H&P Final Exam- Infants Flashcards
What is documented during a Well-Visit? (11)
- VS
- Growth
- Health Habits
- Dev (Fine, Gross, Comm, Social/Prob solving)
- Social Hx
- FHx
- PE
- Assess
- Anticipatory Guidance
- Immunizations
- Plan for next visit
Gross- hold head up
push when prone
Fine-follows midline
Motor Skills 2mo
Motor skills 4mo
Gross- Hold head steady, unsupported
pushes down w/feet
pushes up to elbow when prone
Fine- hold a toy
hands to midline
brings hands together and to mouth
Motor skills 6mo
Gross-ROLL OVER
sit (supported)
hands to feet-feet to mouth
Fine- reaching
RAKE GRASP
passes object from hand-to-hand
Motor skills 9mo
Gross- stands holding on
pull up to stand
stand alone
SIT UNSUPPORTED
CRAWLS
FIne-PINCER GRASP
banging 2 cubes together
Motor skills 12mo
Gross- pulls to stand
INDEPENDENT STEPS
Fine-PUT OBJECTS INTO A CUP
Motor Skills 15mo
Gross- WALK WELL
START TO RUN
stoop and recover
Fine- Dump things from a cup
BUILD A TOWER
Motor Skills 18mo
Gross-KICK A BALL
walk up/down stairs
throw a ball
DRESS SELF
Fine- Build a tower 2-4 cubes
turn pages of a book
USE A SPOON
point
Motor skills 2yrs
Gross-throw a ball overhead
JUMPS WITH BOTH FEET
Fine- copies straight line, scribble
Motor Skills 30mo
Gross- Walk backward. hops on ONE foot
Fine- copies a circle, “fist” holds a crayon
Motor skills 3y
Gross- Rides tricycle w/pedals
SELF DESTRUCTIVE PHASE
Fine- builds 9-10 cubes. “fingers” holds a crayon`
Communication/ Language
2mo
vocalizes. “cos”.
Throaty sounds.
turns toward sound
Communication/ Language
4mo
Babble, raspberries
Communication/ Language
6mo
inhaled speech sounds,
converses w/noises & facial expressions
Communication/ Language
9mo
“mama”/”dada” -nonspecific
Communication/ Language
12mo
jargon begins,
1 word other than “mama/dada”
Communication/ Language
15mo
3-6words.
consonant sounds- t,d,n,w,h
Communication/ Language
18mo
Several single words;
says “no” points
Communication/ Language
2y
Points to things when named; 2-3 word phrases, up to 4 word phrases, vowels uttered correctly, follows simple instructions; repeats words heard
Communication/ Language
3y
Can name most familiar things; intelligible 4-6word phrases/sentences, says name, age,sex,names a friend
talks well. Conversations 2-3 sentences
Social/Emotional/Cognitive
2mo
Social/Emotional-
recognize parents; begin to smile
Cognitive-
regards faces, begin to follow w/eyes; boredom!
Social/Emotional/Cognitive
4mo
Social/Emotional-
smiles spontaneously at people;
play;
copies facial expressions
Cognitive-
responds to affection,
reaches for toys,
watches faces closely,
recognizes familiar ppl & things at a distance
Social/Emotional/Cognitive
6mo
Social/Emotional-
knows familiar faces, notices strangers,
plays with others,
looks at self in the mirror
Cognitive-
brings objects to mouth,
curiosity
reaches & explores
passes objects b/w hands
Social/Emotional/Cognitive
9mo
Social/Emotional-
fear of strangers
clingy to familiar adults
favorite toys
Cognitive-
watches for hidden objects
looks for hidden objects
peek-a-boo
Social/Emotional/Cognitive
12mo
Social/Emotional-
shows fear
cries when parent leaves
hands you toys/book he wants to hear
Cognitive-
explore by shaking, banging, throwing objects
copies gestures
looks at correct picture when named
Social/Emotional/Cognitive
15mo
Social/Emotional/-
imitate others
‘mine’
hugs a doll close-contact
interacting for self w/in mirror
Cognitive-
seeking help
getting parent’s attention by grabbing hand or place an object in hand
Social/Emotional/Cognitive
18mo
Social/Emotional-
hand things to others
temp tantrums
stranger fear
feeds a doll
clings to caregiver
points
explores alone
Cognitive-
knows objects/use
points to 1-3 body parts
follows 1 step command
Social/Emotional/Cognitive
2y
Social/Emotional-
excited around other children
more independence
defiant behavior
parallel play
Cognitive-
sort shapes/colors
follow 2-step directions
names items by pic in a book (kitty, dog, baby)
Social/Emotional/Cognitive
3y
Social/Emotional-
interactive play
coop w/other kids
inventive fantasy play
Cognitive-
3 part commands
knows some colors
understands same/different & counting
fantasy play
Developmental Screening tool Shaw wants us to know?
ASQ
ages & stages questionnaire
3 measurements of physical growth
head circumfrence
length
weight
What to look for in growth curves?
Trends!
What trends to look for in growth curve?
ie. what is FTT…etc
FTT- drop below 2 SD’s
underwt <5%
overwt >85%
obese >95%
Head size out of proportion to ht/wt
head >99%
Global decrease in all velocities= BAD!
Recommended source of nutrition for infants?
& benefits.
Breast milk
- decreases OM
- some VGE
- passive immunity
Supplement needed if breast feeding only?
Vit D
Supplement neded if preterm or deficient?
Iron
Benefits of formula?
No Vit D supplement
Contains Iron
many different options
When can you start solid foods?
6mo