivity to needs, source of comfort and support
Coordinated play and stimulation
Factors influencing attachment behaviour
Mood, temperament
Emotional and social support
Clinical problems (diasbilities)
what are the 4 attachment styes
S,A,A,D
secure, avoidant, ambivalent (mixed feeling), disorganised
why do babies with no/insecure attachment have developmental delay
Social-behavioural problems (impaired response to emotional expression and forming emotional attachments)
Safety seeking
Altered neurodevelopment
Smaller prefrontal cortex in children who have been mistreated
Neurochemistry differences
what is the importance of fathers
what is the difference when babies have involved fathers
Importance of fathers
Men report to be excluded during pregnancy and birth of baby
Co-parenting interventions reduced stress of parenting and symptoms of depression, enhance parenting quality
Babies with involved fathers:
Become more social
More at ease with strangers
Improved cognitive functioning
Fewer behavioural problems
what are the hormones involved in both mums and dads
O,P,T,C,E,P
oxytocin, prolactin, testosterone, cortisol, oestradiol, progesterone
^^ during pregnancy
child development: examples of
social, emotional
cognitive
physical, motor
Social, emotional
Relationships with others, self, communication, independence, theory of mind
Smiling (6wks) - may have evolved to strengthen bond
Self identity (18mo)
Relationship with peers (18 months)
Social skills
Cognitive
Language, thinking, intelligence, problem solving
Physical and motor
Crawling, walking, hand-eye coordination, body size
cognitive development
language examples before 12mo
when is 1st word
telegraph speech age
sentences age
conversation
Cooing
Babbling
First word – 12months
Telegraph speech – 2 years
Sentences – 3 yrs
By 5 – thousands of words and understand complex sentences
explain Piaget’s stages of development 4
S
P
CO
FO
what does this theory show
sensorimotor stage
0-2y
recognise objects, learn through basic senses
act with intention
preoperational stage
2-7
pretend play, egocentric thinking
can classify objects by single features (colour, shape)
concrete operational
7-11
logical thinking, conservation concept
formal operational
12+
complex thinking, morals, abstract concepts
(shows that children are not small adults but they think very differently to us)
what does schema, assimilation, accommodation explain
Piagets theory of cognitive development
schema - own images of things, organised by us
assimilation - fitting new info into existing schema, w/o changing it
accommodation - altering existing schema based on new info changing preexisting image
physical developments: ages
gross motor skills
newborn abilities
rolling
sitting
standing
crawling
walking
fine motor skills
uncoordinated reach for objects
pinching
poking
dominant hand preference
bowel/bladder control
Gross motor skills
Uncontrolled movement of head and limbs – newborn
Rolls over – 3 months
Sitting – 6 months
Standing with support – 6 months
Crawling – 9 months
Walking – 12 months
Fine motor skills
Uncoordinated reach for objects – 0-4months
Pinching movement – 4-12 months
Poke, point – 1-2 years
Strong hand preference – 2-3 years
Bowel/bladder control – 2-2 ½ years