Shaken Baby Syndrome
Objective: To better understand the often permanent, sometimes fatal physical effects from shaking infants. To promote awareness of resources available to help parents cope with the frustrations of parenting.
Directions: Explore the resources available for use by the National Center on Shaken Baby Syndrome https://www.dontshake.org . The center’s website also lists signs and symptoms of the syndrome, as well as suggestions about how to cope with crying in infants. There are also a number of video clips available on YouTube such as the link to one distributed by the Missouri Department of Family Services. This clip is a short description that talks about crying and what happens when a child is shaken.
Part One : Answer the following questions. Be precise with details and to the point. (use the information you learned from websites and videos) 6 points.
How many hours may a normal healthy cry in a day?
At what age do babies cry the most?
Why is crying often so frustrating for a parent?
How could education about crying in infants help alleviate this type of child abuse?
What are some ways to help parents cope with the frustrations of parenting and of crying infants?
How can a family member or friend provide help when they see a parent becoming frustrated with a crying baby?
Go to:
National Center on Shaken Baby Syndrome – http://dontshake.com/ . Explore all the information available here.
http://purplecrying.info ( click on all tabs on top of page)
Real EI Application:
Read scenario and prepare a list.
Scenario:
Pretend I am a parent of a child in EI you accepted the case to provide services at MY home. (FYI It doesn’t matter if I have all the risk factors or not. THAT IS IRRELEVANT) I am however painting a scenario to help you.
When you called to arrange a visit you asked me what routine I am having the greatest problem with to properly plan a vist.
I answer you “dinner time in this home is a horror!”
THAT simple answer gives you a TON of information.
You agree to come at dinner time and then you say ” I am first going to observe (parent-friendly word) what is going on during my visit, I need to see how things happen to help me start thinking of some possible solutions I may be able to suggest to you. It will help us both figure out something together to try and see”.
I ( the mother) agree and on the day agreed you arrive at dinner time and while doing your authentic assessment ( word used instead of the word “observation” in EI documentation, that yes!, we get paid to do)
You observe the following,
Me ( the mother) still in my clothes from work, two other children excited trying to get my attention by picking on each other, screaming, crying, running and not listening to anything I say, you see me trying to get them to sit to do their homework while taking pots and pans out while at the same time the 2-month-old infant is screaming non stop. She is still sitting in the car seat.
( HINT: it is irrelevant who is the EI eligible child, refer to the mission of EI that says ” support families”).
I say to you in an exasperated tone, index pointing at infant “SHE ( the baby) is like a clock, I swear she starts at the same time every day and it doesn’t stop till the wee hours! THIS IS MY LIFE EVERY EVENING, THIS is my life every evening for hours! By nighttime, it is amazing how she has any strength left to cry even louder”.
Part Two: Answer the following question 14 points
1. What would you tell me, what information will you give me?
Answer this question by writing a list of things ( 1 point per item) you must make sure I know. (PURPLE CRYING WEBSITE GIVES YOU THE INFORMATION FOR YOU TO MAKE A LIST). http://purplecrying.info
The details of when, where or how are not that important for this activity. Go back and review the videos and gather the information for the list.
Part Three:
Critical-Thinking Essay Questions
( use Santrock articles) 20 points
Your answers to these kinds of questions demonstrate an ability to comprehend and apply ideas discussed in this chapter.
1. Describe development during the
a. germinal,
b. embryonic, and
c. fetal periods.
d. Also, explain what factors might contribute to complications at specific times during gestation.
2. a. Define teratogen,and
b. give at least 12 examples of teratogens sometimes seen during pregnancy and
their specific effects in the fetus.
3. a. Describe the stages of birth and
b. explain three birth complications.
4. Define
Low birth weight newborn
Very Low birth weight newborn
Extremely Low birth weight newborn
Small for gestational age newborn
Preterm Newborn
5. a. What would you learn about your newborn from the Apgar and
b. Brazelton Neonatal Behavioral Assessment Scales?
PART B — ANSWER THE QUESTION
BK Internet Class Handout Fetal Alcohol Syndrome (FAS)
Resources: https://www.cdc.gov/ncbddd/fasd/training.html
Which set of definitions best matches these terms: fetal alcohol syndrome (FAS), fetal alcohol effect (FAE), fetal alcohol spectrum disorders (FASD)?
FAS is an umbrella term for all of the effects from alcohol consumption in pregnancy; FAE refers to a diagnosis given by doctors for the combination of mental retardation, stunted growth, and facial abnormalities in an infant, caused by alcohol consumption by the mother in pregnancy; FASD refers to those effects of alcohol consumption in pregnancy that are not part of the classic set of effects in a diagnosis of FAE.
FAS refers to a diagnosis given by doctors for the combination of mental retardation, stunted growth, and facial abnormalities in an infant, caused by alcohol consumption by the mother in pregnancy; FAE is an umbrella term for all of the effects from alcohol consumption in pregnancy; FASD refers to those effects of alcohol consumption in pregnancy that are not part of the classic set of effects in a diagnosis of FAS.
FAS refers to a diagnosis given by doctors for the combination of mental retardation, stunted growth, and facial abnormalities in an infant, caused by alcohol consumption by the mother in pregnancy; FAE refers to those effects of alcohol consumption in pregnancy that are not part of the classic set of effects in a diagnosis of FAS; FASD is an umbrella term for all of the effects from alcohol consumption in pregnancy.
What is the leading known cause of mental retardation in Western civilization today?
Down syndrome
prenatal exposure to alcohol
prenatal exposure to illicit drugs
folic acid deficiency
prematurity
What percentage of women of child-bearing who could become pregnant are drinking alcohol (many before realizing they are pregnant)?
10%
25%
35%
55%
75%
What is the cause of fetal alcohol syndrome?
Alcohol in the pregnant woman’s bloodstream contracts her blood vessels and prevents her from providing the fetus with adequate nutrition.
Alcohol in the pregnant woman’s bloodstream crosses the placenta into the unborn fetus’s system and disrupts its ability to get enough oxygen for normal growth and development.
Alcohol in the pregnant woman’s bloodstream makes her reckless and more likely to fall or otherwise cause injury to the fetus.
Alcohol in the pregnant woman’s bloodstream makes her irritable and irrational, and her bad temper affects the fetus’s development.
Alcohol in the pregnant woman’s bloodstream upsets her hormonal balances and prevents her from delivering the right amounts of testosterone to a male fetus or estrogen to a female fetus.
What is the incidence rate of FAS in the United States? Estimates vary but most are in the range of:
0 to 20 per 1,000 live births
10 to 15 per 1,000 live births
3 to 7.5 per 1,000 live births
0.33 to 1.0 per 1,000 live births
0.2 to 0.5 per 1,000 live births
How much does it cost U.S. taxpayers each year to treat infants, children and adults with full FAS?
$250,000 each year
$1,900,000 each year
$2,800,000 each year
$5,400,000,000 each year
almost nothing, as expenses are incurred by private insurance
Which of the following groups of women are at high risk for drinking during pregnancy?
women with a college education
unmarried women
female students
women in households with greater than $50,000 annual income
all of these
In which of the following ways does alcohol affect a man’s ability to father healthy children?
lowered levels of testosterone that interfere with sexual performance
reduced mobility of healthy sperm at time of conception
increased risk of inherited tendency toward alcoholism
possible adverse effects on DNA in sperm before conception
all of these
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