ch17: infant (birth-12months) Flashcards

1
Q

what stage of erikson’s psychosocial dev is the infant in?

A

trust vs mistrust

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2
Q

what stage of piaget’s cognitive dev is the infant in? explain big ideas in this stage

A

sensorimotor period
- reflexes, stimulation: rooting, sucking

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3
Q

achievements at 1 month

A

head lag, lift head when prone, tonic neck + Moro reflex

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4
Q

how much should 1month old be eating

A

4 oz q4hrs

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5
Q

achievements at 2 months
- what is important to start at this age?
- skull structure

A

closed posterior fontanel
listens actively to sounds
closed posterior fontanel
follow moving objects with eyes
vocalize
- START VACCINES

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6
Q

achievements at 3 months

A

stares at own hand
longer periods being awake
laugh
can hold head erect

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7
Q

achievements at 4 months
- what movement begins here

A

recognize familiar objects
roll from side/back vice versa
reaching out
hand eye coordination begins

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8
Q

achievements at 5 months
- what important speech ability is gained here

A

smiles at mirror
tooth eruption
can discriminate fam from strangers
COOING

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9
Q

achievements at 6 months
- should _____ weight here

A

DOUBLES BIRTH WEIGHT
sits in high chair
imitates sounds “mama, dada”
likes and dislikes

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10
Q

t/f: new foods should be introduced one at a time

A

true

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11
Q

achievements at 7 months

A

can bear weight when standing
sits while leaning forward on hands
fear of strangers, separation anxiety

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12
Q

achievements at 8 months
- what important movements are gained here

A

feeds self with finger foods
respond to “no”
clapping hands, crawling, pulling up

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13
Q

what age should the parents start baby proofing the house

A

8 months

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14
Q

achievements at 9 months
- what happens when baby is not as active by this age?

A

creeps and crawls
drink from cup with assist
can stand by themself
- not as active = possible developmental problem

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15
Q

achievements at 10 months

A

looks and follows pics in book
attention to own name
picks up objects, sit up, improved motor skills

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16
Q

achievements at 11 months
- what important communications skills are gained here

A

try to walk without assistance, try to take steps
holding objects
points to what they want
BABBLES, IMITATION
can wave bye bye

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17
Q

achievements at 12 months
_____ the birth weight
height should ______
- head circumference vs chest

A

TRIPLED birth weight
height should DOUBLE from birth length
head circumference should equal chest
recover balance
walk alone or while holding hand

18
Q

achievements at 15 months
- word ability?

A

3-10 word ability
drinks from cup by themselves
can squat to pick stuff up
indicate what they want by pulling, grunting, pouting, pointing

19
Q

achievements at 18-24 months
- skull structure>

A

START TO DEVELOP PERSONALITY
closed anterior fontanel
can run and carry several things
more motor skills
eat with spoon, cup, fork; with fewer spills

20
Q

months where vaccines are mostly likely given

A

2, 4, 6, 12, 15

21
Q

infant health perception-health mgmt

A

mostly thru parents
recognize infant susceptibility

22
Q

infant nutritional metabolic
- protein caution
- supplementation if breastfed
- how long is breastfeeding rec
- when intro solid foods

A

protein can’t exceed 20%, kidney not mature
vit D supplement if breastfed
breastfeeding preferred for first 6mos
intro solid foods at 4-6mos

23
Q

why are solid foods intro at 4-6 months

A

6 months = lower risk of food allergies

24
Q

infant elimination
- breastfed vs bottlefed stool
- when toilet train

A

breastfed stool = softer, clean smell
bottlefed stool = harder, smaller
toilet train at 18months

25
infant activity/exercise
thru play, stimulation , tummy time
26
what is tummy time
time spent with baby on stomach to prevent flattening of head from supine position
27
infant sleep/rest - what syndrome should be considered
quiet room sep from parents - sudden infant death syndrome (SIDs)
28
risk factors of sudden infant death syndrome
prone sleeping, tobacco exposure, hyperthermia, bed sharing, lack of breastfeeding
29
how to prevent SIDs
sleep in supine position, have pacifier
30
infant self perception-self concept
4-5months - differentiate from mirror - dev from feedback of the parents
31
infant roles/relationships - issues that can arise
attachment and bonding to parents - issues: child abuse, failure to thrive, behavioral probs
32
infant sexuality/repro
sexual ID at birth, infant characteristics
33
infant coping/stress tolerance - two types of crisis an infant may experience
developmental crisis: learning new skills situational crisis: protest, despair, withdrawal
34
infant values-beliefs
influenced by parent (modeling, attitudes, approaches)
35
what screening tool is used from birth-6yrs and what 4 factors does it analyze - what months is it screened
denver developmental screening test ii - personal-social, fine motor-adaptive, language, gross motor screened @ 3-4mos, 10mos, 3yrs
36
what do growth charts look at
normal development/growth using height, weight, head circumference
37
basic needs of infant
food, sleep, love
38
no child younger than 6mos should receive the ______ vaccine
HIB
39
infants should be _____lbs for rear facing car sets
20lbs
40
infants should be _____lbs for shield type car seats
30lbs
41
male circumcision can reduce what type of STD
HIV infection
42
role of the nurse with infants
assess fam situation ID resources, advocacy, health planning well-child visits guide parents