Peds Exam 1- Infants Flashcards
when we think growth and development we must think
safety and how to promote it in the hospital
infancy age group
birth to 12 months (first 28 days is neonatal)
toddler age group
1 years old to until they turn 3 years old
preschooler age group
3 years old until they turn 6 y/o
School age age group
6 years old until they turn 12 y/o
prepubertal age group
10 until they turn 13 y/o
adolescence
13 until they turn 18y/o
piaget sensorimotor age group
birth until 2y/o
piaget preoperation age group
2 until 6 y/o (school age)
piaget operaiton age group
school age
piaget formal operaiton age group
adolescences
Erikson: infant
trust vs mistrust
Erikson: toddler
autonomy vs shame & doubt
Erikson: preschooler
initiative vs guilt
Erikson: school ager
industry vs inferiority
Erikson: adolescence
identity vs role confusion
infant weight
-lose 10% after birth
-gain 1oz/d (5-7 oz/wk) until 6 mo
-doubles wt by 6 mo
-triples wt by 1 yr
when do we get concerned about a child’s weight
-if a child is not back to birth weight by 2mo
-if child is not gaining 5-7oz per week until 6mo
infant height
-1in/mo unitl 6mo
-increase 50% by 1 yr
infant head growth
0.5 in/mo until 6mo
what do we measure for OFC
occipital circumference to ensure brain growth & nothing is wrong
anterior fontanelle closes
by 18 months
if answers mentions fontanelle pasted closure time, distractor
posterior fontanelle closes between
6-8 wk
what can the fontanelles (esp the anterior) assess
hydration (sunken = dehydrated, bulging = increased inter-cranial pressure)
how many times does an infant breath per minute
30-40x
infant normal temp
rectal: 90-99.5
axillary: 97.6-98.6
infant HR
100-160 bpm
infant BP
75/42
startle reflex
-appears @ birth
-until 4mo
-stim: loud noise or head drop
-rx: arms spread, fingers extended & then flex
rooting reflex
-appears @ birth
-until 3 to 4 mo
-stim: stroke cheek
-rx: turns head & opens mouth
palmer grasp reflex
-appears @ birth
-until 3 to 6 mo
-stim: place finger in palm
-rx: all fingers flex around finger
asym tonic reflex
-appears @ birth
-until 4 to 6 mo
-stim: supine baby -> turn head & hold 15sec
-rx: turn side arm&leg extend, other side flexes
babinski reflex
-appears @ birth
-until 2 yrs
-stim: stroke bottom of foot from heal to toes
-rx: big toe flexes towards top of foot, other toes fan