Milestones Flashcards
Infant Milestones: Height
Height:
1”/month x 6 mo
50% increase by 12 mo
Growth spurts
Infant Milestones: Weight
Weight:
gains 5-7 oz/week x 6 mo
DOUBLES birthweight x 6 mo
TRIPLES birthweight x 12 mo
Infant Milestones: Feeding
Birth- 6 mo
-human milk #1 choice
4-6 mo: introduce solid good (1 food every 4-7 days)
6 mo: Fe+ supplements for breastfed babies since milk depleted
12 mo: NO COW MILK or free water until this time. Test for anemia
Infant Milestones: Teething
1st 2 years of life:
age of child in months- 6 = # of teeth
-wipe teeth and guma w/ cloth after feeding, take to dentist at 1 y.o.
Infant Milestones: ADL
Sleep: place on back to sleep
Play: solitary, so play w/ them
NO interactive play can cause developmental delay
Injury Prevention:
Aspiration is #1 risk
Infant Milestones: Reflexes
Reflexes:
diminishes 3-4 mo, disappears 4-6 mo
Normal is symmetrical
Disappears at 2 mo:
stepping, placing, Galant’s reflex
Disappears at 3 mo:
rooting, sucking
Disappears at 4-6 mo:
fencing, moro, palmer grasp
Disappears at 9-12 mo:
plantar grasp, babinski reflex,
Parachute APPEARS and persists through life
Infant Milestones: Gross Motor
2 mo:
beginning head control
4 mo:
head control, grasp objects and bring to mouth
5 mo:
roll from front to back
6 mo:
back to front
crawl
COMPLETE HEAD CONTROL
7 mo:
sits/support w/ hands, transfer b/w hands
8 mo:
sits w/ no support
MUST BE ABLE TO CONTROL HEAD & STRAIGHTEN BACK TO SIT
pull to stand
9 mo:
creep
10:
prone to sit
stands alone (watch for hip dysplasia 11-12 mo)
walks w/ assistance
12 mo:
walks independently
Infant Milestones: Fine Motor
2 mo:
palmer grasp fades
4 mo:
grasps & brings to mouth
7 mo:
transfers b/w hands
8-10 mo:
crude pincer grasp
10-11 mo:
fine pincer grasp
remove objects from a container
12 mo:
build a tower of 2 blocks
Infant Milestones: Language
Birth:
responds to sounds
crying is 1st form of communication
2 mo:
vowel sounds
3-4 mo:
babbles and coos
6-7 mo:
belly laughs, talks to toys
8-9 mo:
mama, dada, “bye-bye”, “no”
11-12 mo:
SAYS 3-5 WORDS W MEANING
understands meaning of words and recognizes names of objects
knows name, jabbers
Infant Milestones: Psychosocial (Erikson)
Trust vs. Mistrust
food
water
love
Infant Milestones: Social
6-8 weeks: smiles responsively
4 mo: separation anxiety
6 mo: shows anger or fear
8 mo: stranger anxiety
9 mo:
smiles at self in mirror
plays peek-a-boo
10-12 mo:
quiets self
mood changes
Infant Milestones: Cognitive (Piaget)
Sensorimotor Phase:
Stage 1- REFLEXIVE (0-1 mo)
sucking, rooting, grasping
Stage 2- PRIMARY CIRCULAR RESPONSE (1-4 mo)
reflexes replaced w/ voluntary acts
Stage 3- 2ND CIRCULAR RESPONSE (4-8 mo)
- repeats actions to prolong response)
- imitates expressions of emotion or feeling
Stage 4- COORDINATION OF 2ND SCHEMAS
- 6-8 mo
- exploration
- object permanence (plays peek-a-boo)
Infant Health Screening
1 mo:
length, weight, HC, vision + hearing, hereditary, metabolic
2,4, & 6 mo:
length, weight, HC, vision & hearing, developmental
9 mo:
length weight, HC vision & hearing, developmental, hemoglobin, lead
12 mo:
same as 9 mo, TB if at risk
Toddler (12-36 mo) Milestones: Height
3”/yr
Head circ 90% by 2 yrs
2 yrs = 1/2 adult height
Toddler Milestones: Weight
Gains 4-6 lbs/yr
birth weight quadrupled by 2.5 yrs
Toddler Milestones: Feeding
Develops food preferences
IMPROVES TASTE, SMELL, hearing, touch
Physiologic anorexia= fussy eater, decreased nutritional need
Toddler Milestones: Teething
Fluoride > 6 mo
low-cariogenic diet
Toddler Milestones: Body Image
Knows body parts by name
Recognize sexual difference by 2 yrs
Explores genitalia
Understands gender roles
Toddler Milestones: ADL
Skills:
feeding, playing, dressing, undressing self, strong willed, volatile behavior
Toilet Training:
able to stay dry for 2 hours, willing to please parents, curious about adult toilet habits, impatient w wet diapers
Injury Prevention:
MVC (car seats)
Toddler Milestones: Reflexes
18-24 mo:
voluntary sphincter control
MUST WALK & HAVE SPHINCTER CONTROL TO POTTY TRAIN
able to stay dry for 2 hours
Toddler Milestones: Gross Motor
12-13 mo: walks w wide stance
15 mo: walks well
2-2.5 yr: up and down stairs jump w/ both feet stand on one foot for 1-2 sec tiptoe
3 yr:
stand on one foot
walk on tiptoe
climb stairs alternating feet