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Child Health: Infant
PVAMU: Growth and Dvelopment: Newborn/Infant (Exam 1)
Question | Answer |
---|---|
How much body weight do newborn lose over 1st 5 days | 10% |
The anterior fontanels are open until_______ | 12-18 months |
Babinski Reflex ~ Disapears______ ~ Type Primitive or Protective?? | Stroking along the lateral aspect of the sole and across the plantar surface results in fanning and hyperextension of the toes. ~ Disapears @ 12 months ~ Primitive |
Respiratory rate of an infant | 30-60 bmp |
Respiratory rate of a 12 month old | 20-30 bmp |
Rooting reflex ~ Disappears_____ ~ Type Primitive or Protective?? | When infant's cheek is stroked, the infant turns to that side, searching with mouth. ~Disappears @ 3 months ~ Primitive Reflex |
Suck Reflex ~ Disappears_____ ~ Type Primitive or Protective?? | Reflexive sucking when nipple or finger is placed in infant's mouth ~ Disappears @ 2-5 months ~ Primitive Reflex |
Moro Reflex ~ Disappears_____ ~ Type Primitive or Protective?? | With sudden extension of the head, the arms abduct and move upward and the hands form a “C.” ~ Disappears @ 4 months ~ Primitive Reflex |
Asymmetirc Tonic Neck ~ Disappears_____ ~ Type Primitive or Protective?? | While lying supine, extremities are extended on the side of the body to which the head is turned and opposite extremities are flexed (also called the “fencing” position). ~ Disappears @ 4 months ~ Primitive Reflex |
Plamar Grasp ~ Disappears_____ ~ Type Primitive or Protective?? | Infant reflexely grasp when palm is touched ~ Disappears @ 4-6 months ~ Primitive Reflex |
Plantar Grasp ~ Disappears_____ ~ Type Primitive or Protective?? | Infant reflexively grasp with bottom of foot when pressure is applied to plantar surfance ~ Disappears @ 9 months ~ Primitive Reflex |
Step Reflex ~ Disappears_____ ~ Type Primitive or Protective?? | When on foot on a flat surfac, the infant puts the other foot down as if to "step" ~ Disapears @ 4-8 weeks ~ Primitive Reflex |
Neck Righting ~ Appears______ ~ Type Primitive or Protective?? | Neck keeps head in upright position when body is tilted ~ Appears @ 4-6 months ~ Protective Reflex |
Parachute (Sideways) ~ Appears_____ ~ Type Primitive or Protective?? | Protective extension with the arms when tilted to the side in a supported sitting position ~ Appears @ 6 months ~ Protective Reflex |
Parachute (forward) ~ Appears_____ ~ Type Primitive or Protective?? | Protective extension with the arms when held up in the air and moved forward. The infant reflexively reaches forward to catch himself. ~ Appears @ 6-7 months ~ Protective Reflex |
Parachute (backwards) ~ Appears_____ ~ Type Primitive or Protective?? | Protective extension with the arms when tilted backward ~ Appears @ 9-10 months ~ Protective Reflex |
Lack of IgA in mucosal linging of the upper respiartoy track contributes to_______ | frequent infections |
Newborn pulse rate | 120-140 bpm |
Infant (1 years old) pulse rate | 100 bpm |
Stomach capacity of a newborn | 1 oz |
Ability to conjugate bilirubin and secret bile is present after_____ | 2 weeks |
When is glomeruli fully matured? | 2 years old |
Iron stores are sufficient for the first______ of life but will become depleted if iron supplementation does not occur. | 6-9 months |
The average 12-month-old has _______teeth. | 4-8 |
First primay teeth begin to erupt between the ages of ________ | 6-8 months |
Trust Vs Misturst | When the infant's needs are consistently met, the infant develops this sense of trust. But if the parent or caregiver is inconsistent in meeting the infant's needs in a timely manner, then the infant develops a sense of mistrust. |
Cephalocaudal | The development of GROSS motor skills from head to toe |
Gross Motor Skills: 1 month | Lifts and turns head to side in prone position ~ Head lag when pulled to sit ~ Rounded back in sitting |
Gross Motor Skills: 2 months | Raises head and chest, holds position ~ Improving head control |
Gross Motor Skills: 3 months | Raises head to 45 degrees in prone ~ Slight head lag in pull to sit |
Gross Motor Skills: 4 months | Lifts head and looks around~Rolls from prone to supine~Head leads body when pulled to sit |
