CPN Exam Cards COPY Flashcards
Cephalocaudally
from head to toe (head control, then sitting, then walking)
Proximodistally
from the trunk to the tips of the extremities (moving arms and legs before picking things up with fingers)
General to the Specific
crawling, then walking, then skipping
Chronologic Age
Years or months since birth date
Mental Age
Level of cognitive function
Bone Age
Determined by X-ray of tarsals and carpals
Adjusted/Corrected Age (for growth charting)
Chronologic age minus # of weeks born prematurely– Prematurity = < 37 weeks post gestational age– Used for first 2 years of life
Length
0-36 months
Height
2-18 year
Weight at birth
Some genetic components
Largely a measure of maternal nutrition
Weight at 6 months
Double birth weight (minimally)
Weight at 1 year
Triple birth weight(minimally)
Weight > 1 year
Genetic Influence
Environmental Influence
Illness/Health Influence
BMI ≥95%
obese (30 or more)
BMI 85% - <95%
overweight (25-29.9)
BMI 5% - <85%
healthy weight (18.6- 24.9)
BMI ≤ 5%
underweight (≤18.5)
Average Birth length
20 inches
Length by Age
1st year: 10 inches
2nd year: 5 inches
3rd year - puberty: 2.5 inches
Infant
0-12 months
Infant 2 Month Social
Instinctual Smile
Infant 3 Month Social
Social Smile
Infant 4 Month Social
Laughts
Infant 4-6 Month Social
Stranger Danger
Infant 7-9 Month Social
Peek-a-boo, look in mirror
Infant 10-12 Month Social
Claps hands, waves bye-bye
Infant 3 Month Cognition
Babbles, turn to rattling noise, notices own hands
Infant 6 Month Cognition
continuous babbling: babbles in response to sounds as in conversation
Infant 7-9 Month Cognition
understands cause and effect
Infant 10-12 Month Cognition
points to objects when named; says “mama” “dada”; says 5 words but understands many more
Infant 2 Month Motor
lift head; follows to midline; posterior fontanel closes
Infant 3 Month Motor
eyes can track objects 180 degrees; raises head and neck when lying on stomach; notices own hands
Infant 4 Month Motor
rakes objects; grasps rattle; begins to roll over (first from stomach to back
Infant 5-6 Month Motor
rolls over from back to front; transfers objects from hand to hand; reaches; pushes up on knees and hands and rocks back and forth; sits with support
Infant 8 Month Motor
sits without support
Infant 9 Month Motor
develops pincer grasp; feeds self bottle or cheerios; crawls; stands holding on
Infant 10-12 Month Motor
claps hands; waves bye-bye; pulls self up to a stand; cruises; walks with support; may take first steps
Infant Reflexes
Present at birth, disappear by 4 months
Root Reflex
Corner of the baby’s mouth is stroked or touched. The baby will turn his or her head and open his or her mouth to follow and “root” in the direction of the stroking
Suck Reflex
Roof of the baby’s mouth is touched, the baby will begin to suck
May not be present or weak in premature babies
Moro Reflex
Often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out the arms and legs, cries, then pulls the arms and legs back in
Tonic Neck Reflex
When a baby’s head is turned to one side, the arm on that side stretches out and the opposite arm bends up at the elbow. This is often called the “fencing” position
Grasp Reflex
Stroking the palm of a baby’s hand causes the baby to close his or her fingers in a grasp
Babinski Reflex
When the sole of the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan out
Step Reflex
Baby appears to take steps or dance when held upright with his or her feet touching a solid surface
Parachute Reflex
When a baby senses that they’re about to fall, their arms reflexively extend to break the fall
Toddler
1-2 years old
Toddler Social
Egocentric
Separation Anxiety
Temper Tantrums
Lacks concept of sharing
Points to body parts
Toddler 12 Month Cognition
says 5 words; understands many more