Chapter 3: Health promotion of Infants (1m-1y) Flashcards Preview

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Flashcards in Chapter 3: Health promotion of Infants (1m-1y) Deck (82):
1

When does the infants posterior (back) fontanel close?

6-8 weeks

2

When does the infants anterior (front) fontanel closer?

12-18 months

3

How much weight do infants gain first 6 months of life?

5-7oz PER WEEK

4

Birth weight is ___ by age 6 months and is ____ by 12 months

doubled by 6 months
tripled by 12 months

5

How tall do infants grow per month during the first 6 months of life?

1 in per month

6

How tall do infants grow 6-12 months of life?

Spurts

7

The birth length has increased ___ by age 12 months

50%

8

The circumference of infants head increases approximately ___ per month for the first 6 months of life, and then approx. ___ between 6-12 months/

1.5 cm
0.5 cm

9

How many teeth should the infant have by end of first year? When do the first teeth erupt?

6-8; 6-10 months

10

How can teething be eased?

-Cold teething rings
-OTC teething gels
-Acetaminophen or ibuprofen appropriate if irritability interfere with sleeping and feeding but should NOT be used more than THREE DAYS (ibuprofen only used in 6months+)

11

How can a parent clean an infants teeth?

Cool, wet washcloth

12

Can bottles be given to infants when they are falling asleep?

No--it can cause prolonged exposure to milk or juice and can cause early childhood carries

13

Gross or fine motor skill:
Grasp reflex (1 month)

Fine

14

Gross or fine motor skill:
Raises head and shoulders off mattress when prone; only slight head lag (3 months)

Gross

15

Gross or fine motor skill:
Lifts head off mattress when prone (2 months)

Gross

16

Gross or fine motor skill:
Holds hands in an open position (2 months)

Fine

17

Gross or fine motor skill:
Rolls from back to side (4 months)

Gross

18

Gross or fine motor skill:
Uses palmar grasp dominantly (5 months)

Fine

19

Gross or fine motor skill:
Demonstrates head lag (1 month)

Gross

20

Gross or fine motor skill:
No longer has a grasp reflex &
Keeps hands loosely open (3 months)

Fine

21

Gross or fine motor skill:
Places objects in mouth (4 months)

Fine

22

Gross or fine motor skill:
Rolls from back to front (6 months)

Gross

23

Gross or fine motor skill:
Rolls from front to back (5 months)

Gross

24

Gross or fine motor skill:
Holds bottle (6 months)

Fine

25

Gross or fine motor skill:
Tries to build a 2 block tower without success (12 months)

Fine

26

Gross or fine motor skill:
Begins using pincer grasp (8 months)

Fine

27

Gross or fine motor skill:
Bears full weight on feet (7 months)

Gross

28

Gross or fine motor skill:
Sits unsupported (8 months)

Gross

29

Gross or fine motor skill:
Has a crude pincer grasp (9 months)

Fine

30

Gross or fine motor skill:
Grasps rattle by its handle (10 months)

Fine

31

Gross or fine motor skill:
Places objects into a container; neat pincer grasp (11 months)

Fine

32

Gross or fine motor skill:
Changes from a prone to sitting position (10 months)

Gross

33

Gross or fine motor skill:
Pulls to standing position and creeps on hands and knees instead of crawling (9 months)

Gross

34

Gross or fine motor skill:
Walks while holding onto something (11 months)

Gross

35

Gross or fine motor skill:
Moves objects from hand to hand (7 months)

Fine

36

Gross or fine motor skill:
Sits down from a standing position without assistance (12 months)

Gross

37

What is Piagets stage of cognitive development for an infant?

Sensorimotor stage (birth-24 months)

38

What are the 3 important tasks accomplished in Piaget's sensorimotor stage?

1. Separation
2. Object permanence
3. Mental representation

39

The process by which infants know that an object still exists when it is out of view. Occurs approx. 9 months of age

Object permanence

40

Infants learn to separate themselves from other objects in the environment

Separation

41

The recognition of symbols

Mental representation

42

What is the first form of verbal communication for an infant?

Crying

43

In regards to language development, what can an infant do by 1 year?

Say 3-5 words and comprehends "no"

44

What is Erikson's stage of psychosocial development for an infant?

