○ Booster Seat/Car seat booster ■ 4 – 7 Years ■ Keep your child in a forward-facing car seat with a harness and tether. ■ Once your child outgrows the forward-facing car seat with a harness, it’s time to travel in a booster seat, but still in the back seat. ○ Seat Belt ■ 8 – 12 Years ○ ■ Keep your child in a booster seat until he or she is big enough to fit in a seat belt properly. ■ The lap belt must lie snugly across the upper thighs, not the stomach. ■ The shoulder belt should lie snugly across the shoulder and chest and not cross the neck or face. ■ Remember: your child should still ride in the back seat because it’s safer there. ● At 13 or older can ride in passenger Home safety ● Once baby Mobile : ○ Outlet covers ○ Gates to gate off areas ○ Even walkers aren’t safe because not wide enough to halt at doorways so can tumble down the stairs ● Water safety : ○ All sources of water need to be locked & secure at all times ○ Infants are top heavy and even in an inch of water can drown! ● Sleep & Rest: Prevent SIDS…. ○ Back is best ○ No toys, blankets, bumpers etc. in crib with baby at worst case just a pacifier
■ Pacifier proven to cut down on SIDS ○ Co-sleeping not recommended again SIDS possible CO2 inhalation (acidic stop breathing) ○ ● Healthy teeth: ○ When start coming in clean with Damp cloth ○ Take good care of primary teeth damage can affect permanent teeth (don’t believe myth about temporary/baby teeth) ● Discipline: ○ No spanking! ○ They understand you can say “no” may work! ○ Redirect their focus to something else ● Immunizations ○ dule.pdf Common Developmental Concerns: Infant ● Colic: ○ Inconsolable crying >3 hours with no identifiable cause ○ You’ve changed, fed, swaddled, loved & still baby won't stop crying ■ This is a Good time to teach if child is safe you can walk away regain your composure so you the parent don't lose it (shaken baby cases d/t losing control/mind) ● Thumb Sucking, Pacifiers & Security Items: ○ Are used for comfort & satisfaction ○ Pacifier can prevent SIDS: after one month of age to avoid nipple confusion (breast or bottle feed won't be same nipple shapes) ● Teething: ○ Get rid of the thumb sucking & pacifier at one year of age ○ To avoid permanent tooth damage (temporary teeth affect permanent teeth!) Q#1: The nurse in a well baby clinic is providing anticipatory guidance (teaching about age/development level) to the mother of a 3-month-old infant. Which safety instruction is most important at this age? A) Lock up all poisons B) Cover electrical outlets C) Place the infant on his back to sleep D) Remove hazardous objects from low shelves Q#2: A clinic nurse is performing an assessment of a 12-month-old infant. The nurse determines that the infant is demonstrating the highest level of developmental achievement if the infant is able to A) Produce cooing sounds
B) Obey simple commands C) Produce babbling sounds D) Begin to use simple words Chapter 7: Health Promotion During Early Childhood- Toddlers Physical Development of Toddler ●
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