Health Promotion of the Infant and Family Flashcards
Weight
Infancy is when to when?
what happens to weight by 6 and 12 months
Infancy is defined by birth to 12 months. (time of rapid growth and development)
Birth rate doubles by 6 months of age.
Birth weight tripes by 1 year of age.
Moro reflex
disappers when?
(startle reflex) disappears by 3 months- Extends arms related to loud noise or sudden movement.
Parachute reflex
appears when? and maintained throughout when?
Appears at 7 months and maintained throughout life. When the baby is turned face down, the arms will extend as if the baby is trying to catch himself.
Babinski reflex
expected to disappear when?
Expected to disappear at 12 months.
Reflex may persist beyond 12 months. This can be normal, but not typical (expected).
If persists near 24 months may consider potential underlying neurological conditions
** Babinski reflex present (positive)Big toe dorsiflexes (upward movement)and other toes fan.
Eye contact and social smile interacting with parents at what age?
2 months
Fine motor: Grasping
reflexive when?
Bangs objects when?
crude pincer when?
Neat pincer when?
Reflexive < 6 months
Reaches for and bangs objects/transfers 6 months.
Crude Pincer: Grasp (2 fingers and thumb) 8 months
Neat Pincer: Grasp (index finger and thumb)10 months
Roll over, briefly sitting unsupported and sitting unsupported at what age?
Rolls over age 4-6 months
6 months- briefly sits unsupported
8-9 months- sits unsupported.
Locomotion (crawling with tummy on floor)
Locomotion: crawling with tummy off floor (hands and knees)
Walk with assist
Walk alone (first steps)
Locomotion (crawling with tummy on floor): 6 months
Locomotion: crawling with tummy off floor (hands and knees): 9 months
Walk with assist: 11 months (walks around furniture)
Walk alone (first steps): 12 months.
Review nutrition/feeding in the first year of life.
What is best for first 6 months?
What supplement for breastfed babies?
What until 12 months?
Breast milk is best for first 6 months of life.
Vitamin D supplementation for exclusively breastfed babies!
Breastmilk or iron-fortified formula until 12 months.
No what before 12 months??
NO cow’s milk before 12 months. (digestive system can’t handle proteins)
NO honey before 12 months (Botulism- muscle paralysis caused by thetoxin).
Introduction of solid foods:
Rice cereal?
Baby food/puree foods?
Introduce foods at intervals of?
Rice cereal ~5 months
Baby food/puree foods 5-6 months
Introduce foods at intervals of 4-7 days to allow for identification of food allergies (give only peas for a week, then change it)
Review language development in the first year of life and concerns related to absence or regression of language.
-Crying is first verbal communication
-Vocalizations
-Coo, gurgles, and laugh by 4 months
-Babbles and imitative sounds by 6 months
-Mama and dada by 9 months
-Three to five words with meaning by age 1 year
Review Erikson’s Psychosocial Development for the infant (birth to 18 months).
birth to when?
Trust vs mistrust
Trust vs Mistrust
-Birth to 18 months
-Trust is developed if the infant’s comfort, feeding, and care needs are consistently met.
-Mistrust develops if needs are not consistently met.
-Forming a sense of trust in the world
Identify ways to promote safety & injury prevention (e.g., car seat safety).
Back-seat, Rear facing
as long as car seat will allow for height and weight (up to age 4)
