Infant growth and development Flashcards

1
Q

what is essential to normal infant physical and mental health

A

healthy pregnancy and positive early childhood environment

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2
Q

newborn’s viability depends on nurses understnaidn of balance to

A

chemical, physiological and anatomical Changes that occur as the fetus transitions to postnatal life

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3
Q

reflexes

A

responses following stimulation

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4
Q

reflexes that assist with survival

A

rooting and suckign

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5
Q

suck reflex

A

finge, nipple touches roof of mouth and infant begins to suck

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6
Q

when does the suck reflex become voluntary

A

4mo

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7
Q

rooting reflex

A

touch finger, cheek, lip, corner of mouth with nipple baby turns head into that direction, opens mouth takes in nipple and sucks

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8
Q

root reflex disappearance

A

after 4mo

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9
Q

swallowing reflex

A

sucking something that touches back of throat

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10
Q

swallowing reflex coordinates

A

suck and swallow

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11
Q

palmar grasp

A

finger in hand and curl to grasp

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12
Q

plantar reflex

A

rub foot and feet curl in; lessens 9-12mo

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13
Q

startle/moro reflex

A

life newborn from lying position and drop, startle them

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14
Q

when does startle disappear

A

after 4mo

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15
Q

babinski reflex

A

stroke side of foot and toes fan out and open

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16
Q

babinsky reflex disappearance and presence

A

disappear around 2yr; not present – neuro issue

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17
Q

Denver developmental screening test 2 age and screening occurrence

A
  • birth to 6yr

- 3 to 4mo, 10mo, 3yr

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18
Q

Denver developmental screening test 2 areas of development

A
  • personal-social
  • fine motor adaptive
  • language
  • gross motor
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19
Q

sensorimotor period

A

infants develop coordination to master activities that allow them to interact with environment

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20
Q

sensorimotor period: behavioral strategies age and what is it

A

4-10mo, know will give certain outcome

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21
Q

secondary circular reactions-shift

A

shift cognitive horizons beyond themselves and begin to act on outside world

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22
Q

secondary circular reactions-appear

A

appear to do things with purpose, more coordinated

-intentionally repeat action to elicit response

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23
Q

secondary circular reactions age

24
Q

pincer grasp

A

pick up food and feed selves, 8-9mo

25
coordination of secondary circular reactions
8-12mo, begins to use more calculated approaches to producing events, object permanence
26
tertiary circular reactions
deliberate variation of actions that bring desirable consequences, 12-18mo
27
nurse's role: promote
confidence in parents' ability to act to enhance infants' health
28
nurse's role: identify and perception
identify problems; family's perception of good/bad health practices
29
nurse's role: consequences
of unhealthy practices
30
nurse's role: help
parents recognize infant susceptibility, safety
31
nurse's role: teach
characteristics that influence health
32
Hepatitis B doses
1st: birth 2nd: 1-2mo 3rd: 6-18mo
33
Rotavirus vaccine times
1st-2mo | 2nd- 4mo
34
DTAP vaccine schedule
2mo, 4mo, 6mo, 15-18mo, 4-6yr
35
Haemophilus influenzae type vaccine schedule
2, 4, 6mo; booster-12-15mo
36
Pneumococcal conjugate vaccine schedule
2, 4, 6, 12-15mo
37
Inactivate poliovirus vaccine schedule
2, 4, 6-18mo, 4-6yr
38
Influenza vaccine schedule
6-15mo, 2nd dose is 1mo later
39
Varicella vaccine schedule
12-15mo, 4-6yr
40
Hepatitis A vaccine schedule
2 doses: 12-23mo, minimum interval is 6mo
41
TODDLER: SENSORIMOTOR PERIOD
- object permanence —> critical - representational thought - egocentrism (part of preoperational too)
42
TODDLER: erikson’s theory of autonomy vs shame and doubt (5)
- achieve a balance between self determination and control by others - relinquish dependence on others - say “NO” because do not want to be told what to do - need to explore world but protect them - temper tantrums (vocalize needs and establish authority)
43
TODDLER nutrition is needed for
Energy Cognition GI, immune system Physical development
44
TODDLER inadequate nutrition can lead to
Delayed recovery Immune system —> Infection Depletion of muscle mass
45
TODDLER: Nurse involvement in family —provide
Education focused on physical and developmental changes for toddlers
46
TODDLER: Nurse involvement in family —teach
Health promotion activities to toddlers
47
TODDLER: Nurse involvement in family —engage
In screening activities
48
TODDLER: Nurse involvement in family — promote
Routine health exams and child immunization schedule
49
TODDLER: Nurse involvement in family —education
Parents about resources available in community
50
TODDLER: areas of nursing interventions
Accidental Structural hazards Drowning Burns Motor vehicles (car seat safety) Poisoning
51
TODDLER: car seat safety
Safest to keep children in forward-facing back seat with harness until reaching maximum height of 4’9”
52
Infant car seat safety
Rear facing only
53
TODDLER: nursing dx
Delayed growth and development Imbalance nutrition, less than body requirements Interrupted family process Readiness for enhanced parenting Risk for caregiver role strain
54
TODDLER: piaget pre-operational stage
- symbolically with language | - egocentrism and irreversibility
55
TODDLER: Erickson initiative vs guilt
Sense of initiative experience: Vigorous activity and active imagination
56
Parental role and initiative
Promote initiative, nurture ideas, encourage behaviors for positive self concept
57
TODDLER: sleep amount and needs
8-12hr, including nap or quiet time Need a ritual and routine