Nursing Care of Children Flashcards
Types of Play
Infants- solitary play
Toddlers- parallel play
Preschoolers- associative play
School-age: cooperative play
Weight Milestones of Infants/Toddlers/School Age
Will loose up to 10% of birth weight by 4 days old
Avg weight of a 6 month old is 16 lbs
Birth weight is tripled by 1 year
At 30 months, kids should weigh 4x their birth weight
gain 2-3 kg (4.4-6.6 lb)/yr b/w ages 6-12
Height By 12 Months
Babies increase their birth height 50% by the first year
Appearance of Teeth
First teeth appear between 6 and 10 months
6-8 teeth by the end of the first year
Fontanelles
Posterior fontanelle closes by 6-8 weeks
Anterior fontanelle closes by 12-18 months
1 month old milestones
Grasp reflex, head lag
3 month old milestones
lifts head and shoulders off mattress, disappearance of grasp reflex
6 month milestones
Rolls from back to front (this begins around 5 months), holds bottle
7 month milestones
Moves object from hand to hand, bears weight on feet
8 month milestones
Sits unsupported, Begins using pincer grasp
12 month milestones!!!!!!!
Sits down from a standing position w/o assistance
Tries to build a 2 block tower w/o success, can turn pages
Reflexes
Babinski- stroking the bottom of the child’s foot, disappears by 1 year
Stepping reflex- hold child and they make a step disappears by 4 weeks
Extrusion reflex- child spits out food when put on tongue, disappears by 4 months
Moro reflex- extension of arms and legs when child is jarred, disappears by 3-4 months
Language
vowels by 2 months, consonants by 3 months, 3-5 words by 1 year
1 word sentences by 1 yrs old
300 words by 2 yrs old
Simple sentences by 3 yrs old
Toddler Height Growth Rate & Head Circ
Toddlers grow about 3 inches/year
*Head and chest circumference usually equal by 1-2 yrs old
Nephrotic Syndrome
*collection of symptoms due to kidney damage
expect HIGH CHOLESTEROL (do not expect high sodium, low Hgb, low platelets, etc.)
Cholerar implants do what?
Cochlear implants provide direct stimulation to the auditory nerve fiber
How should you feed post op cleft palate kids?
With a cup! just do it
immunizations
Birth: Hep B, Vit K
12 Months: MMR, Varicella, Hep A
9 years old: Tetanus (and then every 10 yrs), HPV
