Ati: Development of infants (2 days to 1 yr)

Question 1

How much birth weight is lost in the first few days of birth?

Answer 1

5-10% of total weight but it is regained withing 2 wks

Question 2

How much weight is gained within the first 6 months for infants?

Answer 2

5-7oz (150-210g) per month

Question 3

In infants what are the key indicators of growth?

Answer 3

Crown to rump
Head to heel
Head & chest circumference

Question 4

A new mother complains of little soft long hairs growing on infants back. Would you say that this is normal, what is this called?

Answer 4

Normal, Called Lanugo

Question 5

What is molding?

Answer 5

Overlapping of the soft skull bones which allows fetal head to fit through birth canal, Fontanels are palpable

Question 6

What are the expected reflexes in infants?

Answer 6

Startling, suckling
Plantar & palmar grasp
Babinski, grasping, yawning, coughing

Question 7

As a nurse what s the purpose of testing for presence of infant reflexes?

Answer 7

Identify neurological damage

Question 8

What does the body position look like for a typical infant?

Answer 8

Flexed at rest

Symmetrical movement of all 4 extremities

Question 9

What does a typical sleep pattern look like for infants?

Answer 9

Reversed(vampire baby)

15 hrs of sleep per night

Question 10

List the expected cognitive development for infants

Answer 10

Learn to respond to visual stimulation

Cry as form of communication & reflect their physiological & caring needs

Question 11

You notice at 2 weeks after birth the infant starts to mimic your smile, what is this a sign of?

Answer 11

Normal Psychosocial development

Question 12

Positive interactions of the infant & caregiver lead to what?

Answer 12

Attachment & nurturing

Question 13

when does the posterior fontanel normally close?

Answer 13

2-3 months

Question 14

When does the anterior fontanel normally close?

Answer 14

12-18 months

Question 15

An older infant gains how much weight by 4-6 months?

Answer 15

2x birth weight

Question 16

AN older infant gains how much weight by the end of the first year?

Answer 16

3x birth weight

Question 17

In the first 6 months how tall does the infant grow per month?

Answer 17

1 inch per month

Question 18

For the second half of the first year an infant grows how tall per month until the end of the first year?

Answer 18

0.5 in per month

Question 19

An infants head circumference grows how much in the first 6 months?

Answer 19

0.5 inches

Question 20

An infants head circumference grows how much in the second half of the first year?

Answer 20

0.5 cm(0.2in) per month

Question 21

How much teeth erupt in an infant by the end of the first year?

Answer 21

6-8 teeth

Question 22

What can you use in a teething infant to alleviate the pain?

Answer 22

Cold teeth rings, OTC teething gels, & acetaminophen or ibuprofen

Question 23

How do you clean the teeth of a teething infant?

Answer 23

Use a cool wet & clean washcloth

Question 24

Why is it important to not give infants a bottle before bed or for a prolong period of time?

Answer 24

it can lead to dental carries: Bottle-mouth carries

Question 25

An infant recognizes the world & thinks in the form of what?

Answer 25

Symbols

Question 26

When does an infant develop object permanence? what does this mean?

Answer 26

9 mnths, this is a sign of developing memory

Question 27

You notice that your infant is touching tasting all kinds of objects & is also exploring their environment more, what does this mean?

Answer 27

The infant learned that they are separate from the environment & others

Question 28

How much words can an infant speak?

Answer 28

2-3 word phrases

Question 29

The infant can pronounce how much syllables?

Answer 29

1 syllable words

Question 30

An infant begins to respond to noises, & comprehend simple commands, what does this indicate?

Answer 30

Language development

Question 31

When does the infant develop separation anxiety?

Answer 31

4-8mnths

Question 32

When does the infant develop stranger fear?

Answer 32

6-8mnths

Question 33

Separation recognition is a result of what?

Answer 33

The infant recognizing that they are separate from env. leading to them responding to people around them

Question 34

What is the goal of Trust vs Mistrust?

Answer 34

Establish attachment through meeting infants needs with positive interaction

Question 35

When do infants distingui themselves from their parents?

Answer 35

By the end of the first year

Question 36

What are the Body image changes in infants?

Answer 36

Discover mouth produces pleasure Play with hands & feet Smiles

Question 37

What kind of play do infants engage in?

Answer 37

Solitary play

Question 38

What kind of toys can infants play with?

Answer 38

Those that stimulate the senses: | Rattles, teething toys, hand games, reading books

Question 39

What should parents screen their infants for?

Answer 39

Metabolic disorders: PKU & galactasemia

Question 40

During the first year what immunizations are giver to the infant?

Answer 40

``` Hep B Diptheria Tetanus Pertussis RotaVirus Polio Influenza Pneumococcal pneumonia ```

Question 41

When can you start introducing solids to an infant?

Answer 41

around 4-6 mths

Question 42

When can a mother wean off from breast milk?

Answer 42

When the infant can drink from a cup

Question 43

What are some feeding alternatives?

Answer 43

Iron fortified formula, Never give cows milk before age 1 (insufficient nutrients)

Question 44

What foods must be avoided in the first 6 months?

Answer 44

ilk, eggs, wheat, citrus fruits, peanuts, & peanut butter

Question 45

What food can cause infant botulism if given under 12 months?

Answer 45

Honey