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Pediatrics Ch. 16
Physical Development, Social Behavior, Care Guidelines Table 16-1
| Question | Answer |
|---|---|
| Lifts head slightly when placed on stomach | 1 month |
| Pushes with toes | 1 month |
| Turns head to side when prone | 1 month |
| Head wobbles and lags | 1 month |
| Clenches fists | 1 month |
| Stares at surroundings | 1 month |
| Female vaginal discharge and male breast enlargement normal - should disappear | 1 month |
| Makes smal throaty noises | 1 month |
| Cries when hungry/uncomfortable | 1 month |
| Sleeps 20 out of 24 hours | 1 month |
| Awakens for 2am feeding | 1 month, 2 months |
| Keeps hands at midline | 1 month |
| Posterior fontanelle closes | 2 months |
| Tears appear | 2 months |
| Holds head at midline | 2 months |
| Holds rattle briefly | 2 months |
| Follows moving light with eyes | 2 months |
| Legs are active | 2 months |
| Smiles in response to mother | 2 months |
| Knows crying brings attention | 2 months |
| Develops own sleep pattern, may sleep from feeding to feeding | 2 months |
| Provide safe place to kick and be active | 2 months |
| Exam by physician | 2 months |
| Diptheria, whooping cough, tetanus (DPT) vaccination | 2, 4, 6 months |
| Oral polio vaccine | 2, 4 months |
| Haemophilus influenzae type B (HiB) vaccine | 2, 4, 6 months |
| Hepatitis B vaccine (HBV) | 2, 6 months |
| Hiccups are normal and subside without treatment | 2 months |
| May have colic | 2 months |
| Weighs 12 to 13 pounds | 3 months |
| Stares at hands | 3 months |
| Reaches for and misses objects | 3 months |
| Carries hand to mouth | 3 months |
| Can follow object left, right, up, down in front of face | 3 months |
| Supports head steady | 3 months |
| Holds rattle | 3 months |
| Yawns, stretches, naps in mother's arms | 3 months |
| May have short play period | 3 months |
| Enjoys playing with hands | 3 months |
| Cries less | 3 months |
| Can wait for attention | 3 months |
| Enjoys being talked to | 3 months |
| Takes impromptu naps | 3 months |
| Weighs 13 to 14 pounds | 4 months |
| Drooling indicates saliva and teething | 4 months |
| Lifts head and shoulders while on abdomen and looks around | 4 months |
| Turns from back to side | 4 months |
| Sits with support | 4, 5 months |
| Begins to reach for seen objects | 4 months |
| Coordination between eye and body movement | 4 months |
| Moves head, arms, shoulders when excited | 4 months |
| Extends legs and partly sustains weight when held upright | 4 months |
| Rooting, Moro, extrusion, and tonic neck reflexes disappear | 4 months |
| Coos, chuckles, gurgles | 4 months |
| Laughs aloud | 4 months |
| Likes audience | 4 months |
| Sleeps through night | 4 months |
| Stirs in crib | 4 months |
| Sleeps through noise | 4 months |
| Plays with hand rattles and dangling toys | 4 months |
| Start acquainting with playpen | 4 months |
| 1 - 2 bowel movements/day, may skip | 4 months |
| Holds head well | 5 months |
| Grasps offered objects | 5 months |
| Puts everything in mouth | 5 months |
| Plays with toes | 5 months |
| Talks to self | 5 months |
| Knows familiar/unfamiliar people | 5 months |
| May sleep through 10 am feeding | 5 months |
| Tries to hold bottle | 5 months |
| Takes 2 or 3 daily crib naps | 5 months |
| Provide space to pivot | 5 months |
| Makes jumping motions in lap | 5 months |
| Check toys for loose buttons/rough edges | 5 months |
| Doubles birthweight | 6 months |
| Gains 3 - 5 ounces/week | 6 - 12 months |
| Grows 1/2 inch/month | 6 - 12 months |
| Sits alone momentarily | 6 months |
| Springs up and down when sitting | 6 months |
| Turns completely over | 6 months |
| Hitches (moves backward when sitting) | 6 months |
| Bangs table with rattle | 6 months |
| Pulls to sitting position | 6 months |
| Chewing more mature | 6 months |
| Approximates lips to cup rim | 6 months |
| Cries loudly when play interrupted | 6 months |
| Increased interest in world | 6 months |
| Babbles and squeals | 6 months |
| Sucks food from spoon | 6 months |
| Awakens hungry | 6 months |
| Needs own room | 6 months |
| Introduce first solids | 6 months |
