INFANTS What is an Infant o Infant until age 12 months then considered a

Infants what is an infant o infant until age 12

This preview shows page 21 - 23 out of 26 pages.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ INFANTS What is an Infant? o Infant until age 12 months , then considered a toddler o Full-Term : 39 weeks and up o Pre-Term : Before 39 weeks o Post-Term : after 42 weeks Respiratory Assessment o Irregular (not labored!) breathing pattern o Acrocyanosis – hands and feet blue = normal Cardiac Assessment o PDA closes at 48 hours old , normal to hear a murmur PDA – Patent Ductus Arteriosus – opening between Pulmonary Artery from R vent and Aorta o Check brachial (upper) and dorsalis pedis (lower) pulses o Keeping baby warm is very important GI/GU o Gentle palpation of abdomen, careful of the umbilical cord When does the cord fall off? 7-10 days, usually within 14 days – don’t mess with it, don’t put infant in submerge water until it falls off o Assessment patency of urethra, anus – make sure open o Discharge, rashes, bruising? o Closely monitor intake and output Oz in a bottle or minutes at the breast Weighed diapers Appearance of stool If newborn, first stool is very important Head and Neck o Visual and hearing testing/assessment o Nasal Patency o Presence of any clefts o Abnormal shape/bumps to head o Fontanels and Sutures Anterior closes at approx 18 months Posterior closes at approx 2 months o Caput Succedaneum – collection of FLUID, crosses suture line, self-resolves in a few days o Cephalohematoma – collectin of BLOOD, does NOT cross suture line , resolves in a couple of weeks Neurological o Tonicity (floppy baby) o Alertness o Interaction with caregivers o Infant Reflexes Moro – birth to 6 months Tonic Neck (Fencing) – birth to 4 months Rooting – birth to 3-6 months Sucking – birth to 10-12 months Palmar grasp – birth to 3-4 months Plantar grasp – birth to 3-4 months Babinski – birth to ~ 1 year Growth and Development o Recumbent height, weight, and head circumference taken every visit and plotted on growth chart o By 6 months of age the child should have doubled the birth weight o By 1 year of age the child’s birth weight should have tripled
Image of page 21
o By 1 year of age the child should have increased in length by 50% o i.e: born at 7lbs, 6 months = 14 lbs, 1 year = 21lbs Birth to 3 Months o can see about 10 inches away , but very blurry o gains 5-7 ounces per week in the first month, then 1-2 pounds per month o social smile at 2 months o makes some noises, coos o enjoys bold colors, mobiles o sleeps up to 18 hours per day o eats at least every 3 hours , even at night 3-6 Months o Rolls from abdomen to back (Think A comes before B in ABCs… abdomen to back always first) o Babbles , may hear some consonants o Teething may begin (around 6 mos) o Reaches and grabs objects , especially those hanging over head o Sits up, first with support (around 6 mos) o Supports some weight while standing o Begins to sleep through the night with q3-4 hour feedings during the day o Introduction of non-liquid nutrition ( purees ) 6-9 Months o Rolls both ways o Hand transfer of objects o Stranger anxiety o Says Dada, Mama ( without meaning ) o Teething in full force o Crawling begins o Can sit up alone (without support) o
Image of page 22
Image of page 23

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture