peds growth and development

newborn age

0-28 days

infant age

1mo - 1 year

toddler age

1yr-3yr

preschool age

3-6

school age

6-12yrs

adolescence age

12-20

newborn development

cry 1-1.5hrs/day 14-15hr sleep
lose up to 10% of body weight in first few days but they regain in 2 wks
movements uncontrolled and erratic so they like swaddle
no neck strength, hands to eyes/mouth
start to recognize familiar voices, vision best at 8-12in HIGH CONTRAST ITEMS
play asap, trust v mistrust no cry it out at this stage

infant development

roll, sit, crawl, walk
develop balance and coordination
toy one hand to other and pincer grasp
don’t address needs before they cry (mistrust)
let them cry longer 9/10months so they know it is safe
social smile 4-6wks, coo 3 mo, 3-6 interactive play
don’t form habits you won’t continue
2-6mo discover hands/feet and love peek a boo at 6 mo

infant injury risk

falls (don’t leave on couch/bed)
safe sleep alone on back in crib
choking especially w baby led weaning
electrical sockets, book shelves (anchoring things)
drowning, don’t leave alone in bath
water temp and warm bottle appropriately
poison- chemicals meds led paint
don’t fall asleep w bottle in mouth- can rot teeth

toddler development

have them help w chores (set table, sweep, etc), good for potty training bc excited to do things
solitary play, parallel play, some peer play
take a few steps, climb on furniture, 2 kick a ball, 36 mo ride tricycle
using praise, providing support
lots of play and reading, imaginative play
18 mo 2 syllable words
2 yrs 2 word sentence, 3yrs 3 word sentences
more mobile w less awareness of safety, need lots of parental guidance
same Injuries as infants

toddlers health promo

when start notching signs of autism
variety of foods, can be tricky when picky/no phase- some stop meat (iron deficiency anemia)
1yr switch from formula to whole milk and no more than 24-28oz milk a day
11-14hrs sleep 3hrs physical activity/day
dental as soon as teeth, rear face as long as possible
drowning, burns, sunburns, poisoning, foreign aspiration

preschool development

running, jumping, throwing, skip/hop on one foot
use scissors, draw shapes, dress elf
start considering thoughts of others outside immediate family, curious apt world
give emotions to inanimate objects, time thinking ( remember last yr- was yesterday)
surge in vocab/communication
imaginative play, play w others, social behaviors

preschool health promo

speech issues- if difficulty speaking check for hearing impacts
aggression, discipline, variety of foods
12hrs sleep, consistent schedules
3hrs activity, involve family
<2hrs screens, 0 sugary drinks >/= 1hrs activity 5 servings fruits/veg
car safety, water safety, trampoline, bikes (helmet and distance), poison, vaccines

school age development

tell time, problem solve, understand more complex
compete and cooperative play, teach not everyone is good at everything
mix of structured/unstructured activities
drawing and handwriting
friends much more important, peer acceptance
read around age 5, still read to them, 10-12 read independently

school age health promo

bullying - 1 in 3 kids, most common in middle school, ask kids about their friends
support self esteem not too high of expectations
privacy, safe adults
stress and physical sx from stress
social media safety, firearms, bus safety, bike
sleep 9-12hrs
substance use and 60 min of physical activity

adolescence development

improve in activities involving large muscle groups, regular physical activity, sports
adolescents navigate neurological, hormonal, emotional changes
abstract thinking and logical reasoning
sports, clubs, socialization, play w others

adolescence health promo

self esteem, explore sexuality, substance use, unprotected sex, reckless driving
self harm, pregnancy, stis, rapem, anxiety

< 3 mo

weight gain 5-7oz/week
BF 2-3hrs formula 3-4hr
high contrast for play
respond to parent voices
social smile by 2 mo

6 mo

birth weight doubles
sit up when propped
can support some weight in standing position
recognizes familiar objects

12 mo

birth weight triples
birth length increases by 50%
knows name
favorite toys/books
9 mo test parents response

1 mo

lift head for brief period

3 mo

roll over, coo

6 mo

sit up, babble

9 mo

crawl, imitate

12 mo `

walk, 1-2 words

18 mo

18 words

2 years

2 word phrases

3 years

3 word phrases

4 years

4 or more word sentences