G+D infant Flashcards

(65 cards)

1
Q

growth

A

chronological age
increase in physical size

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2
Q

development

A

continuous, orderly series of conditions that leads to activities and patters of behavior
measured by observation

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3
Q

patterns of G+D

A

predictable, universal and basic, individual differences
directional and sequential trends

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4
Q

directional trends

A

cephalocaudal
proximodistal
differentiation

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5
Q

sequential trends

A

stages, critical periods, positive and negative stimuli

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6
Q

prenatal period

A

geminal: conception - 2 wk
embryonic: 2 - 8 wk
fetal: 8 - 40 wk (birth)

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7
Q

infancy

A

neonatal: birth - birth - 28 days
infancy: 1 mo - 12 mo

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8
Q

early childhood

A

toddler: 1- 2 yrs
preschooler: 3 - 6 yr

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9
Q

middle childhood

A

6 - 12 yr

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10
Q

late childhood

A

prepubertal: 10 - 12 yrs
adolescences: 13 - 18 yrs

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11
Q

G+D importance

A

anticipatory guidance - predict child and prepare parents
healthy habits
gain understanding of reasons behind illness

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12
Q

weight

A

10% initial loss after birth because of hormone withdrawal, loss of ECF, poop and pee, limited food intake (small stomach)
rapid growth: about 1 oz/day until 6 mo, double weight by 6 mo, tripple by 1 yr

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13
Q

height

A

increase 1 inch/month until 6 mo
increase 50% by 1 year

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14
Q

head

A

0.5 inches/month for first 6 mo
closure of fontanels: 2, assess for intracranial pressure and hydration, posterior closes 6-8 wk, anterior closes 12 -18 mo for brain growth

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15
Q

respiratory

A

abd breathers, rate slows

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16
Q

heart

A

rate slows, paradoxical pattern increases with inspiration and decreases with expiration

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17
Q

blood pressure

A

fluctuate but generally systolic rises as LV pumps better

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18
Q

hemopoietic system

A

fetal hemoglobin till 5 mo - physiologic anemia
maternal iron stores diminish at 5 - 6 mo

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19
Q

digestive system

A

immature at birth, function ~3 mo
drooling common bc poor coordinated swallow reflex
amylase and lipase (4-6 mo)
solid food not well tolerated, not broken down
coordination of sucking, swallowing, and teeth eruption to prep for solid food (4-6 mo)
1st tooth eruption (5-6 mo)
taste: well developed, avoid bitter and sour for sweet

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20
Q

urination

A

kidneys immature and cant concentrate urine
proportion of fluids increases risk of dehydration

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21
Q

endocrine

A

e imbalance, fluid imbalance, glucose [], aa metabolism, stress

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22
Q

thermoregulation

A

shiver after first few months
adipose tissue
adjust to cold by 6 mo
need multiple layers

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23
Q

vision

A

birth - 1 mo: follow object to midline, 8 - 10”
2 mo: lift and look
3 mo: faces!, associate visual stimuli and event
4 mo: hand regard, follow past midline, recognize, follow parents
6 mo: directed reach, depth perception
10 mo: object permanence

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24
Q

hearing

A

discrimination to mothers voice at birth and familiar sounds to soothe
3-6 mo: localize sound, understand few words
6-12 mo: first meaningful word
12 mo: hear and follow simple command

