Week 1 - Infant

Question 1

Growth rate:

• Birth-6 months
• 6 months-1 year

Answer 1

• Birth to 6 months: 1 inch/month

- 6 months to 1 year: 1/2 inch/month

Question 2

Weight gain:

• 6 months
• 1 year

Answer 2

6 months: double

1 year: triple

Question 3

Head Circumference monitors ___ ____ and _______

Answer 3

Monitors brain growth and development

Question 4

Pediatric vitals

• Temp
• HR
• RR

Answer 4

• Temp: 99-99.7 f
• HR: 80-150 (up to 200 with fever/excitement)
• 24-50

Question 5

What is a Denver?

Answer 5

Denver is a developmental screening tool that looks at the child’s social, fine and gross motor kills, and language

Question 6

What is the best source of nutrition at least through the first birthday?

Answer 6

Breast feeding - exclusive breast feeding is recommended through first 6 months

Question 7

Ideal combo of nutrition and what is its purpose?

Answer 7

• high fat + high cal + high protein

- maximizes brain development

Question 8

Formula techniques (5)

Answer 8

• Mix formula with tap water or bottled water
• Use only cold water from tap and run it for 2 min before using
• Must refrigerate once its been mixed
• Discard leftovers, don’t save or reheat
• Prepare only as much as the infant will consume

Question 9

Can you feed a baby cow’s milk?

Answer 9

NO! The baby cannot digest it yet and thus could cause GI bleeding

Question 10

What fluid is NOT recommended?

Answer 10

Fruit juice

Question 11

Starting solid foods

• Newborn to 3 months
• 4-6 months
• 7-11 months

Answer 11

• Newborn to 3 months: NO solid foods
• 4-6 months: iron-fortified cereals, then protein, then veg/fruits (maintain the protein+cal+fat combo)
• 7-11 months: offer finger foods, introduce the cup

Question 12

• Anterior fontanel should be ____ and ___
• Anterior fontanel almost closed by:
• Posterior fontanel closes by:

Answer 12

• Anterior fontanel should be open and flat
• Anterior fontanel is almost closed by 12 months
• Posterior fontanel usually closes by 2 months

Question 13

• Tearless cries until what age?

- Why check ear alignment?

Answer 13

• Expect tearless cry until 3 months

- Asymmetrical ears may indicate congenital anomalies

Question 14

What kind of breathers are they and for how long?

Answer 14

Obligate nose breathers for at least 5 months

Question 15

FLACC Pain Scale

Answer 15

• face
• legs
• activity
• cry
• consolability
  (0 - 2)

Question 16

Sleep

• Birth to 3 months
• 3-6 months
• 6-12 months

Answer 16

• Birth to 3 months: 10-16 hrs/day
• 3-6 months: 14 hrs/day
• 6-12 months: 12-14 hrs/day

Question 17

Sleeping position

Answer 17

Always place baby on back to sleep

Question 18

Oral Health (3)

Answer 18

• Wipe gums 1-2 times/day
• Do not nurse or use bottle while in bed –> could cause caries
• When teething, offer safe, cool toys for comfort

Question 19

Passive Immunity provides ______ for the first ____ of life

Answer 19

Passive immunities provides some protection for the first 6 months of life
- but this decreases after

Question 20

Do RNs need an order to give an immunization?

Answer 20

No!