Family 3
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What is Alcohol Related Birth Defect (ARBD)? | Describes the disabling symptoms that can result from prenatal exposure to alcohol. | |
What is the incidence of FAS? | 1 in 750 live births. | |
What are the effects of first trimester exposure in-utero to alcohol? | Organ and musculoskeletal anomalies. | |
What are the effects of second and third trimester exposure in-utero to alcohol? | Growth, intellectual, and behavior deficits. | |
What are common impairments seen in children with fetal alcohol syndrome? | MR, below 3rd percentile for weight, height, and head circumference, malformations in body systems, increased bacterial infections, orthopedic anomalies, speech/language difficulties. | |
What are behavioral differences seen in children with FAS? | Infants: irritability, tremors, sleeping disorders, failure to thrive; older infants: hyperactive, impulsive, distractible, LD. | |
What are motor deficits seen in children with FAS? | Delayed motor development, body tremors, abnormal hand to mouth activity, increased head orientation to the left, altered reflexes, delays in postural reflexes, balance deficits. | |
Identify common problems seen in infants that have been exposed to substance abuse. | Fetus may become addicted – high mortality, premature, LBW, accelerated liver and lung development, brain damage, labor difficulties (placenta separates easily), irritable, have tremors, cognitive impairments, behavioral problems. | |
Define child abuse and child neglect. | Includes non-accidental injury/physical abuse and excessive punishment, emotional/psychological abuse, emotional neglect/deprivation, and sexual abuse/exploitation. | |
What are the characteristics of physical child abuse? | Injury to skin or soft tissue, fractures, shaken baby syndrome, drowning. | |
What are the characteristics of psychological/emotional child abuse? | Excessive parental demands, instilling fear or terror, rejection, isolation. | |
What are the characteristics of neglect child abuse? | Lack of basic needs, health care, or education, exposure to domestic violence, misuse of drugs, permitting criminal behavior. | |
What are the characteristics of sexual child abuse? | Exploitation of the child for the sexual gratification of the perpetrator. | |
What are the typical characteristics of a person who abuses a child? | Usually someone the child knows, Munchausen’s syndrome by proxy. | |
What are the physical markers of child abuse? | Multiple injuries incurred at one time or at frequent intervals, burns (dunking, cascade, cigarette), lacerations, skeletal injuries, may be hidden by clothing. | |
What is observed in a bruise 0-2 days old? | Swollen, tender. | |
What is observed in a bruise 0-5 days old? | Red, blue. | |
What is observed in a bruise 5-7 days old? | Green. | |
What is observed in a bruise 7-10 days old? | Yellow. | |
What is observed in a bruise 10-14 days old? | Brown. | |
What is observed in a bruise after 2-4 weeks? | Clear. |
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