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25
motor development - gross
random, diffuse, uncoordinated; reflexes carry out bodily functions and responses to external stimuli
26
head control
1 mo: marked head lag 3 mo: hold up 4 -6 mo: well established head control
27
sitting
5 mo: roll from belly to back 6 mo: roll from back to belly, sit with support 7 mo: sit alone leaning forward on hands 8 mo: sit unsupported 10 mo: from prone or supine to sitting
28
locomotion
4 -6 mo: increasing coordination in arms - push backwards 6-7 mo: bear all of their weight on their legs 8 -10: crawl forward on belly 9 mo: stand holding furniture 11 mo: creep on hands and knees 10 -12 mo: cruise, sit down from upright 12 mo: walk well with one hand held - take 1st steps independently shortly after
29
fine motor development
1-3 mo: grasp reflex then voluntary 1 mo: hand mostly closed 3 mo: hands to midline, desire to grasp 5 mo: 2 handed, voluntary grasp 4 -6 mo: bring to mouth 6 mo: hold bottle, grasp feet 7 mo: transfer from hand to hand 8-9 mo: pincer grasp 11-12 mo: refined pincer grasp
30
motor development - 2 mo
hold head erect in mid position turn form side back
31
motor development - 3 mo
hold head erect and steady open or close hand loosely hold object put in hand
32
motor development - 4 mo
sit with adequate support may roll over front to back hold head erect and steady while sitting bring hands together at midline and play with fingers grasp objects with both hands
33
motor development - 5 mo
balance head well when sitting sit with slight support pull feet to mouth when supine grasp objects with whole hand hold one object while looking at another
34
motor development - 6 mo
sit alone briefly turn completely over lift chest and upper abdomen when prone hold own bottle
35
motor development - 7 mo
sit alone hold cup imitate simple acts of others
36
motor development - 8 mo
sit alone steadily drink from cup with assistance eat finger food than can be held in one hand
37
motor development - 9 mo
rise to sitting position alone crawl (pull body while prone) hold bottle with good hand mouth coordination
38
motor development - 10 mo
creeps well, walk with help, bring hands together
39
motor development - 11 mo
walk holding onto furniture, stand erect with minimal support
40
motor development - 12 mo
stand alone for variable length of time sit down from standing position alone walk in few steps with help or alone (hands at shoulder height for balance) pick up small bits of food and transfer to mouth
41
kohlberg
preconventional morality obedience and punishment orientation: stage 1 because children do not speak as members of society, they see morality as external, they listen to the big people, they assume powerful authorities hand down fixed rule sets they must obey
42
erikson
trust vs mistrust in sync with caregiver, cannot tolerate frustration, entirely dependent upon caregivers so the quality of care they receive is important to shape personality
43
piaget
sensorimotor progress from simple reflex to simple repetitive acts leanrs they are separate from others and objects object permanence begin to use symbols intelligence takes form of motor actions: reflexive (birth - 1m), primary circular reactions ( 1-4 m), secondary circular reactions (4-8m), coordinaiton of secondary (9-12m)
44
sexuality
begin at birth from parental feedbakc (+ and accepting) oral sensitivity, skin to skin, acceptance by parents
45
social development
attachment - depends on infants ability to discriminate mother from others and object permanence, parent- infant attachment is critical to mental health crying brings attention, smile in response to others smile, stranger anxiety, responds socially to his name
46
social development - behaviors influencing attachment
different crying, smiling, vocalization, cry when mother leaves room, visual motor orientation (look more at mom), approach through locomotion, cling, explore away from mother and use her as base
47
social development timeline
1wk: preference for human face 6-8 wk: social smile 3 mo: excitement at new things 6 mo: very personable and interactive 7 mo: imitate actions and noises, show displeasure 8 mo: imitate sounds 9-10 mo: mouths understand simple commands and "on" 10 mo: play games (pat a cake and peekaboo) 12 mo: can be very interactive showing pleasure and displeasure, doing some things themselves
48
social development - prolonged separation
emotional deprivation during first 3 years physical growth slower, more prone to infections and disease stages: 1- protest, 2- despair, 3-detach
49
social development - reactive attachment disorder
occurs after maladaptive or absent attachment child may refuse to make eye contacts, poor impulse control, destructive to self and others may lead to antisocial nursing intervention: warm, responsive, and interactive with infant during separation
50
stranger fear
6-7 mo - child-parent bond
51
separation anx
9-10 mo, peak 12 -15 mo, linger
52
sensory development
birth: hearing and touch well developed, sight not fully developed until 6 years 2m: smile, search and turn head to locate sounds 6 mo: has taste preference 7mo: respond to own name 12 mo: able to follow objects 1 yr: vocalize 4 words
53
emotional development
instable, rapid changes affection for family 10 mo: express several beginning recognizable emotions (anger, sad, pleasure, jealous, anx, affection) 12 mo: clearly distinguishable emotions
54
stress and coping
loss of caregivers loud noises lights sudden movement
55
sleep
first 4 mo: 16 - 20 hrs 5 mo: most sleep through night with 2 daytime naps
56
play (0-3 mo)
not differentiated, smile and squeal
57
play: 3-6 mo
show some discriminant interest 4 mo: laugh aloud major focus: sensory stim, learn to distinguish self from env solitary play: short, talk, sing, laugh, read, relationship is important appropriate toys
58
play: 7-12 mo
have sensorimotor skills and discriminate between who they will play with major focus: promote security, sensory stim, gross and fine motor stim, begin casual relationships, object permanence more interactive appropriate toys type of toys not as important as the quality of interaction with the people they play with
59
language development - vocalization
cry 1-1.5 hrs/day up to 3 weeks; up to 2-4 hrs/day at 6 wk, then decrease by end of year, will have specific cry for different needs and wants vocalization at 5-6 wk
60
language development - timeline
2 mo: coo, cry is differentiated 3-4 mo: consonant sounds, laugh aloud 5-7 mo: vowel sounds 8 mo: imitating sounds, combine syllables 9-10 mo: understand simple commands and no 12 mo: can say 3-5 words with meaning besides mama and dada
61
hearing
BAER test at birth ability to hear correlates with proper enunciation always ask about hx of otitis media early referral to asses effusion - infections can scar tympanic membrane repeat hearing screening test slp prn
62
red flags
unable to sit alone by 9 mo unable to transfer objects from hand to hand by age 1 abnormal pincer grip or grasp by age 15 mo unable to walk alone by 18 mo failure to speak recognizable words by 2 yrs
63
patterns of temperament
the easy child slow to warm up child difficult child
64
concerns related to normal G+D
separation and stranger anx spoiled child: not crying in early infancy, normal toddler negativism and tantrums, difficult temperament or attention deficit, or effects of extreme stress in home need consistent clear guidelines and rules
65
setting limits
infant discipline (6-18 mo) set limits to ensure safety start with stern no, negative eye contact, removing child from unsafe situation use gestures