Developmental Care & Anticipatory Guidance

Question 1

Cephalocaudally

Answer 1

From head to toe

Question 2

Proximodistally

Answer 2

From the trunk to the tips of the extremities

Question 3

Growth Pattern by Developmental Stage

• Infancy
• Toddler-preschool age
• School age
• Adolescence

Answer 3

• infancy: rapid growth; head grows fastest
• toddler: slow growth; trunk grows fastest
• school age: slow growth; limbs grow fastest
• adolescence: rapid growth; trunk and gonads w/ associated tissues grow fastest

Question 4

How is bone age determined

Answer 4

x-ray of tarsals and carpals

Question 5

Growth Charts - what ages do you use length and what age do you use height

Answer 5

Length: 0-36 months
Height: 2-18 years
* child

Question 6

Birth weight @ 6 months ___

Answer 6

doubles

Question 7

Birth weight @ 1 year ___

Answer 7

triples

Question 8

BMI is used for ages ___ and up

Answer 8

2 years

Question 9

BMI parameters

• Obese
• Overweight
• Underweight

Answer 9

> /= 95% obese

85-

Question 10

BMI parameters

• Obese
• Overweight
• Underweight

Answer 10

> /= 95% obese

85-

Question 11

Average growth rate:
First year: __
2nd year: __
Each year from 3rd year until puberty: __

Answer 11

First year: 10 inches
Second year: 5 inches
Each year from 3rd year until puberty: 2.5 inches

Question 12

Erikson Trust vs Mistrust

Answer 12

Infant

The child develops trust as the primary caregiver meets his/her needs

Question 13

Piaget Sensorimotor

Answer 13

infant/toddler
child learns through interaction with the environment.
- sense of cause and effect
- object permanence

Question 14

Instinctual smile

Answer 14

2 months

Question 15

social smile

Answer 15

3 months

Question 16

laughs

Answer 16

4 months

Question 17

stranger anxiety

Answer 17

4-6 months

Question 18

imitates expression of others/peek-a-boo

Answer 18

7-9 months

Question 19

claps hands, waves bye-bye

Answer 19

10-12 months

Question 20

babble, turns to rattling noise, notices own hands

Answer 20

3 months

Question 21

continuous babbling/in response to sounds as in conversation

Answer 21

6 months

Question 22

object permanence

Answer 22

7-9 months

Question 23

points to object when named, mama/dada, says 5 words, understands many more

Answer 23

10-12 months

Question 24

lift head, follows to midline, posterior fontanel closes

Answer 24

2 months

Question 25

eyes can track objects 180 degrees, raises head and neck when lying on stomach, notices own hands

Answer 25

3 months

Question 26

eyes can track objects 180 degrees, raises head and neck when lying on stomach, notices own hands

Answer 26

3 months

Question 27

rakes objects, grasps rattle, begins to roll over

Answer 27

4 months

Question 28

rolls over back to front, transfers objects from hand to hand, reaches, sits w/ support, pushes up on knees and hands and rocks back and forth

Answer 28

5-6 months

Question 29

sits w/o support

Answer 29

8 months

Question 30

develops pincer grasp, feeds self bottle or cheerios, crawls, stands holding on

Answer 30

9 months

Question 31

pulls self to stand, cruises, walks with support, may take first steps

Answer 31

10-12 months

Question 32

When do infant reflexes disappear by?

Answer 32

4 months

Question 33

Rooting reflex

Answer 33

stroke check, face will turn toward stroked cheek and begin to suck

Question 34

Moro reflex

Answer 34

with loud noise or sudden movement infant will extend limb and spread fingers, then retract limbs

Question 35

Tonic neck reflex

Answer 35

supine w/ head turned to one side, infant will flex arm and leg on opposite side of body and will extend the arm and leg on the side infant is facing

Question 36

Babinski reflex

Answer 36

stroke the outer sole of foot upward from the heel across the ball of the foot causes the toes to hyperextend. disappears w/in 2 years. Presence after 2 years indicated CNS abnormality

Question 37

When does 1st tooth appear?

When do you lose 1st tooth?

Answer 37

6 months/ 6 years

Question 38

What is the maximum of formula a baby should drink?

Answer 38

30 ounces… move to solids