Health Promotion Of The Infant Flashcards

1
Q

Brain development

A

Brain weight increases 2.5%
Head size increases 33%
Primitive reflexes disappear by 1 month and neurologic reflexes develop

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2
Q

Labyrinth Righting

A

Labyrinth is the place behind the ear.
*picking ear up off of the ground
Starts at 2 months, strongest at 10 months because head control is needed with walking

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3
Q

Body Righting

A

Turning hips & shoulder to one side causing the rest of the body to follow.

*rolling over

Appears at 6 months

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4
Q

Landau

A

Suspended Horizontally in prone position. *Planking

Head is raised, legs extended
6-8 months of age

Haven’t recognized that they can fall yet.

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5
Q

Parachute Reflex

A

When a baby is pushed forward their ands and fingers extend forward to catch themselves

Appears at 7-9 months of age, lasts indefinitely until death

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6
Q

Sensory Changes

A

+Binocularity: 2 images become one (@4 months)

+Visual perception: preference for human face
(Can’t recognize other animals faces)
•notice eyes, eyebrows, then mouth because they move

+ Notice Familiar faces by 3 months, can recognize familiar faces by 6 months

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7
Q

Stereopsis

A

Depth perception.

Appears at 7-9 months

Allows kids to walk, but stairs are still hard, takes time to develop

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8
Q

Moro Reflex

A

Appears at birth (make a loud noise, scares kids, startle)

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9
Q

Turns head to noise

Responds to/knows own name

A

2 months

6 months

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10
Q

Sucking/swallowing

A

Tongue is huge

Infantile swallow Reflex:
They Can’t swallow unless there’s so much fluid in the back of the throat that they have to swallow (introducing food at 2-3 months is an aspiration hazard)

Santmyer Swallow Reflex:
Blow in face, baby will swallow

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11
Q

Immunologic

A

Colostrum
• 3 months protection; that’s why if babies under 3 months have a high fever, take to ER immediately, b/c they should have the immunity from mom

High Risk for infection:
6-12 months; losing immunity from mom’s breast milk, and kids are teething/ putting everything in their mouths

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12
Q

Fine motor skills

A

Hands closed: 1 month

Hands mostly open/grasp objects: 3 months
•if not mostly open by 3 months, worry about CP or neurological issues

Voluntarily grasps objects: 6 months

Pincer grasp: 10 months
• rudimentary pincer grasp= all 4 fingers to the thumb
• a good pincer grasp is index finger to thumb

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13
Q

Gross motor skills

A

No head lag by 4 months

Roll abdomen to back by 5 months

Roll back to abdomen by 6 months

Convex cervical curve= C-shape (3 months)

Lumbar Curve: top of spine is straight, bottom is curved (L-Shape)

Propped w/ hands on ground: 6 months

Sit unsupported: 7 months

Prone to sitting by self: 10 months

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14
Q

Locomotion

A

Push backward, when they first try to crawl they push on their arms, so they go backward, don’t put toys in front of them but all down the side of them.

Crawling: 7 months

Pulls to standing 9 months

Walking along furniture 11 months

Independent steps 1 year

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15
Q

Attachment

A

2 components:
•ability to identify mom
• object permanence; if something is hidden, it’s still there.

Reactive attachment disorder 
• noted prior to 5 years old
• poor impulse control
• destructive to self and others (no empathy)
• no eye contact 
• fail to develop conscience 

Separation anxiety:
• 4-8 months (if you take your child to daycare start at 3 months because they don’t have this yet)
• by 1 year, they know parents are leaving or getting ready to leave for work &a throw a fit

Stranger danger:
• 6-8 months

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16
Q

Language

A

Crying: To meet needs. They need love, pick them up.

Throaty noises: 6 weeks, can’t swallow or drool

Vowel: 2 months

Constanants: 4 months

No, dada, mama:
Dada is easier to say, 10 months, don’t associate meanings to words

3-5 words by 1 year

17
Q

Socialization

A

Smile: 8 weeks (means to smile)

Laugh: 4 months

Games: 6 months (peek-a-boo)

Imitate Games: 10 months

Follow simple direction: 1 year

18
Q

Spoiled child

A

Can’t spoil a baby.
Excessive self-centered &a immature behavior resulting from parents who give their children everything

Manipulative

19
Q

Limit setting

A

Negative voice

Stern eye contact

Time out (4-5 y.o.) needs to have a concept of time

Instead of reprimanding constantly, out them in a safe/good playing zone appropriate for age.

20
Q

Thumb sucking & pacifier

A

Non-nutritive, normal

Malocclusion can happen if thumb sucking past 4-6 years

21
Q

Teething

A

First 2 years of life

Order:
• lower central incisors
• upper central incisors

  • 28 teeth
22
Q

Nutrition

A

Human milk: best, but need vitamin D supplement

Formula: great substitution, needs to be room temp, if cold, out bottles in bowl of warm water.

Cows milk: 1 year, but if a hefty child, 2%

No extra water in formula, could become malnutritioned, cause seizures, and death

Solids introduced: 4-6 months
• cereal first, iron fortified

Baby food: 4-6, start with whatever food you want but only introduce a new food once a week, b/c helps to identify food allergies

23
Q

Dental Health

A

First appt 1-2 years
Use toothpaste
No bottles in bed!
Once teeth are decaying, every decayed tooth needs to be root canaled and capped

24
Q

Sleep

A

Need to fall asleep on their own
•by 4-6 months, no longer night feeding, so let them cry

Bed time rituals help

Back to sleep! Decreases SIDS

cosleeping, okay. But obese, people who use alcohol/ drugs/ sleep aides are more likely to roll over on their baby

25
Q

Burns

A

Test bath water!

Sunscreen on babies as old as 1 Month of age. But shouldn’t be in the sun until 6 months

Cover electrical outlets, use furniture

Make sure cars aren’t too hot

26
Q

Poisoning

A

Lead paint
Plants: choking hazard! Especially when playing in leaves. Can get wet leaves out of the lungs= death

Cleaners: chemical&meds locked up &I high

Syrup of ipecac is no longer used b/c if you throw it up, will burn esophagus again

27
Q

Falls

A

Side rails up!

Car seats adjusted properly

Stairs

Walkers

28
Q

Injury prevention

A
Plastic bags
No cribs near windows
Bathrooms closed/ lid down
Mobiles in crib, okay until they can lift heads
Aspiration: food, items
Parts of toys age appropriate, not too small
Drowning
Firm mattress, so no suffocating