You are the nurse in a pediatricians office You are checking in an 8 month old

You are the nurse in a pediatricians office you are

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You are the nurse in a pediatrician’s office. You are checking in an 8-month-old boy. Which of thefollowing, if stated by the mother, would be of most concern to you? A.“I have to be careful now because my son is rolling both ways. I don’t want him to fall off the couch!”o6moB.“He loves to smile at us when we talk to him!”oFew moC.“Big sister helps baby to sit up. She enjoys that.”***oShould be ablt to sit up on own at 6moD.“He really loves the toy bar that hangs from his car seat!”o3moPiaget: SensorimotorAge 0-2 yearsBaby begins to interact with their environmentExperience world through senses – mouth/touch, explorationObject permanence around 7-9 monthsoGo looking for toy, know still exists even if can’t see oPeek a booStranger and Separation AnxietyoBefore, ok with other pploNow attached to care giver, upset withoutErikson: Trust vs Mistrust
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Baby’s physical and emotional needs must be met so that he can learn to trust the world around him.Trust – provide with food, warmth, change diaper, hold, love, interact with babyCan you move on to other crisis? Yes can work on multiple stages at once, development will be improved if can master  be more autonomous toddler o Still Face Experiment o Infant Mental Health Attachment and security Observe interactions between parent and child Holding Feeding Eye contact Stranger and Separation anxiety Helping Infants Calm Themselves Swaddling Pacifiers – orally pleasurable, esp if dipped in sucrose Visual distraction Auditory distraction Interactions 5’s o Swinging, shushing, swaddling, sucking, side-lying position Pacifiers Derive pleasure from sucking May lead to a decrease in SIDS May cause malocclusion of teeth May increase risk for ear infections Young infant may develop nipple confusion Teething Normally begins with bottom central incisors around 6-7 months Central incisors Can have increased drooling/fussy Can run low grade fever Diarrhea from drool Can be very painful - <6 acetaminophen Ibuprofen – anti-inflammatory for over 6mo Cold wet washcloth or fluid filled teething rings What is the dose of ibuprofen for an infant under 6 months of age? Infant Pain Control Sucrose Pacifier Swaddling Holding Papoose Boards – for painful procedure – protects and tight helps with pain control Analgesia Heel Sticks
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Used in non-ambulatory infants o Warm heel – vasodilate o Colored in part of pic  Language Interactive Hearing  learning Ear Infections Babbling, Vocalizations American Academy of Pediatrics now recommends reading to babies, even in the newborn period o Read to children - Newborn period & onward o TALK TO CHILDREN!
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