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SLD 7

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Term
Definition
specific criteria for diagnosis of FAS (Smith & Jones, 1973)   growth retardation, facial anomalies, CNS deficits  
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FAS occurs in ____ of _____ live births   1-3, 1000  
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Alcohol consumption during what trimester of pregnancy leads to worst effects of FAS?   the 1st trimester  
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Fetal Alcohol Spectrum Disorders (FASD) include   FAS (Fetal Alcohol Syndrome), ARBD (Alcohol Related Birth Defects, and ARND (Alcohol Related Euro-Developmental Disorder)  
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Features of FAS: Growth Retardation   slower rate of growth before and after birth, microcephaly ('small brain,' small head circumference), short stature, small fingers and toes, simian crease  
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Features of FAS: Facial Anomalies   slanted/drooping eyes, may be crossed and/or wide-set; flat midface; long, indistinct philtrum; thin upper lip; small chin  
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Features of FAS: CNS deficits   mild to moderate reduced IQ, ADD, memory deficits, poor judgment, other behavioral symtoms (e.g., tantrums, hyperactivity, impulsivity)--> seen as underachievers as adults  
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Miscellaneous physical/medical features of FAS   reduced muscle tone, failure to thrive, heart and other organ defects, disrupted sleep patterns, seizures, poor coordination, poor fine motor skills  
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ARBD includes   kidney defects, heart defects, eye & ear defects, absence of facial anomalies, no cognitive impairments  
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ARND includes   CNS dysfunction, behavioral problems, learning problems, absence of facial anomalies  
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How does alcohol harm children before birth?   May interfere with growth & development of embryos and fetuses. Interfere with proliferation of nerve cells. May affect development of 2 important neurotransmitter systems  
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How alcohol before birth interferes with proliferation of nerve cells (4)   fewer develop, neurons end up in the wrong place, neuronal death, interfere with formation of axons  
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FASD Intervention: Friendship training   how to interact with friends, how to enter a group of children already playing together, teach ways to avoid conflict, use of negotiation skills  
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FASD Intervention: Executive Functioning Training   behavioral awareness, self control, work to improve memory, reasoning, planning, and problem solving, cause and effect  
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FASD Intervention: Parent-Child Interaction Treatment   positive discipline, improve parent-child relationships, reduce behavior problems  
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Pre-natal cocaine exposure is characterized by (5)   risk of premature birth, small head circumference, low birth weight, seizures, heart defects  
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Pre-natal cocaine exposure associated problems (5)   physiological disorganization, hyper-sensitivity to external stimuli, cognitive impairment possible, developmental and language problems, behavioral difficulties  
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Early Intervention: Neurophysiological Reorganization   swaddling, rhythmic patting, returning to midline by vertical rocking  
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Difficult to isolate effects of ______ ______   cocaine exposure  
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Prenatal cocaine exposure probably leads to ______ ______ and ______ ______   cognitive deficits, learning disabilities  
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should consider __________ _______ in conjunction with cocaine exposure   environmental factors  
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