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PEDS EXAM 1 > INFANCY > Flashcards

INFANCY Flashcards

1
Q

Expected weight gain per week for first 6 months

A

5-7 oz

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2
Q

Double birth weight by?

A

6 months

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3
Q

Triples birth weight by?

A

1 year (average 21.5 pounds, or 9.75kg); breast fed infants gain less weight but catch up

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4
Q

Grasp objects?

A

2-3 months

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5
Q

Transfers objects between hands?

A

7 months

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6
Q

Uses a pincer grasp

A

10 months (pick up a raisin)

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7
Q

Removes objects from container?

A

11 months

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8
Q

Builds a tower of two blocks?

A

12 months

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9
Q

Head Control

A

3 months

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10
Q

Roll over

A

5-6 months

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11
Q

Sit alone leaning forward on their hands for support

A

7months

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12
Q

Move from prone to sitting position

A

10 months

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13
Q

RED FLAG: Head lag 6 months

A

Should hold up complete at 6 months

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14
Q

Direction of develpment

A

Cephalocaudal

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15
Q

Crawling?

A

6-7 months; crawls forward and backward by 10 mos

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16
Q

Creep (alter arms & legs, moving forward)

A

9 months

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17
Q

Walk with assistance (furniture)

A

11 months

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18
Q

Walk alone

A

12 months

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19
Q

Erikson: birth to 1 year

A

Trust vs Mistrust: acquring sense of trust while overcoming sense of distrust. First 3-4 months food intake is most important social activity (for trust). Next is reaching out through grasping and than more active phase that follows includes biting (teething, oral stage)

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20
Q

Piaget:Birth to 2 years

A

Sensorimotor stage: sucks thumb -feels gratified, so sucks some mroe; squeeze toy and it quacks, squeezes again; imitation, play, affect
3things occur: separation, object permanence and mental representation

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21
Q

Freud: self-gratification, birth to 1 year

A

Oral Stage: need to have oral needs met

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22
Q

Separation Anxiety

A

4-8 months baby tells self from mother, 11-12 months anticipates mom leaving, resolves by 2 years

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23
Q

Stranger Fear

A

Onset is 6-8 months

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24
Q

Cyring

A

decreases by 12 weeks

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25
Crying for attention
12 months
26
Throaty, coo & babble, 2 syllable sound
2mo, 3-4mos, 6 mos initiates sounds
27
put meanings to sounds
10-11 mos
28
Understand "no"
9-10 mos
29
expresses 5 words, receives 100
at 12 mos
30
Play: primarily narcissitic, revolves around boday
3-6mos undifferentiated play, 4 mos -laugh, 6-12 mo sensorimotor play
31
Teething
Lower central incisors 6-8 mos followed by upper. REMEMBER: age of child in months minus 6 months = # of teeth so 8months -6= 2 teeth
32
Infant shoes
born with flat feet, arches develop with weight-bearing, shoes for protection at first, soft, flexible
33
Breast milk should be only food
first 6 months
34
If breast fed
iron supplements 4-6 mos
35
Second 6 months of breast feeding?
continue, start iron foritifed rice cereal, veggies, then fruit add every 5-7 days.
36
Sleep training method
lead children through series of predictables, pleasant, quiet bedtime rituals. Associate bedtime routine with being drowsy
37
Graduated extinction
Put baby down while still awake, stay with baby until they fall asleep, gradually/progressively pay less attention
38
Dental health
Cleanings begins when primary teeth erupt, fluoride at 6 months, if poor water supply
39
Immunization: birth
hep B
40
Immunization: 2 months
HepB, Tdap, Hib, IPV, PCV, RV
41
Immunization: 4 months
HepB, Tdap, Hib, IPV, PCV, RV
42
Immunization: 6 months
Hep B (6-18), Tdap, Hib, IPV (6-18), PCV, RV (done)
43
Immunization: 12 months
Tdap (12-18), Hib (12-15), IPV , PCV (12-15), | Start: MMR, VARICELLA, HepA (2 doses 6 mo apart)
44
VAERS
Vaccine Adverse Event Reporting System - to report any adverse reactions after administration of any vaccine
45
Colic
paroxysmal abdominal pain : therp mgmt:change formula, decrease stimuli, meds: sedatives, antispasmodics, simethicone) No tx: some like to be bounced, swayed, car rides
46
Growth Failure: Organic vs Nonorganic
Organic FTT: (within system, cant gaini weight) CHD, neuro lesions, CP, GERD Nonorganic FTT: (deprived child on purpose) psychosocial factors, maternal knowledge Diagnostic evals: evidence of growth failure, charts, food diary, activity chart, parents stature, lab tests: lead, anemia, stool Treat: aimed at correcting cause-treat malnutrition, parent education Prognosis: depends on age, age at dx, delays present
47
SIDS: sudden infant death syndrome
no known etiology, 3rd leading cause of infant death in US, risk factors: prone sleeping, soft bedding, parental smoking. Primary nursing responsiblity is parental education and modeling appropriate behavior
48
Apnea and ALTE (apparent life threatening events
Unexplained respiratory pause of 20 seconds or more; infats with ALTE's are evaluated for underlying cause
49
positional plagiocephaly
baby sleeps in the same position repeatedly; prevent be tummy time
50
Renal Function
Glomerular filtration rate increases sharply after birth and first two weeks of life. Graudally improves and need to monitor I&O and hydration status
51
Reactive Attachment Disorder
Rare; persistent failure or response to social stimuli in developmentally appropriate way; may result from neglect, abuse, abrupt separation
52
Development of body image occurs
from infancy to 1 year of age
53
Social development is guided by
attachment, language, social behavior, and play
54
temperament influences..
social interaction
55
Height average 6mo & 12 mo
6mo=65 cm 12mo=74cm
56
Head circumference 6 & 12
6mo=43cm 12mo=46cm | The chest circumference equals HC by end of first year of life
57
Posterior fontanel fuse
6-8 weeks
58
Aneterior Fontanel close
12-18 months
59
VS: Heart rate
100-170 - nb; 6mo 80-130
60
VS: Resp rate
30-80 - nb; 20-40
61
VS:BP
73.55 -90/56
62
VS: temp
36.5-37.2 (97.7 - 98.9)
63
hands closed
1 month
64
hands open
3 months (if cant open by 6 months=RED FLAG)
65
Palmer grasp is replaced by
pincer grasp at 5 months
66
6 months
able to hold bottles, grasp their feet and pull them to mouth
67
sits well unsupported
8 months and try to explore surrounding area
68
propel themselves backward by pushing with arms
4-6 mos
69
bear weight on their legs with assistance
6-7 mos
70
Whole MILK introduced
12 months
71
Solid food introduced
5-6 months, one food at a time, wait 407 days then introduce next food.
72
Daily sleep
15 hrs
73
Nocturnal sleep
9-11 hrs
74
Car seat
rear facing from birth -2 years, middle seat, up to 20 lbs
74
All reflexes are gone but babinski by
4 months | Babinski 12 months

PEDS EXAM 1 (3 decks)

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