Health Promotion

Question 1

How much sleep for an infant (3-4M)

Answer 1

9-12 hrs a night with 2 naps

Question 2

Infant: When teeth?

Answer 2

5-6 Months

Lower incisors first, then upper

Question 3

Infant: Teething S/S

Answer 3

• swollen gums
• Inc finger sucking or biting
• Difficulty sleeping
• Decreased appetite
• Low grade fever

Question 4

Infant: Don’ts of teething

Answer 4

No OraJel or whiskey

-use Cold or tylenol

Question 5

Infant: Top 10 safety hazards

Answer 5

Dishwashers
Latex balloons
Stoves
Soft bedding
Hand me down gear
Grandmas purse
Bath seats and rings
Baby oil/powder
Family dog
Power windows

Question 6

Children start to “pull-up” at?

Answer 6

9 months

Question 7

Sunscreen

Answer 7

No to <6M

Question 8

Refined Pincer grasp at….

Answer 8

12 months

Question 9

Infant: Suffocation

Answer 9

• Pillows, blankets, large stuffed toys
• Co-bedding
• Strings, window shades, toys, clothing
• Placed alone when they are put back to sleep

Question 10

Infant Motor injuries

Answer 10

• Never leave unattended
• Never hold infant on lap
• Keep doors and windows locked while driving
• Don’t be distracted by infant while driving
• Infant seat

Question 11

Car seats

Answer 11

Should be…

• placed in back seat
• faced backwards until 2y
• 5 point harness

Question 12

Biological/chemical agents

Answer 12

• wash hands before feeding
• 2nd hand smoke
• 3rd hand smoke
• Lock away drugs

Question 13

Toddlers: Sibling rivalry

Answer 13

• Time is a vague concept
• Avoid unrealistic expectations
• Avoid or minimize extra stressors
• Allow then to participate w/new baby
• Don’t compare against each other
• Visitors: bring something for older child

Question 14

Toddlers: Tantrums

Answer 14

Never give in!

• reasonable consequences
• ignore
• Consistency!

Question 15

Toddlers: Negativism + Regression

Answer 15

Reduce opportunities for negativism (Give them choices)

-Usually doesn’t last long

Question 16

Toddlers: Discipline

Answer 16

Need clear guidelines and expectations

Types of Discipline

• Distract + divert
• Encourage cooperation
• Provide structure
• Set limits
• Positive reinforcement
• Spanking (Not recommended)

Question 17

Toddlers: Spanking alternatives

Answer 17

TIMEOUT

• 3yrs or older
• 1min/year of age
• discuss behavior when time is up, if resumes, goes back into
• Punishment must occur immediately following behavior
• Be discreet-not in front of others (don’t embarrass)

Question 18

Children should be toilet trained by?

Answer 18

3

Question 19

Anticipatory guidance for potty training

Answer 19

Prepare child
Pott seats
Limit practice times
Dress appropriately
Freq reminders
teach good hygiene
reinforce after
consistency is VITAL

Question 20

Toddlers: sleep

Answer 20

need 12hrs/day including 1 nap

• sleep problems common
• routines
• Transitional objects (stuffed animals)
• Active during day

Question 21

Toddlers: Dental

Answer 21

Reg dental exams

Fluoride

Low-carcinogenic-diet

Question 22

Should be able to ride a bike by?

Answer 22

3Y

Question 23

Toddlers: Drowning

Answer 23

Supervise

• Fences + gates
• Any standing water
• Toilets
• Swim lessons

Question 24

Many kids can swim by?

Answer 24

5-6

Question 25

Toddlers: Posioning

Answer 25

Have Poison control number

• Teach meds are not candy
• Don’t reuse containers
• Teach not to play in trash
• Caution about plants

Question 26

Toddlers: Choking

Answer 26

• Foods of appropriate size
• Toys
• Old appliances (no sensors)
• Drawstrings

Question 27

Toddlers: Falls

Answer 27

Crib safety
Equiptment
Windows, doors, porces, stairs
Floods
Bathtub
Supervise on playground

Question 28

Toddlers: Bodily damage

Answer 28

Stranger danger
Animals 
Tools/weapons
Lollipops
Sharp pointy objects
Teach them NAMES (mOM)