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What does the Denver II (DDST-II) assess?
four sectors of development:
- fine motor/adaptive
- gross motor
What does the Bayley Scale of Infant Development test?
- fine motor
accomplished through play tasks
What may happen if infants receive water in addition to breastmilk?
Why wait until 6 months to introduce solids?
-GI tract able to handle more complex nutrients
- teeth start to erupt
- extrusion reflex disappears
- swallowing is more coordinated
-head control present
-pincer grasp present
-improved hand/eye coordination
Signs of a food sensitivity in an infant
GI: abd pain, vomiting, diarrhea, cramping
Rsp: cough, wheezing, rhinitis, infiltrates
Cutaneous: urticaria, rash
infants: restlessness, irritability, listlessness, unresponsiveness, urticaria
S&Sxs of colic
loud crying, drawing legs up to abd
last longer than 3 hrs, 3 days a week at more than 3 months of age
Causes of colic
too rapid feeding
swallowing excessive air
improper feeding technique
Failure to Thrive (FTT)
inadequate growth/inability to obtain or use calories required for growth (less than 5th percentile)
physical causes with absorption, cardiac issues, GERD, lead, anemia, occult blood, parasite
S&Sxs of FTT
no fear of strangers
avoidance of eye contact
stiff or flaccid
nursing care for FTT
set up a consistent, soothing feeding routine
Describe Newborn Rash
begins in first 2 days of life
firm lesions 1-2mm, pale yellow or white papules or pustules on an erythematous base
no systemic manifestations
lasts 5-7 days
How is candidiasis contracted in infancy?
contaminated source (hands, bottle, nipple)
management of positional plagiocephaly
tummy time, alternate head position when lying
helmut can be used if necessary
differentiate breastfeeding and formula stool
formula stool -- less frequent
breastfed - yellow, seedy
S&Sxs of dehydration in infants
dry mucous membranes
fewer wet diapers
lack of tears
vital changes indicate late-stage
pain relief for infants and immunizations
sucrose on a pacifier (or breastfeeding)
EMLA (requires 60 mins)
written information for immunization documentation
site, route, tolerance of patient
name/address/title of person administering
VIS date (vaccine information statement)
trauma and falls is more common in which age group and why?
under 7-9months due to poor depth perception
Tonic Neck reflex
When baby's head is turned to one side while lying on her back, the same arm will extend and the opposite arm will bend (fencing reflex)
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