2145 What do new parents need to know?

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What are some topics to include regarding patient education?

Sleeping, eating, behavior states, growth and development, hygiene, S/S illness, safety

What does a 2 month old baby do (7)?

1. Smiles, shows pleasure in interactions esp. w/ primary caregivers
2. some head control (some bobbing) in upright positions
3. Coos and vocalizes
4. follows moving person with eyes
5. Posterior fontanel closed
6. Enjoys bath
7. Loves to sick, may quiet self w/ suck

Nursing Interventions fro 0-3 months (6)

1. Car seat safety
2. Back to sleep- review SIDS prevention
3. Check temp of bath water and formula
4. Baby equipment in proper working condition
5. Pets at safe distance
6. Never shake, toss or swing infants in air

What does a 4 month old baby do (9)?

1. "visionary"
2. Holds own hands, reaches for objects
3. Looks at and becomes excited by mobile
4. Laughs and squeals, babbles
5. enjoys play
6. Recognizes parent's touch + voices
7. May start rice cereal
8. rocks & rolls from side to side
9. Hopefully sleeps 6 hours

Nursing Interventions from 4-6 months (6)

1. Do not use walkers or jumpers
2. Never leave baby unattended in tub
3. Safe highchair
4. Only soft or mashed potatoes
5. Principles of introduction of new foods
6. No small objects within baby's reach

What does a 6 month old baby do (7)?

1. "Sitting pretty"
2. sits w/ support, stands when placed and bears weight
3. rolls over from back to stomach
4. Starts to self-feed, teeth are erupting
5. Shows interest in toys, transfers small objects hand to hand, hand to mouth
6. Vocalizes syallables (dada, baba)
7. Birth weight doubled***

Nursing Interventions from 7-9 months (4)

1. Remove sources of lead poisioning
2. Provide barriers to areas which may pose a danger
3. Supervise baby at all times
4. Starts to crawl

What does a 12 month old baby do (7)?

1.'Walking baby'
2. Pulls to stand, cruises, attempts to take steps alone- may walk and climb
3. Precise pincer grasp and feeds self
4. Fears strangers
5. Uses 1-3 words besides mama/dada
6. Memory increasing- looks for hidden objects
7. Birth weight tripled

Nursing Interventions from 10-12 months (3)

1. Protect baby from glass furniture, sharp edges, appliances
2. All poisions, meds stored out of reach
3. Childproof latches, cover electrical outlets, protect from stairs

When can a baby sleep through the night (3)?

1. The parents determine the baby will learn to soothe herself
2. The baby is able to stretch out to a 3-4 hour pattern without hunger interfering- sometimes this correlates with a weight of 13
3. The babys nervous system is mature enough to allow her to stretch out sleeping and find a self-soothing pattern for herself- usually at 4 months of age

How can you help a baby calm herself (14)?

1. check comfort (dry diaper, not hungry, relieve gas)
2. make sure not ill
3. gently rock or walk w/baby
4. ride in stroller or car
5. put in swing
6. Swaddle the lower half of the baby
7. Help her find her thumb first or pacifier
8. check that clothing is not too tight
9. Use a continous sound, vacuum, dryer, music
10. Rock her and sing to her
11. offer noisy toy
12. lay baby on tummy & rub back
13. call a friend for relief
14. lay them down, turn up tv or radio and check on them in 10 minutes

How to start a bedtime ritual for a newborn (5)

1. Feed your baby
2. Rock and sing
3. Calm her and then place her in her crib before she is asleep (put her on her back in a safe sleeping area)
4. Sit beside her to sing or speak to her and rub her back as needed
5. Never prop a bottle

What are some healthy sleep habits (5)?

1. 6 weeks- night sleep lengthens
2. 12-16 weeks- daytime sleep regularizes
3. 9 month- disappearence of night waking
4. 12-21 months- disappearance of the morning nap
5. 3-4 years- afternoon nap becomes less common

6 states of newborn behavior

1. deep sleep
2. light sleep REM
3. Drowsy
4. wide-awake, alert
5. fussiness
6. crying

infant sleep patterns (3)

1. spend less time than adults in deep sleep
2. larger % of lighter REM
3. during REM make noises loud enough to hear & going to them will wake them. if left alone they will probably fall back to sleep

Sleeping through the night (4)

1. newborn neurologically unable to sleep thru night
2. by 12 weeks many sleep at least 5 hours and most sleep 5 hours by 4 months
3. by 12 months they take 2 naps and sleep ~10 hrs at night
4. often awaken at night if ill or teething

What is colic (8)?

1. irritable crying for no obvious reason for ≥3 hr/day
2. usually late afternoon or early evening ≥3day/week
3. 10-20% of infants start in 2nd-3rd week
4. usually ends at 3 months
5. both BF and bottle fed babies
6. cry as if in pain, draw up knees or extend legs, may pass gas
7. cause in unknown, may be immature GI or CNS or both
8. may alter mother/child relationship

Colic interventions (9)

1. let parent communicate their frustration
2. reassure: not parents fault/poor parenting & not wrong to be angry with child
3. take time away from child
4. changing formula may help
5. BF: try avoid the following for 5-7 days = cow's milk, OJ, peanuts, cabbage family, onions, chocolate
6. quiet environment
7. calm approach
8. increase time carrying child
9. severe cases: anitflatulent, sedative, antispasmodic, antihistamine

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