| Grasps feet and pulls to mouth | 6 months |
| Remove toxic plants and provide chew toys | 6 months |
| Two lower teeth appear | 7 months |
| Begins to crawl - legs drag | 7 months |
| Grasps objects easily and transfers from hand to hand | 7 months |
| Appears interested in standing | 7 months |
| Holds adult's hand and bounces | 7 months |
| Struggles during dressing | 7 months |
| Shifts moods easily | 7 months |
| Shows fear of strangers | 7 months |
| Anticipates spoon feeding | 7 months |
| Sleeps 11 to 13 hours at night | 7 months |
| Fretfulness from teething | 7 months |
| Add fruit (Lecture = vegetables) & finger foods to diet | 7 months |
| Sits steadily alone | 8 months |
| Uses index finger and thumb as pincers | 8 months |
| Pokes at objects | 8 months |
| Enjoys emptying and filling cup | 8 months |
| Plays pat a cake | 8 months |
| Enjoys family life | 8 months |
| Amuses self longer | 8 months |
| Reserved with strangers | 8 months |
| Indicates need for sleep by fussing and thumb sucking - 2 naps/day | 8 months |
| Impatient while food is prepared | 8 months |
| Enjoys jump chair - rides in stroller - stuffed and squeak/rattle toys | 8 months |
| Add vegetables (Lecture = fruit) | 8 months |
| Protect from chewing lead & babyproof | 8 months |
| Shows handed preference | 9 months |
| Raises self to sitting | 9 months |
| Holds bottle | 9 months |
| Creeps (crawling with knees in use) | 9 months |
| Tries to imitate sounds | 9 months |
| Cries if scolded | 9 months |
| Drops food on floor at meals - use newspaper under highchair, unbreakable dishes | 9 months |
| May fall asleep after 6pm feeding | 9 months |
| Generally sleeps later in morning | 9 months |
| Add meat, beans, chopped, mashed food | 9 months |
| Allow to pick up food by hand and put in mouth | 9 months |
| Keep emetic & poison control numbers on hand | 9 months |
| Avoid overhanging table cloths | 9 months |
| Busy most of day exploring surroundings | 9 months |
| Distract from danger - avoid spanking and NO | 9 months |
| Pulls to standing in playpen | 10 months |
| Throws toys for parent to pick up - Cries when not returned | 10 months |
| Cruises furniture | 10 months |
| Knows name | 10 months |
| Plays simple games (peek a boo) | 10 months |
| Feeds self cookie | 10 months |
| Cry out in sleep without waking | 10 months |
| Footie pajamas | 10 months |
| Night light | 10 months |
| Juice and water from cup | 10 months |
| Mostly solid foods | 10 months |
| Tours room holding adult's hand | 10 months |
| Loose daytime clothing | 10 months |
| Stand upright holding adult's hand | 11 months |
| Feeds self finger foods and drinks from sippy cup | 11 months |
| Understands simple direction | 11 months |
| Impatient when held | 11 months |
| Enjoys empty dish and spoon to play with after meals | 11 months |
| Greets parents in morning with excited jargon | 11 months |
| Spils from cup, enjoys blowing bubbles | 11 months |
| Plays with toys in tub | 11 months |
| Put away household cleaners and medicine | 11 months |
| Tends to stand until exhausted - parent may need to sit in playpen | 11 months |
| Pulse 100 to 140 | 12 months |
| Respirations 20 to 40 | 12 months |
| Triples birthweight | 12 months |
| Height 29 inches | 12 months |
| Stands alone for short periods | 12 months |
| May walk | 12 months |
| Puts arm through sleeve when dressing | 12 months |
| Six teeth | 12 months |
| Drinks from cup, eats from spoon | 12 months |
| well established pincer grasp | 12 months |
| Handedness evindenced | 12 months |
| Friendly | 12 months |
| Recognizes no no | 12 months |
| Verbalization slow b/c ambulation | 12 months |
| Enjoys rhythmic music | 12 months |
| Shows and reacts to emotions - fear, anger, jealousy | 12 months |
| Plays with food and removes from mouth | 12 months |
| May take one long nap | 12 months |
| Gradually add egg white, fish, orange juice, well-cooked table food | 12 months |
| Interest in eating dwindles | 12 months |
| Enjoys filling and emptying basket | 12 months |
| Distraction is effective way to deal with determination | 12 months |
Created by:
futurenurse
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