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physical literacy
ability to move well and read a physical situation properly
if a child is more physically literate, will they be more likley to be physically active
yes
stimulation
encouragement of something to make it develop or become more active
hebbs law describes
synaptic plasticity
dynamic systems theory
complexity and interconnectedness of factors influencing development; alll the things lumped together
limiters according to dynamic systems theory
things that inhibit the emergence of voluntary controlled movement
maturational theory
kids go through the same order of developmental stages but age can vary
intervention based approach to peds
address the illness or injury via pharm or surgery
prevention based peds
maintain health and prevent illness/injury
US department of health and human services — USDHHS
US organization that sets PA guidelines
Health
complete state of physical, mental, and social wellbeing - not the absense of disease
ontogenetic behavior
development from inception to maturity; shaped by parents/caregivers
Genes, hormones, energy, and nutrients interacting with the environment (both intra- and extra-uterine) primarily influence what
growth and maturation
are size at birth and first year growth linked to lifelong health outcomes
yes
where to many chronic disseases originate
prenatally
patterns of postnatal growth
Rapid growth after birth → declines by 12 months → steady through childhood → rapid again during adolescence.
canalization
individuals follow a normal growth “canal” under normal conditions
PHV - peak height velocity
The period of fastest growth in height during adolescence.
in females after PVH, when should we increase training
immediately
in males after PHV, when should we increase training
12-18 months after
At PHV, what % of adult height is reached?
92
When is neural growth nearly complete?
age 8
What are the four main growth patterns in tissues/systems?
Neurological, Reproductive, Lymphoid, and General (stature, cardio, respiratory, digestive)
When does lymphoid tissue reach its peak size?
Around 11–13 years, then declines with puberty due to sex hormone influence.
When do the two main growth spurts occur?
Juvenile (6–8 years) and Adolescent (11–18 years).
: What is the pattern of limb growth?
Distal → proximal
genotype
genetic potential
phenotype
observable traits resulting from genes and environment
What are the four common (non-research-based) approaches to decision making?
Authority – Doing something because that’s what you were told.
Educational Background – Doing it because that’s what you were taught.
Tradition – Doing it because that’s how it’s always been done.
Trial and Error – Doing it because it seems to work for you.
what is PICO used for
To structure clinical research questions clearly and guide evidence searching.
What are the four key components of Evidence-Based Practice?
Best Research Evidence – Data from basic and clinical research
Patient Values – Beliefs, preferences, culture, experiences
Patient Circumstances – Environment, resources, access
Clinical Judgment – Professional experience and expertise
filtered source of research
critically appraised for validity and clinical relavance
unfiltered sources
original studies without expert refiew
What appears on either side of the notochord between 20–23 days of development?
somites
What forms from the thickened ectoderm near the midline around day 20?
neural plate
what structure forms when the neural folds fuse together
neural tube
what process describes the formation of the neural tube
neurulation
the neural tube develops into which system
central nervous system
axons extending from the neural tube form which nervous system
peripheral nervous system
what layer gives rise to neurons
the mentle layer
what layer forms axon tracts in the spinal cord
marginal layer
when does the neural tube close
22-28 days
the mantle layer becomes what in the spinal cord
grey matter
At 7 weeks, what additional developments occur in the spinal cord?
Ventral and dorsal roots, glial cells, meninges, and spinal nerves develop.
What do neural crest cells form around 7 weeks?
Dorsal root ganglia, autonomic ganglia, melanocytes, adrenal medulla, meninges, and connective tissues of the head and neck.
Cerebrum
conscious thought, memory, motor control
diencephalon
thalamus and hypothalamus
thalamus
sensory relay
hypothalamus
emotion/autonomic/hormone control
mesencephalon
visual and auditory processing, reflexes, consciousness
pons
sensory relay to cerebellum, motor control
medulla oblongata
autonomic functions (heart, lungs, digestion)
What causes spina bifida?
Failure of the vertebral laminae to unite and an incomplete neural arch, allowing meninges to bulge outward.
when does the neural tube close
22-28 days
what does the mantle layer become in the spinal cord
gray matter
what does the marginal layer become
grey matter
what does the marginal layer become
white matter
at 7 weeks, what else develops in the spinal cord
Ventral and dorsal roots, glial cells, meninges, and spinal nerves develop.
Prosencephalon →
Telencephalon + Diencephalon
Rhombencephalon →
Metencephalon + Myelencephalon
what develops at abt 5 weeks
mesencephalon matures, cranial nerves begin developing
cerebrum
conscious thought, memory, motor control
mesencephalon
visual and auditory processing, reflexes, consciousness
pons
sensory relay to cerebellum, motor control
medulla oblongata
automatic functions
cerebellum
coordination and fine motor control
at 4 weeks, what forms in the lateral walls of the prosencephalon
optic vesicles
what do the optic vesicles form after indenting
optic cups
what does the epidermis over the optic cup form
lens
when do olfactory receptors begin to develop
5 weeks
what structures do olfactory receptors begin as
nasal placodes
when do taste buds start forming
5 weeks
How does the fetal cardiovascular system differ from the adult system?
Fetal lungs and digestive system are nonfunctional; oxygen and nutrients come from the placenta.
how are fetal nutritional and respiratory needs met
diffusion across the placenta
path of bloodflow from placenta to the fetal heart
Placenta → Umbilical vein → Liver (small amount) → Ductus venosus → Inferior vena cava → Right atrium.
2 fetal short circuits that bypass the lungs
foramen ovale and ductus anteriosus
foramen ovale
allows blood flow directly from the right atrium to the left atrium
how are fetal wastes and co2 removed
diffusion across the placenta
path of waste blood from fetus to placenta
Internal iliac arteries → Umbilical arteries → Umbilical cord → Placenta
what happens to the ductus anteriosus at birth
smooth muscle contracts and it becomes the linamentum anteriosum
what happens to foramen ovale at birth
becomes fossa ovalis
What major circulatory changes occur at birth?
closure of foramen ovale and ductus anteriosus, bloodflow circulates through lungs
fetal lung conditions before birth
Pulmonary vessels collapsed, high resistance, lungs filled with fluid, rib cage compressed.
which two fetal structures close after the first breaths
foramen ovale and ductus arteriosus
what happens when air first enters the lungs
fluid is forced out and pulmonary circulation begins
RDS - respiratory distress syndrome
Common in premature infants due to surfactant deficiency.
Leads to alveolar collapse, labored breathing, cyanosis.
Requires oxygen therapy and surfactant replacement.
Also known as Hyaline Membrane Disease.
CHD - congentital heard disease
ack:
Broad term for structural abnormalities of the heart or great vessels present at birth.
Includes ASD, VSD, PDA, and others.
Can result in cyanosis, heart murmurs, and poor growth.
Caused by genetic, environmental, or maternal factors.
PDA - patent ductus anteriosus
Failure of the ductus arteriosus (fetal vessel connecting pulmonary artery to aorta) to close after birth.
Causes blood to flow from aorta → pulmonary artery.
Leads to pulmonary congestion and respiratory distress.
Often treated with medication (indomethacin) or surgery.
VSD - ventricular septal defect
A hole in the septum between the right and left ventricles.
Causes oxygenated blood to flow from left → right ventricle.
Leads to increased pulmonary pressure and possible heart failure if large.
Common congenital heart defect.
ASD - atrial septal defect
A hole in the wall (septum) between the right and left atria.
Allows oxygen-rich blood to mix with oxygen-poor blood.
Increases blood flow to the lungs, may cause heart murmur and fatigue.
Often congenital (present at birth).
what does APGAR measure
Newborn health (Appearance, Pulse, Grimace, Activity, Respiration).