Trust vs. Mistrust (birth-1 year)

45

Trust is developed by meeting ___, ___, ___, and ____ needs

Comfort, feeding, stimulation, and caring

46

Mistrust develops if needs are ____ or ______ met, or if needs are continually met before being ______

Inaequately or inconsistently met or if needs are continuously met before being VOCALIZED BY THE INFANT

47

When is attachment seen?

Within the first month, but it actually begins before birth

48

When does separation anxiety begin?

Around 4-8 months

49

When does stranger fear become evident?

6-8 months

50

Infants discover that ___ are pleasure producers. ____ are objects of play. ____ causes others to react

Mouth=pleasure producer
Hands and feet= object of play
Smiling= causes others to react

51

Is it good to let infants plat with each other?

Not really--infants have short attention spans and won't interact with other children during play--give infants toys that stimulate the senses (rattles, teething toys, nesting toys, play pat-a-cake, read books to them, mirrors, brightly colored toys, play with blocks)

52

What immunization is given at birth?

Hep B

53

What immunization is given at 2 months (6)?

DTaP
RV
IPV
Hib
PCV
Hep B

54

What immunizations are given at 4 months?

DTap
RV
IPV
Hib
PCV

55

What immunizations are given at 6 months?

DTaP
IPV
PCV
Heb B
RV
Hib

56

What immunizations are given at 6-12 months?

Seasonal flu

57

Can an infant have cow milk?

No

58

When should Vit. D supplements be given to infant?

Within first few days of life

59

____ supplements are recommended for infants who are being exclusively breasted after the age of 4 months

Iron

60

Is it ok to give water or juice during the first 4 months of life?

Not needed

61

After age 6 months, how much 100% fruit juice should an infant get?

NO more than 4-6oz per day!!

62

When are solids introduced?

4-6 months of age

63

What are indicators of readiness for solid foods?

Voluntary control of the head and trunk
Disappearance of the extrusion reflex

64

What solid is introduced to an infant first?

Iron fortified cereal

65

How should new foods be introduced?

One at a time over a 4-7 day period to observe for signs of allergy or intolerance

66

What are signs of allergy or intolerance to new foods?

Fussiness
Rash
V/D
Constipation

67

When are vegetables and fruits started?

6-8 months

68

After vegetables and fruits have beens started, what is given next?

Meats

69

What 3 types of food are not started until after 6 months?

Citrus fruits
Meat
Eggs

70

Should breastmilk be decreased as solids are introduced?

Yes, but should still remain the primary source of nutrition for an infant through 1st year

71

When can table foods that are cooked, chopped, and unseasoned be given to the infant?

9 months

72

What are some appropriate finger foods?

Ripe banana
Toast strips
Graham crackers
Cheese cubes
Noodles
Peeled chunks of apple, pear, or peaches

73

When is nocturnal sleep pattern established?

3-4 months

74

Infants sleep ___ daily and ___ at night around 4 months.

14-15 hour daily; 9-11 at night

75

When do infants sleep through the night? How many naps do they take in the day?

12 months; 1-2 naps

76

What should hot water thermostats be set at to avoid burns?

120 F

77

When should crib mobiles be removed? Why?

4-5 months; so no chance of suffocation from that

78

How should infants be placed to sleep?

On their backs

79

A nurse is assessing a 12 month old at a well-child visit. Which of the following should the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of 6 teeth
C. Birth weight doubled
D. Birth length increased by 50%

C- birth weight should be tripled at 12 months

80

A nurse is performing a developmental screening on a 10 month old infant. Which of the following FINE motor skills should the infant be able to perform (select all that apply)
A. Grasp a rattle by handle
B. Try building 2 block tower
C. Use a crude pincer grasp
D.Place objects in container
E. Move objects from hand to hand

A, C, E

81

A nurse is conducting a well-baby visit with a 4 month old. What immunizations should the nurse administer to the infant?
A. MMR
B. IPV
C. PCV
D. Varicella
E. RV

B, C, E

82

A nurse is providing education about introducing new foods to the parents of a 4 month old. To best supply nutrients, the nurse should recommend that parents introduce which of the following first?
A. Strained yellow vegetables
B. Iron-fortified cereal
C. Pureed fruits
D. Whole milk

B