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Peds Grow&Dev. Ch 10

Peds Test on Wongs Chapter 10

Fraud-Oral phase: age 0 to 1 yr
Piaget Sensorimotor: Age 0-2 yrs
Erickson - Trust vs Mistrust - Age: 0-18 mos;
Kohlberg (no infant stage) taught about Right from Wrong
Infants-2 months fontanal posterior fontanal closed
*2 mo gross motor head control starts, some head lag
2 mo fine motor hands more open
2 mo language crying, cooing
2 mo vision begins to get clearer; binocular fixation starts to develope
Hearing at adult levels during infancy
Fraud Oral phase-life revolves around mouth-everthing goes in!
*4 mo gross motor better head control,no head lag; can roll side to side
4 mo fine motor can grasp & hold toy; objects to mouth, hands open;
4 mo language laugh & start come constant sounds
4 mo vision binocularity well established
4 mo hearing note: they will look for sounds
4 mo sleep needs 9 to 11 hours; sleep thru nite varies
*6 mo gross motor roll to back, sit easier
6 mo fine motor grasps feet & pulls to mouth; can hold 2 items
6 mo language imitate sounds; lalala
6 mos vision keeps improving, not fully mature till 2-3 yrs
6 mo sleep most sleeping thru night
*8 mo gross motor sits steadily unsupported
8 mo fine motor crude pincer grasp
8 mo language combines syllables (dada) but ascribe no meaning
*10 mo gross motor pull up and stand; crawling then creeping; can sit up
10 mo fine motor pincer grasp better; grasp and release;
10 mo language respond to simple commands and know name
10 mo vision depth perception starts to develop
Object Permanence is realizing objects out of view still exist; know Mom even if she is gone
Seperation anxiety-become aware of Mom leaving and get upset; develope stranger anxiety
10 mo sleep - usually sleep all night and have a nap
* 12 mo weight gain is/& fontanel is triple birth weight/almost closed
12 mo gross motor may starts to walk;
12 mo fine motor can pick up cube and put in cup
12 mo language 2-3 words with meaning
12 mo sleep most still have AM & PM nap and sleep all nite
Brease feeding vs bottle feeding: decision made during pregnancy; encourage Mom to stay well dydrated
Formula - Heat to: room temp-best way is in hot water
Sensorimotor is: cognition (ability to know) see, hear touch, feel
Prevent bottle rot by no bottles in bed with baby
Do babies need water? Not recommended for infants
Solid foods start at/first is usually by 6 mos/rice or oat cereal
New foods try how on at a time for 7 days then can add another
What first? fruit, vegies or meat fruit and vegies first, then meats
No Na+, sugar or spice added to: infant baby food
Age to introduce meat and eggs 8-10 mos
As solid food increases, formula decreases
finger foods (cooked vegies, raw fruit & cheese) at age 8 to 9 mos
Erickson first phase is Trust vs Mistrust (learning to trust that needs will be met)
Temperaments-passive or active passive baby does not cry a lot; active baby is fussy
Teething-problem is/give fussy with mild fever/Tylenol, teething toys and ambasol (be careful not to numb gag center
Leading causes of infant injury were: aspiration of foreigh objects, falls & burns,
Leading causes of infant death: suffication, Motor Vehicle accidents and drowning
aspiration-foreign material in the respiratory tract: watch what they pui in mouth, keep floor clean, dried beans sweel up;
suffocation-mechanical incl.covering mouth & nose,pressure on throat & chest,and lack of air-avoid: balloons, excessive blankets in bed, pillows with foam beads, adult laying on child,
crib safety keep junk out; take plastic off matress; be careful of cords; no pillows,
Falls watch: they learn to move early and wiggle themselves in a dangerous position can fall off bed, off of changing table-just any high surface -leave them on the floor
Burns-watch for: hot water in bathtub, spilled coffee, sunburn, electrical outlets need to be covered, pots on stove with handle to the back
Motor Vehicle-car seats use: in backseat, in middle, rear facing;
Created by: RN
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