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FINALS MCN LEC > CARING OF A FAMILY WITH AN INFANT > Flashcards

CARING OF A FAMILY WITH AN INFANT Flashcards

1
Q

infant avg birth weight

A

3500 grams

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2
Q

infant weight First 6 months

A

2 lbs/month = DOUBLES BW

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3
Q

infant weight second 6 months

A

1 lb/month = DOUBLES BW

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4
Q

infant weight 12 months

A

↑ 50%

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5
Q

infant avg birth height

A

20 in / 46-54 cm

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6
Q

infant birth height first 6 months

A

↑ 1 in/month

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7
Q

infant birth height first 12 months

A

↑ 50%

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8
Q

INFANT HEAD CIRCUMFERENCE at birth

A

35 cm

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9
Q

INFANT HEAD CIRCUMFERENCE FIRST 6 MONTHS

A

↑ 1.5 cm/month

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10
Q

INFANT HEAD CIRCUMFERENCE SECOND 6 MONTHS

A

↑ 0.5 cm/month

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11
Q

Anterior fontanelle closes at

A

12-18 months

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12
Q

Posterior fontanelle closes at

A

2 months

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13
Q

CHEST CIRCUMFERENCE Should be _________than head circumference.

A

2-3 cm smaller

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14
Q

infant Heart rate slows to

A

100-120 beats per minute.

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15
Q

infant Pulse rate slows with inhalation

A

sinus arrhythmia

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16
Q

infant Blood pressure elevates to

A

100/60 mmHg

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17
Q

Fetal hemoglobin → adult hemoglobin at____of age.

A

5-6 months

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18
Q

infant Serum Fe↓ at

A

6-9 months

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19
Q

infant Respiratory rate slows to

A

30-60 breaths per minute

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20
Q

infants has _____mucous production

A

INSUFFICIENT

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21
Q

Amylase is deficient in infants until

A

3 months

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22
Q

infant has deficient_____& immature_____

A

lipase; liver & urinary system

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23
Q

Average urine output of infants

A

350-550 ml/day

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24
Q

infant’s endocrine system is immature to_____

A

pituitary stimulation

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25
Q

infant’s immune system is fxnal at

A

2 months

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26
Q

infant’s IgG and IgM produced at

A

12 months

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27
Q

infants shiver at

A

6 months

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28
Q

infant’s ECF is _____ of body weight

A

35%

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29
Q

infant’s CF is _____ of body weight

A

40%

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30
Q

Regards object at midline and 18 inches away.

A

1 MONTH

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31
Q

follows object across midline

A

follows object across midline

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32
Q

recognizes familiar objects

A

4 MONTHS

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33
Q
  • Organized depth perception
  • may develop STRABISMUS
A

6 MONTHS

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34
Q

pats image in a mirror

A

7 MONTHS

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35
Q

looks for concealed object

A

10 MONTHS

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36
Q

Quiets momentarily at a distinctive sound.

A

1 MONTH

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37
Q
  • Stops an activity at the sound of spoken words
A

2 MONTHS

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38
Q

Turns head to locate a sound

A

3 MONTHS

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39
Q

Looks in the direction of a distinctive sound

A

4 MONTHS

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40
Q

Localizes sounds downward and to the side

A

5 MONTHS

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41
Q

Locates sounds made above them

A

6 MONTHS

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42
Q

Recognizes name and listens when spoken to

A

10 MONTHS

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43
Q
  • Locates sounds in any direction & turn toward it
A

12 MONTHS

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44
Q

infants Smells accurately within

A

1 or 2 hours after birth

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45
Q

infants Responds to irritating smell by

A

drawing back

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46
Q

Lifts and turns head side to side

A

NEONATE

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47
Q

No head lag

A

3 MONTHS

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48
Q

Rolls from front to back

A

5 MONTHS

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49
Q

Sits leaning forward

A

7 MONTHS

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50
Q

Sits without support

A

8 MONTHS

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51
Q

Creeps, pulls self to stand

A

9 MONTHS

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52
Q

Cruises

A

10 MONTHS

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53
Q

Stands alone, walks with support

A

12 MONTHS

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54
Q

1 MONTH

A

Strong grasp reflex

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55
Q

Grasps reflex fades

A

2 MONTHS

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56
Q
  • Reaches for objects
A

3 MONTHS

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57
Q

Brings hand together and pull clothes

A

4 MONTHS

58
Q

Reach and pick up objects with the whole hand

A

5 MONTHS

59
Q

Holds object with both hands

A

6 MONTHS

60
Q
  • Transfers toy from one hand to another
A

7 MONTHS

61
Q

Uses PINCER GRASP

A

10 MONTHS

62
Q

Draws semi-straight line, builds tower of 2 block

A

12 MONTHS

63
Q
  1. Establish schedule
  2. Ensure that care be given largely by one person
  3. Respond to needs promptly
A

WAYS TO PROMOTE TRUST

64
Q

Stranger anxiety at

A

8 months

65
Q

WAYS TO MINIMIZE ANXIETY:

A
  1. Cuddling and warmth of caregiver
  2. Provide security object
66
Q

Social smile

A

2 MONTHS

67
Q

Recognizes familiar faces

A

3 MONTHS

68
Q

enjoys social interaction

A

4 months

69
Q

smile at mirror image

A

5 months

70
Q

beginning stranger anxiety

A

6 months

71
Q

peak of stranger anxiety

A

8 months

72
Q

show jealousy and affection

A

12 months

73
Q

INFANTS TYPE OF PLAY

A

Solitary Play (non-interactive)

