key points for infants Flashcards
preterm
> 34wks
LATE PRETERM
34-36WKS
TERM
37-42WKS
POSTTERM
> 42WKS
EXTREMELY LOW BIRTH WEIGHT
> 1000G
VERY LOW BIRTH WEIGHT
> 1500G
LOW BIRTH WEIGHT
> 2500G
NORMAL BRITH WEIGHT
> OR = 2500G
SGA
> 10th percentile
AGA
10-90TH PERCENTILE
LGA
> 90TH PERCENTILE
LGA PROBLEMS
HYPOGLYCEMIA
PRETERM AGA
- PRONE TO RESPIRATORY DISTRESS
- APNEA
- PATENT DUCTUS ARTERIOSUS LEFT TO RIGHT SHUNT
- INFECTION
PRETERM SGA
- ASPHYXIA
- HYPOGLYCEMIA
- HYPOCALCEMIA
FONTANELS AND WHEN THEY CLOSE
Anterior fontanel: front (4-6cm closes by 4-26 months)
Posterior fontanel: back (1-2cm closes by 2months)
state regulation
self consoling
Jaundice
- Infant jaundice occurs because the baby’s blood contains an excess of bilirubin.
- Infant jaundice usually occurs because a baby’s liver isn’t mature enough to get rid of bilirubin in the bloodstream
- severe infant jaundice or inadequately treated jaundice may cause brain damage.
when does weight triple for infant
by 1 years old
when does height increase by 50%
by 1 years old
Developmental Milestone: Birth
physical: moves all extremity’s
cognitive/language: Responds to sound
social/emotional: calmed by feeding
Developmental Milestone: 1 month
Physical:fixes/follows, head control
Cognitive/language: Responds to sound
Social/emotional:social smile, recognizes parents
Developmental Milestone: 2 month
Physical: fixes/follows, head control
Cognitive/language: Responds to sound, Squeals Social/emotional: smiles, regards face
Developmental Milestone: 3 months
physical: rolls over, grasps rattle
cognitive/language: imitates speech sounds
social/emotional: works for toy
Developmental Milestone: 4 months
physical: rolls over, grasps rattle cognitive/language: imitates speech sounds social/emotional: works for toy, feeds self
Developmental Milestone: 5 months
physical: rolls over, grasps rattle, sits
cognitive/language: imitates speech sounds social/emotional: works for toy, feeds self
Developmental Milestone: 6 months
physical: sits, thumb-finger grasp
cognitive/language: Dada/mama specific
social/emotional: feeds self
Developmental Milestone: 7 months
physical: pulls to stand
cognitive/language:
social/emotional:indicates wants
Developmental Milestone: 8 months
physical: pulls to stand
cognitive/language: dada/mama
social/emotional: indicates wants
Developmental Milestone: 9 months
physical: crawls
cognitive/language:
social/emotional:
Developmental Milestone: 10 months
physical:crawls- stands
cognitive/language:2 words
social/emotional:imitates activites
Developmental Milestone: 11 months
physical: stands
cognitive/language:2-3words
social/emotional:uses spoon
Developmental Milestone: 12 months
physical: walks
cognitive/language: 3 words
social/emotional: uses spoon
tips for examining Infant
- stay in moms or dads lap
- give toy for distraction
- speak softly
- save mouth and ear for last
chvosteks sign
percuss cheek to check. positive sign produces facial grimacing caused by repeated contractions of facial muscle. present in some metabolic disorders
strabismus
persisting beyond 3 motnhs may indicate ocular motor weakness
nystagmus
my indicate poor vision or central nervous system disease if persistent past a couple days
red reflex
if white seen can be sign of retinoblastomo
Respiratory rate
60 normal in birth to 2 months 50 normal in 2 months to 12 years
teeth
one each month for between 6- 26 months 20 primary
Heart rate Birth - 1 month
average 140 range 90-190
Heart rate 1-6 month
average 130 range 80-180
Heart rate 6-12 month
average 115 range 75-155