Health Promotion (Exam 1) Flashcards
(39 cards)
Do infants need discipline?
Yes
-redirection
-boundaries
-safety
Infants react to parents reaction (clapping hands - saying no - startle)
It does no good to spank or time out at this age because they do not understand
Pacifier: Pro’s
Provide comfort for infants and infant need to suck when they do not need to eat
Pacifier: Cons
Get dirty easy and difficult to take them away when they get older
Can decrease the amount of breast feeding and cause dental problems
What is the best way to dis attach a pacifier?
Slowly cut the tip off pacifier and slowly cut it down till nothing is there
What shoes should the nurse recommend to the parents of an infant
Shoeless
only need something on feet when they are outside and the surface they are walking on can hurt their feet
How much sleep should an infant get?
9-12 hours per night with 2 day time naps
Should you allow your infants to be on the floor?
Yes
How should we start brushing infants teeth?
As soon as they have teeth
Get them use to having something in their mouth
Teething: S/S
Swollen gums
Increased finger sucking
Difficulty sleeping
Decreased appetite
Low grade fever
Teething: Guidance for parents
Avoid old wives tales
Cold / Frozen is soothing
Avoid OraJel — The numbing can take away gag reflex
Analgesics like tylenol is okay if > 6 months of age
Can you use sunscreen on an infant?
Not if younger than 6 months
If older than 6 months use (PABA free or SPF> 15)
Why is not good to have soft beding with an infant?
They can suffocate on it
Should you sleep with infants?
No they should sleep in their own space and on their back
What direction should an infant car seat be facing?
In the back seat facing backwards until 2 years of age
if there is something a toddler should not have, how should it be stored
locked away not just out of reach
ex: meds, poisons, cleaning sprays, firearms (even better not in the house at all)
Toddler: Sibling Rivalry
Avoid or minimize extra stressors
Avoid unrealistic expectations
Make changes before the new child gets here so that there is not jealousy
Allow them to participate in playing or changing the baby – give them accolades
If someone comes to visit the baby bring something for the older child
Toddler: Temper Tantrums
IGNORE AND DONT GIVE IN
-Make sure there is consistency among all caregivers
-Reasonable consequences (short time out - talk to them)
Toddler: Negativism and Regression
-Reduces opportunities for negativism – do not give them a choice to say no with how you phrase things
-Ignore regression while praising existing patterns of appropriate behavior
Toddlers: Discipline
-Distract and Divert
-Encourage cooperation (lets go here - can you hold mommy’s hand?)
-Provide structure
-Set limits
-Postive reinforcement (will repeat)
-Spanking (not recommended by aap)
Alternatives for Spanking
-Be firm, but kind
-Pause
-Teach
-Be positive
-Give explanations / not threats
-Drop out of power struggle
-Refuse to get angry
-Be smart
-Offer incentives
-Time out
Time Out
Age correlate with time (3 years = 3 min)
Discuss behavior when time is up
Discipline must occur immediately at time of incident
Be discreet-not in front of others, may impact self-esteem
Toddler Sleep
12 hours / day including 1 nap
Sleep problems are common
Routines are important
Encourage activity
Transitional objects (stuff animal / blanket)
When in vehicles, toddler should be in a 5 point harness car seat located in
Back seat
Toddler: Drowning Prevention
-Supervise closely when near any source of water
-Bathroom doors closed and toilet lid down
-Fence around swimming pools with lock
-Teach swimming and water safety