74
Q
  1. mobiles
  2. mirrors
  3. music boxes
  4. stuffed animals
  5. rattles
A

1-3 months

75
Q
  1. squeeze toys
  2. busy boxes
  3. play gyms
A

4-6 months

76
Q
  1. textured toys
  2. bath toys
  3. large blocks
  4. large balls
A

7-9 months

77
Q
  1. books with large pictures
  2. building blocks
  3. push-pull toys
A

10-12 months

78
Q

coos

A

1 month

79
Q

differentiates cry

A

2 months

80
Q

squeal in response to smile

A

3 months

81
Q

bubbles and gurgles

A

4 months

82
Q

says simple vowel sounds e.g. mama

A

5 months

83
Q

imitates sounds

A

6 months

84
Q

pronounces combined syllables

A

8 months

85
Q

speaks first word, understands no-no

A

9 months

86
Q

says and understands ma-ma and da-da in correct context

A

10 months

87
Q

says 2 -10 words in correct context

A

12 months

88
Q

Birth or any time
1 DOSE
Tuberculosis

A

BCG

89
Q

6 weeks age
3 doses
4 wks inter
Diphtheria, Pertussis and tetanus

A

DPT

90
Q

6 weeks age
3 doses
4 wks inter
Poliomyelitis

A

OPV

91
Q

Birth or any time
3 doses
4 weeks inter
Hepatitis B

A

HEPATITIS B

92
Q

9 months age
1 dose
Measles

A

MEASLES

93
Q

BREAST MILK is the best food during the first

A

12 months

94
Q

may be given if there is milk allergy

A

Soy milk

95
Q

may be given if not breastfeeding

A

Commercial iron-fortified formula

96
Q

should be given if taking cow’s milk before 1 year of age

A

Vitamin C and Iron

97
Q

Vitamin C and Iron should be given if taking cow’s milk before

A

1 yr of age

98
Q

A newborn can hold milk approximately

A

30 ml (2 tablespoons)

99
Q

Infant feeding should not exceed

A

240 ml (1 cup)

100
Q

A normal full-term infant can thrive on breast
milk or iron-fortified formula exclusively until

A

4-6 months

101
Q

Biting movements begin at approximately

A

3 months

102
Q

Chewing begins at

A

7-9 months

103
Q

Extrusion reflex fades at

A

3-4 months

104
Q

Wait ________ before introducing new food

A

5-7 days

105
Q

Introduce only small amount of new food ____ at a time

A

(1-2 tsp)

106
Q

Do not initiate feeding until the infant is already

A

4-6 months old

107
Q

Do not use food opened_____ago

A

48 hours

108
Q

Cereal

A

5-6 months

109
Q

 Fortified with B vitamins and minerals
 Least allergenic type of food
 Prevents iron deficiency anemia
 Easily digested

A

Cereal

110
Q

Vegetables

A

7 months

111
Q

 Has higher iron content than fruits
 Usually offered at lunch
 Offer yellow and green vegetables

A

Vegetables

112
Q

Fruits

A

8 months

113
Q

 Best source of Vitamins C and A
 Adds texture and flavors to diet
 Added to cereal for breakfast and dinner
 Typical fruits include banana & peaches

A

Fruits

114
Q

Meat

A

9 months

115
Q

 Good source of protein, iron,& vitamin B
 Beef and pork are priority (have more iron than chicken)
 Typically added as part of an evening meal in place of cereal

A

Meat

116
Q

Eggs

A

10 months

117
Q

Egg yolk contains

A

iron

118
Q

egg whites contain

A

proteins

119
Q

part of egg should be given fist

A

Egg yolk

120
Q

– 1 inch cylinder objects like carrot or hotdog
– deflated balloons
– teddy bear with small button eyes
– clothing with small decorative items
– toys or rattles with small parts

A

ASPIRATION: Objects to avoid

121
Q

Avoid offering pop corn or peanuts until

A

5 years old

122
Q

Do not place infants_____in a bassinet

A

2 months and older

123
Q

Make sure that side rails of cribs are high enough
and _____

A

2 3/8 apart

124
Q

Use car seats until preschool or until child
reaches

A

40-60 lbs

125
Q

Place infants up to _____ in rear-facing seats in
the back seat

A

20 lbs

126
Q

Use sunscreen on a child over____when in direct or indirect contact to sunlight

A

6 months

127
Q

Do not expose to sunlight to more than

A

30 minutes at a time

128
Q

sleep 9-11 hours at night

A

3-4 months

129
Q

sleeps when not eating

A

Neonates

130
Q

morning and afternoon naps

A

12 months

131
Q

Give fluoride at

A

6-12 months

132
Q

Change diapers every

A

2-4 hours

133
Q

to prevent diaper rashes, apply

A

Desitin, A & D ointment or baby powder

134
Q

Acetaminophen (Tylenol) 10-15 mg/kg q4 hours for pain

A

Teething Management

135
Q

thumb sucking; Use pacifier as an alternative until

A

3 months

136
Q

Sleep Problems Management; Delay bedtime by

A

1 hour

137
Q

Constipation Management; Give apple juice ____or prune juice ______

A

(3-4 oz) ; (0.5-1 oz daily)

138
Q

Examine infants for anal fissure or tight anal sphincter if constipation lasts beyond

A

1 week

139
Q

for tight anal sphincters, Manual dilatation of sphincter ____

A

2-3 times daily

140
Q

Sit the infant for _____after feeding

A

half an hour

141
Q

Signs of Fungal Infection

A
  • Bright red and pinpoint lesions
  • Not relieved after 3 days
142
Q

Obesity Management; Avoid giving more than ____of formula daily

A

32 oz

FINALS MCN LEC (7 decks)

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