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health promotion > ch17: infant (birth-12months) > Flashcards

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
Q

infant activity/exercise

A

thru play, stimulation , tummy time

26
Q

what is tummy time

A

time spent with baby on stomach to prevent flattening of head from supine position

27
Q

infant sleep/rest
- what syndrome should be considered

A

quiet room sep from parents
- sudden infant death syndrome (SIDs)

28
Q

risk factors of sudden infant death syndrome

A

prone sleeping, tobacco exposure, hyperthermia, bed sharing, lack of breastfeeding

29
Q

how to prevent SIDs

A

sleep in supine position, have pacifier

30
Q

infant self perception-self concept

A

4-5months - differentiate from mirror
- dev from feedback of the parents

31
Q

infant roles/relationships
- issues that can arise

A

attachment and bonding to parents
- issues: child abuse, failure to thrive, behavioral probs

32
Q

infant sexuality/repro

A

sexual ID at birth, infant characteristics

33
Q

infant coping/stress tolerance
- two types of crisis an infant may experience

A

developmental crisis: learning new skills
situational crisis: protest, despair, withdrawal

34
Q

infant values-beliefs

A

influenced by parent (modeling, attitudes, approaches)

35
Q

what screening tool is used from birth-6yrs and what 4 factors does it analyze
- what months is it screened

A

denver developmental screening test ii
- personal-social, fine motor-adaptive, language, gross motor

screened @ 3-4mos, 10mos, 3yrs

36
Q

what do growth charts look at

A

normal development/growth using height, weight, head circumference

37
Q

basic needs of infant

A

food, sleep, love

38
Q

no child younger than 6mos should receive the ______ vaccine

A

HIB

39
Q

infants should be _____lbs for rear facing car sets

A

20lbs

40
Q

infants should be _____lbs for shield type car seats

A

30lbs

41
Q

male circumcision can reduce what type of STD

A

HIV infection

42
Q

role of the nurse with infants

A

assess fam situation
ID resources, advocacy, health planning
well-child visits
guide parents

health promotion (15 decks)

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