ATI Chapter 18: Infants (1 month to 1 year)

Weight

Birth weight is at least doubled by the age of 6 months, and tripled by the age of 12 months.

Height

Birth length increases by 50% by the age of

12 months.

Teeth

Six to eight teeth 12 months.

Piaget stage (birth to 2 years)

Sensorimotor

When closes eyes thinks your not in the room anymore?

Object permanence

Says three to five words and comprehends what important word by age 1 year.

NO

Erikson

Trust vs. Mistrust (birth to 1 year)

First form of verbal communication

Crying

When the infant's comfort, feeding needs are meet what is the outcome.

Trust is developed

When an infants needs are inadequately or inconsistently met, or are continuously met before being verbalized what occurs?

Mistrust develops

How should you clean an infants' teeth

using cool, wet washcloths

Does not interact with other children describes what type of play?

Solitary

Hepatitis B (Hep B) is given when?

Birth

Diphtheria and tetanus and pertussis (DTaP)

Rotavirus (RV)

Poliovirus (IPV)

H. influenzae (Hib)

Pneumococcal (PCV)

Hep B

2 months

Seasonal influenza vaccination given?

6 to 12 months

When does breastfeeding provide a complete diet for infants?

During the first 6 months.

How much Cow's milk is recommended to support infant calcium needs?

Not recommended.

Causes Iron deficiency anemia

When is it recommended to begin vitamin D supplements?within the first few days of life

The first day of life

Are Iron supplements recommended for infants who are exclusively breastfed after how many months?

4 months

During the first 4 months of life what types of fluids are not needed?

juices or water

What is the appropriate method to clean an infants teeth?

Use a cool, wet wash cloth for cleaning

Why is it important to close bathroom doors?

An infant is small enough to drown in a toilet

How long do infants and toddlers remain in a rear-facing car seat?

Until the age of 2 years or the height

recommended by the manufacturer

Safest area for infants and children in the vehicle is where?

In a rear-facing car seat on the back seat

Why are plastic bags avoided?

They can suffocate an infant

What are the age requirement and length of time infants can take tylenol or advil?

Must be >6 months old and must take the medication < 3 days

What anxiety and fear begin a 8 & 9 months?

Separation anxiety & Stranger fear

When does posterior fontanel close?

by 8th week

When does anterior fontanel close?

By 18th month

When should first word be said?

1 year

What age can an infant walk without help?

15 months

How long should breast feeding be an infants primary nutrition?

First year

What age can solid food be introduced?

4-6 months

Introduce slowly and watch for allergic reactions

When can finger foods begin?

9 months (pincer grasp)_

A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply.)

A. Rolls from back to front

B. Bears weight on legs

C. Walks holding onto furniture

D. Sits unsupported

E. Sits down from a standing position

A, B, D

A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant?

A. "My baby loved to play with his crib gym, but I took it away from him."

B. "I just bought a soft mattress so my baby will sleep better."

C. "My baby really likes sleeping on the fluffy pillow we just got for him."

D. "I just bought a child-safety gate that folds like an accordion."

A

A nurse is reviewing car-seat safety with parents of a 1-month-old infant. When reviewing car-seat use, which of the following instructions should the nurse include?

A. Use a car seat that has a three-point harness system.

B. Position the car seat so that the infant is rear-facing.

C. Secure the car seat in the front passenger seat of the vehicle.

D. Put soft padding in the car seat behind the infant's back and neck.

B

The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. Which of the following responses by the nurse are appropriate? (Select all that apply.)

A. "It might be good to add bananas, as they can help with loose stools." B. "Let's make a list of the foods he is eating so we can spot any problems."

C. "Did the changes begin after you started one particular food?"

D. "Has he been vomiting since he started these new foods?"

E. "Most babies react with a little indigestion when you start new foods."

B, C, D

A parent brings a 5-month-old infant to the clinic for a well-infant check. The infant weighed 3.2 kg (7 lb) at birth. If the infant has followed the usual pattern of growth for 5 months, how much should the infant weigh? (Round the answer to the nearest tenth.)

14.5 lbs