Gross Motor Skills: 5 months | Rolls from supine to prone and back again~Sits with back upright when supported |
Gross Motor Skills: 6 months | Tripod sits |
Gross Motor Skills: 7 months | Sits alone with some use of hands for support |
Gross Motor Skills: 8 months | Sits unsupported |
Gross Motor Skills: 9 months | Crawls, abdomen off floor |
Gross Motor Skills: 10 months | Pulls to stand~Cruises |
Gross Motor Skills: 12 months | Sits from standing positionWalks independently |
Proximodistal | Development of FINE motor skills from the center to the periphery |
Fine Motor Skill Examples | INfant batting hand or 12 months old feeding him/herself |
The newborn is __(1)__ preferring to view objects at a distance of ___(2)__ | (1)nearsighted ~ (2) 8 to 15 inches |
Binocularity is________ ~ It develops at___(1)____and is well established at __(2)__ | The ability to fuse two ocular images into one cerebral picture. ~ (1)6 weeks (2) 7 months |
Color vision devleops by________ | 7 months |
Sense of smell develops (slowly/rapidly) | Rapidly (7 day old infant can smell the diffrence between his mothers milk) |
Fine Motor Skills: 1 Month | Fists mostly clenched~Involuntary hand movements |
Fine Motor Skills: 3 Months | Holds hand in front of face, hands open |
Fine Motor Skills: 4 Months | Bats at objects |
Fine Motor Skills: 5 Months | Grasps rattle |
Fine Motor Skills: 6 Months | Releases object in hand to take another |
Fine Motor Skills: 7 Months | Transfers object from one hand to the other |
Fine Motor Skills: 8 Months | Gross pincer grasp (rakes) |
Fine Motor Skills: 9 Months | Bangs objects together |
Fine Motor Skills: 10 Months | Fine pincer grasp~Puts objects into container and takes them out |
Fine Motor Skills: 11 Months | Offers objects to others and releases them |
Fine Motor Skills: 12 Months | Feeds self with cup and spoon~Makes simple mark on paper~Pokes with index finger |
Age infant smiles | 2 months |
Age infant interacts with caregiver by smiling widely and gurling | 3 months |
Age wheninfant mimics the paretns facial movements | 3-4 months |
Age when infant enjoys socially interactive games i.e. patty cake | 6-8 months |
Stranger Anxiety~Develops~ | The perviously happy infant becomes slingy and whiny when approached by strangers. ~ Develops @ 8 months~ Infant recognizes him/herslef as a separte individual. |
Most common cause of death for infants ages 6-12 months | Injury |
Infant car seat should face the __(1)__of the car until the infatn is __(2)__of age adn weights___(3)_____ pounds | (1) rear (2) 12 months (3) 20 lbs |
When should solid foods be introduced? | 4-6 months |
Fluid Requirements: Infant | 100 ml/kg/day for first 10 kg ~ 50ml/kg/day for next 10 kg |
Fluid Requirements: Newborn | 140 ml/kg/day |
Calorie Requiremnets: Infant | 1 to 6 months: 108 kcal/kg ~ 6 to 12 months: 98 kcal/kg |
Calorie Requiremnets: Newborn | 105-108 kcal/kg/day |
Let-Down Reflex | When the baby sucks at the breast, oxytocin is released from the posterior pituitary, causing the lactiferous sinuses to contract.The let-down reflex is triggered not only by suckling at the breast but also by thinking of the baby or when the baby cries. |
Cow's milk provides________kcal | 20kcal/ounce |
Ability to swallow solid foods doesn't become completely functional until_______ | 4-6 months |
Introduce new foods every __(1)__days to allow for the identification of __(2)__ | (1) 4 to 7 days (2) food allergies |
When should a cup be introduced | 6 to 8 months |
Weaning from the bottle at age __(1)__ helps to prevent__(2)__ | (1) 12 to 15 months (2) dental caries |
T/F: Physical discipline i.e. spanking can be used during infancy | False |
Colic~When dose it resolve?~ Possible causes? | inconsolable crying that lasts 3 hours or longer per day and for which there is no physical cause.~3 months~gastorintestinal/ neurological problems, temperament or paretning styles. |
Always burp baby at least ______times per feeding | 2 or 3 times |
Keep the baby upright for __(1)__minutes after feeding and do not lay the infant__(2)__ | (1) 30 minutes (2) Prone |
When should pacifier weaning begin? | 6-9 months |
S&S of a teeting infant | Excessive drooling, giting on hard objects, increase finger sucking, irritablity, refusal to eat, and sleeping troubles |