Pediatric Growth and Development

Question 1

Infant (Newborn to 1 Month)

What are the signs of normal growth?

Answer 1

1. They gain 5-7 oz per week
2. They grow 1.5 cm in length each month
3. Head Circumference increases by 1.5 cm each month

The focus will be to have the newborn triple their birth weight by the time they are 1 years of age.

Question 2

Infant (Newborn to 1 month)

What are the strandard vital signs?

Answer 2

RR 30 - 50 BPM

HR 80 - 220 BPM (apical pulse)

Temp: 99.5f

BP: 65-78/41-52

Question 3

Infant (Newborn to 1 Month)

What physical/motor skills should be present in a newborn to 1 month old?

Answer 3

FINE:

1. Holds hand in a fist
2. Draws arms and legs to the body when crying

GROSS:

1. Lift head while prone
2. Alerts to high pitched voices, comforts when touchted
3. Reflexes.

Question 4

Infant (Newborn to 1 month)

What reflexes should be present in a newborn and 1 month old?

Answer 4

1. Tonic Neck Reflex (fencer position)
2. Moro Reflex (Startle reflex)
3. Stepping Reflex (when held and feet placed on a flat surface, baby will make “walking” motions
4. Palmar Grasp Reflex
5. Rooting Reflex
6. Sucking Reflex
7. Plantar Reflex (Babinski Response)

Question 5

Infant (Newborn to 1 Month)

What Immunizations are requred for a newborn to 1 month old

Answer 5

Hepatitis B

Vitamin K

Question 6

Infant (Newborn to 1 month)

What language and communication skills should this infant display?

Answer 6

Coos

Babbles

Cries

Question 7

Infant (Newborn to 1 month)

What type of thinking or cognitive skill should be present at this level of development?

Answer 7

Sensorimotor

Question 8

Infant (Newborn to 1 month)

What of psychosocial/emotional development shold be present in a child this age?

Answer 8

Erickson’s Trust vs Mistrust

1. based on the quality of the relationship with the caregiver
2. Trust is developed by meeting the comfort, feeding, stimulation, caring needs of the infant
3. Mistrust is developed by either not meeting the needs or meeting them inconsistently

Question 9

Infant (Newborn to 1 month)

What type of nutrition is important for a child in this age group?

Answer 9

1. Breast milk
2. Iron Fortified Formula
3. Vitamin D supplements

Question 10

Infant (Newborn to 1 month)

What type of sleep requriements are essential for healthy development?

Answer 10

This infant will require 14-15 hours of sleep a day

Question 11

Infants (Newborn to 1 Month)

What type of play activites are children of this age engaged in?

Answer 11

1. Mobiles
2. Black and White patterns
3. Mirrors
4. Music Boxes
5. Tape players
6. soft voices
7. Rocking and cuddling
8. moves arms and legs when adults sing
9. varying stimuli (moving from room to room)

Question 12

Infant (Newborn to 1 month)

What type of safety measures should be in place for an infant?

Answer 12

1. Falls- do not leave newborn or infant unsecured in infant seat, do not place on high surfaces unless holding child
2. Burns - Check temperature of bath water and formula
3. Motor Vehicle - use only approved restrain systems, rear-facing in the back seat
4. Drowning - never leave a newborn or infant alone in a bath
5. Poisoning - Keep medicine out of reach
6. Choking - Keep small toys away from infants
7. Suffocation - always position on back for sleep; no pillows, stuffed toys, bumpers, blankets, or latex balloons in the crib
8. Strangulation - Mattress must fit tight against the crib, slats should be no more than 6 cm apart.