Infant 1 month to 1 year

Question 1

Weight Gain

Answer 1

5 months weight is doubles

1 year weight is tripled

Question 2

Height Gain

Answer 2

Increases 50% by the end of the 1st year

First in the trunk- then legs

Question 3

Head Circumference

Answer 3

End of 1st year increased 33%

1cm per month

Question 4

Fontanels

Answer 4

Posterior fontanel first to close at 6-8 weeks

Anterior fontanel closes about 12-18mo

Question 5

Prehension Grasp

Answer 5

2-3 months as a reflex
Becomes more voluntary
5 months can grasp

Question 6

Manipulative Skills

Answer 6

Increase at 6 months
Holding a bottle
Playing with his or her feet
Hand to Hand transfer at 7 months

Question 7

Pincer Grasp

Answer 7

8-9 months
“Cheerio grasp”
Put up objects with thumb and forefinger

Question 8

Developmental Age Calculation

Answer 8

Actual age - weeks premature

Question 9

Head Control

Answer 9

Established at 4-6 months

Head lag noted before this time

Question 10

Rolling Over

Answer 10

At about 5-6 months
5 months- abdomen to back
6 months- back to abdomen

Question 11

Sitting Alone

Answer 11

7 months
Tripod fashion
8 months- unsupported

Question 12

Crawling

Answer 12

At 9 months
Forward with belly on the floor
Then creeping- on hands and knees

Question 13

Standing Position

Answer 13

9 to 10 months
May pull self up but fall back down
11 months may walk with a toy, furniture, holding hands

Question 14

Erikson Development

Answer 14

Trust Vs. Mistrust 
Birth to 1 month 
Meet needs timely- baby will feel safe
Mistrust and fear if not met
Encourage parents to be at the bedside

Question 15

Piaget: Sensorimotor Phase

Answer 15

Birth to 24 months
Practical intelligence
Relate to the world through senses

Question 16

Sensorimotor Phase: 1st Neonatal Reflex

Answer 16

Birth to 1 month

Sucking behaviors

Question 17

Sensorimotor Phase: 2nd Primary Circular Reaction

Answer 17

1- 4months
Look at objects
Separates self from objects
Long process

Question 18

Sensorimotor Phase: 3rd Secondary Circular Reaction

Answer 18

4-8 months
Memory starts
Will initiate, recognize, and repeat pleasurable activities

Question 19

Object Permanence

Answer 19

6 or 8 months

Search for the parent or toy out of sight

Question 20

Stranger Anxiety

Answer 20

8 months

Question 21

Sesnorimotor Phase: 4th Coordination of Secondary Schema

Answer 21

8-12 months
Increasing motor ability
Encourage motor development
Object permanence continues
Likes a noise- will continue to create it (goal directed)

Question 22

Language 3-4 months

Answer 22

Baby can coo, gurgle and laugh

Question 23

Language 6 months

Answer 23

Mamma, dadda

No meaning to the word

Question 24

Language 9-10 months

Answer 24

Understand words like “no”

Can respond to simple commands

Question 25

Language 1 year

Answer 25

Vocab is about 100 words | 3 or 5 words with meaning

Question 26

Solitary Play

Answer 26

In 1st year Play alone Interactions with the environment Involves the senseorimotor skills

Question 27

Separation Anxiety

Answer 27

Influenced by gender, age, size of stranger, approach of stranger, proximity to parents HUGE!

Question 28

Limit Setting and Discipline

Answer 28

Set limits Negative Voice Stern Eye Contact Time out- one minute per year old

Question 29

Thumb Sucking

Answer 29

18-20 months Problem if persists after age 4 Ruins arch

Question 30

Pacifier

Answer 30

Recommend for first 6 months | Ween off over t he next 6

Question 31

Teething Symptoms

Answer 31

Drooling, biting on hard objects, irritable, mild temperature, ear rubbing, decrease appetite for solids

Question 32

Pain Management For Teething

Answer 32

Cold, frozen teething ring | Baby Orajel- can be toxic, try to avoid!

Question 33

of Teeth Calculation

Answer 33

Age - 6 = number of appropriate teeth

Question 34

1st 6 months Nutrition

Answer 34

Breast milk is preferred No increase of fluids before 4 months Only Vit D supplements Introduction to solids at 4 to 6 months- Rice cereal first Allow 5-7 days in between introducing different foods Iron supplements if no rice cereal

Question 35

2nd 6 months Nutrition

Answer 35

Breast milk or formula

Question 36

1st year Nutrition

Answer 36

No cows milk until 1 No honey No fat restriction- fat = more myelon sheaths Vegetables before fruit

Question 37

Concerns for Vegetarians

Answer 37

Lack of adequate protein Inadequate calories for energy Poor digestibility of bulky unprocessed foods Deficiencies of Vitamin B12, Niacin, Riboflavin, Vit D, iron and calcium

Question 38

Dental Care

Answer 38

Damp cloth to small soft toothbrush and water only Fluoride supplements at 6 months Non fluoride toothpaste

Question 39

Aspiration Prevention

Answer 39

Foreign objects that can be food or non food Hot dogs, grapes, pacifiers, etc. Obstruct the airway Keep floors clean!

Question 40

Suffocation

Answer 40

Refrigerator entrapment Deflated balloons Bed or crib Can lift head at 2months- still not safe to prevent suffocation

Question 41

Car Safety

Answer 41

20lbs or one year may sit facing forward

Question 42

Fall Prevention

Answer 42

No unattended raised surfaced Discourage infant walkers Use gates for stairways

Question 43

Burns

Answer 43

Set water heater less than 120 | Do not heat formula in microwave

Question 44

Drowning

Answer 44

Can occur in 1-2 inches

Question 45

Bodily Harm

Answer 45

No forks until 18 months | No high noise levels

Question 46

Diaper Dermatitis

Answer 46

Prolonged and repetitive contact with an irritant like urine, feces, soaps, detergents, or ointments Prevention is key- change in a timely manor, allow skin to dry through air exposure, avoid frequent washings and commercial wipes Treatment- occlusive ointments, nystatin if Candida is present, butt paste is very effective Leave butt paste intact, only removing soiled area- should be cleared in 24-48 hours