G&D of an Infant Flashcards

1
Q

What are Erikson’s four AGES of childhood?

A

Infancy trust vs mistrust

Toddlerhood autonomy vs shame & doubt

Preschooler initiative vs guilt

School-age industry vs inferiority

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2
Q

Explain stage one of Eriskson’s eight stages of psych. dilemmas

A

Trust vs. Mistrust (0-1 year)

Trust: Established when babies given adequate warmth, touching, love,& physical care, responding to crying

Mistrust: Caused by inadequate or unpredictable care and by cold, indifferent, & rejecting parents

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3
Q

Explain stage two of Eriskson’s eight stages of psych. dilemmas

A

Autonomy vs. Shame & Doubt (1-3years)

Autonomy: Doing things for themselves

Overprotective or ridiculing parents may cause children to doubt abilities & feel shameful about their actions

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4
Q

What is Piaget’s First Stage of Cognitive Development?

A

Sensorimotor (0-2 Years) in this stage:

  • Progress from reflexive, instinctual actions to beginning of symbolic thinking
  • All sensory input & motor responses are coordinated;
  • Most intellectual development is nonverbal
  • Think with their eyes, ears, hands, & senses
  • ‘Object Permanence’ objects still exist
  • assimilation, accommodation.
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5
Q

What are some hunger cues?

A

A quick, calm & reassuring response from caregiver teaches child to trust.

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6
Q

What are anger cues?

A

demonstrate recognizable anger outbursts 4 to 6 months

-Anger is about developing a sense of power & control

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7
Q

When does stranger anxiety develop?

A

Occurs between 8 to 12 months when confronted with something new, meet new people, or put into a new situation

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8
Q

What are some Physical Milestones?

A

Over first 12 months infants gradually learn to gain control over physical movements
Skills such as rolling over, taking a first step, smiling for 1st time, crawling, & waving “bye-bye” are called developmental milestones

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9
Q

*What are factors that influence G&D of an infant?

A
  • Socioeconomic level
  • Interpersonal relationships
  • Family position
  • Nutrition*
  • Heredity & prenatal environment
  • Temperament ( easy, difficult, slow to warm up)
  • Neuorendocrine: hypothalamic-pituitary
  • Environment
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10
Q

What are some milestones at 2 months?

A

smiles to express pleasure
recognizes & prefers familiar faces & voices
feels safe when needs are met, discovers hands (hands to mouth)

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11
Q

What are some milestones at 3 months?

A
Reaches for objects
Pushes up & lifts head 
Rolls over in 1 way, turns head with noise
Shows emotions 
Forms attachment
Different cries, babbles
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12
Q

What are some milestones at 4 months?

A
  • rolls back to side
  • grasp both hands
  • hand to mouth, tries to reach
  • waves & mouths a rattle
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13
Q

What are some milestones at 5 months?

A
  • sits with support & head erect
  • vocalizes displeasure-coo & squeals
  • pats objects
  • signs of teething
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14
Q

What are some milestones at 6 months?

A
  • holds head steady
  • ready for solid food
  • stands up while holding on
  • grasps using palm & fingers
  • babbling B, D, M, & G
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15
Q

What are some milestones at 7 months?

A
  • scoots
  • sits leaning forward on hands
  • bounces when held upright
  • increased fear of strangers
  • oral aggressiveness
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16
Q

What are some milestones at 8 months?

A
  • very curious
  • able to coordinate sensory information
  • claps hands, mouth
  • responses to familiar words & name, peek a boo
17
Q

What are some milestones at 9 months?

A
  • object permanency
  • Pincher grasp
  • crawls
18
Q

What are some milestones at 10 months?

A

pulls to stand, stranger anxiety, stacks, waves

19
Q

What are some milestones at 11 months?

A
  • mealtimes testing

- cruises

20
Q

What are some milestones at 12 months?

A
  • pass toy to other hand when offered a second object referred to as ‘crossing the Midline’
  • 2 words, jabbers continuously,
  • Imitative games
  • first steps
21
Q

How do you interact with a baby to help develop language?

A
  • read
  • sounds/music
  • provide safe environment (face to face interaction)
  • use appropriate language
22
Q

How do you know when infant is ready to eat solids?

A
  • Holds head up
  • Signs of hunger that don’t settle after milk feed
  • Chews on hands & toys
  • Sudden waking during night
  • Baby’s mouth opens as spoon approaches, mouth closes, & most of food stays in mouth then moves to back of throat for swallowing
  • First teeth 6-10 months
23
Q

Describe feeding changes at 6, 8, 9 and 9-12 months

A

6 month:

  • extrusion reflex disappearing plus iron stores decreasing;
  • start with mushy infant cereal, gradually introduction of vegetables, fruit, meat;
  • fruit juice but not a substitute for milk

8 months: encourage drinking from a cup
9 months: dairy products introduced

9-12 months: finger foods can be introduced

24
Q

What kind of environment is important for babies?

A

‘Multi-sensory’
Infants need to be exposed to sensory experiences
Investigating & discovering

25
Q

388: What is the nurses role? (9)

A
  1. Discuss age appropriate activites
  2. Discuss & education nutritional requirements
  3. Discuss sleep patterns
  4. Offer anticipatory guidance
  5. Role model & foster attachment
  6. Commendations
  7. Safety
  8. Informed choice with vaccinations
  9. Linkage with community resources