NR-602 Primary Care of the Childbearing &

Childrearing Family Practicum

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Week 2 Quiz Study Guide

Developmental Milestones (birth-adolescence)

Birth -1 month

-may lose 5-8% of birth wt but should regain in 10-14 days. >10% requires close

monitoring. Nutrition 110 kcal/kg/day

-sleep 16/24 hrs day

-Reflexes: sucking, rooting, asymmetric tonic neck, Moro, grasp- should be + and

symmetric.

-Head lag

-Should orient to light and sound, self soothe

-Vision 8-12in from face

1-3month

-Growth spurt 6-8 wks. More defined sleep patterns 15-16 hrs day.

-Fine motor skills: attempt to grasp, visible head control, lifting head off bed when

prone.

-More social, imitate parents expressions- social smile. Can self soothe @ 3 moExtension, non-directed hand swipes, rooting reflex

4-5 months

4-6 months, infant doubles birth weight.

-Social smile

-Begins babbling

-More consistent sleep w/ 5 feedings and 1 @ night. Grasping and holding bottle.

Roll, stronger head control with no head lag when pulled to sitting.

-Hands to mouth, swing @ toys

-Recognize parents meeting needs w/ breast or bottle.. Sleep thru night w/o feeding.

6-8 months

-Teething around 6 mo-8 mo, 1st illness can erupt at this time.

-Crawling. Growth may slow down with adding solids into diet.

-Vocalization increases.“mama”“dada”

-Use gestures (pointing, reaching).Stranger and separation anxiety may appear.

Understands cause and effect relationship.

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-Introduce solid foods @ 6 mo.

-Palmar grasp, pass things from hand to hand

-Sits independently, rolls over, supports wt, bounces when held.

9-12 months

-child proof house.

-Separation anxiety/stranger

-Understands simple commands, imitation, gives to on request,

-Understands gestures like bye-bye/peek a boo

-Feeds self/ Pincer grasp

-Crawls and cruises around furniture, pull to stand, bears weight

12 mo: 15 mo

-Can use sippy -Feeds self w/ spoon

-Stands & walks independently -Drinks from cup

-Points/clasps hands together -Follows commands

-Knows @ least 3-4 words, knows name w/ gestures

-Growth rate slows -knows 4-6 words

*Health maintenance: check for anemia and lead

18 mo. 24 mo (2yr)

-Turns page of book -Runs, throws, kicks

-Walk up steps -uses spoon, scribble

-Knows 10-20 words -2-3 word sentences

-Point @ body parts -up stairs w/ same

-Pushes & pulls toys foot

-Walks well independently -Temper,“No”

-Toilet training,

transitional toy

-Speech understood

by family

36 mo (3yr) 42 mo (4 yr)

-Full name, age, sex -Understand #

-Speaks in complete sent. 3-5 words -Hops on foot

-Knows 3 #’s and colors -Future & past tense

-Copies a circle -Tells stories

-Builds towers/rides tricycle -Copies a cross +

-Imagination play -Little help w/ dress

-“Oedipal stage”- interested in opposite sex

-Group play, does not like to take turns or share

-Speech understood by stranger

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60 mo (5 yr) 6 yr (Kindergarten)

-Counts 10 or more things -Rides bike

-Speaks clearly -Copies triangle

-Puts shoes on and ties laces -Ties shoes

-Prints own name

-Bathes self

-Can draw person w/ 6 body parts

7-11( Middle Childhood)

-Succeed in school and interact w/ peer group

-Thinks of future

PURPLE cryingPeak of crying

Unexpected

Resists soothing

Pain-like face

Long lasting

Evening

Fontanelles- 12 months- not palpapble. Anterior closes by 18-19 months

Pediatric Physical Exam:

• Gestational and birth history (including maternal gestational history,

smoking, and illicit drug use)

• Immunizations

• Hospitalizations

• Major illnesses or trauma (includes fractures, stitches, et cetera)

• Family history of disease

• Social: who the child lives with, members of the household in the home

and ages, smoking in the home, electricity and clean water access, parents or

guardians education and reading level, current school attending if appropriate,

smoking,drug, or alcohol use in child, if appropriate, sexual activity in child, if

appropriate, piercings or tattoos, if appropriate.

-The American Academy of Pediatrics recommends well-child visits at 2 weeks

and then at 2, 4, 6, 9, 12, 15, 18, and 24 months, annually up to age 6, and every

2 years from age 6 through adolescence

2. Puberty (pg 121)

-Biologic process that ultimately leads to fertility

-Adolescence defintion: psychosocial & emotional transition from childhood to

adulthood

-onset of puberty until sexual maturity

Females: earlier than males

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