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
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 toddleroStill Face Experiment oInfant Mental HealthAttachment and securityObserve interactions between parent and childHoldingFeedingEye contactStranger and Separation anxietyHelping Infants Calm ThemselvesSwaddlingPacifiers – orally pleasurable, esp if dipped in sucroseVisual distractionAuditory distractionInteractions 5’soSwinging, shushing, swaddling, sucking, side-lying positionPacifiersDerive pleasure from suckingMay lead to a decrease in SIDSMay cause malocclusionof teethMay increase risk for ear infectionsYoung infant may develop nipple confusionTeethingNormally begins with bottom central incisors around 6-7monthsCentral incisors Can have increased drooling/fussyCan run low grade feverDiarrhea from droolCan be very painful - <6 acetaminophenIbuprofen – anti-inflammatory for over 6moCold wet washcloth or fluid filled teething ringsWhat is the dose of ibuprofen for an infant under 6 months of age?Infant Pain ControlSucrose PacifierSwaddlingHoldingPapoose Boards – for painful procedure – protects and tight helps with pain controlAnalgesiaHeel Sticks
Used in non-ambulatoryinfantsoWarmheel – vasodilateoColored in part of pic LanguageInteractiveHearing learningEar InfectionsBabbling, Vocalizations American Academy of Pediatrics now recommends readingto babies, even in the newborn periodoRead to children - Newborn period & onwardoTALK TO CHILDREN!