● Child babbles → 4-6 months
● Hand to hand transfer → 7-9 months
● Pincer grasp → fine motor, 7-9 months
● Safety → counseling of babies 4-6 mos
○ Babies put things in their mouths!!
○ No small objects on floor
○ Plugs blocked or covered
○ Child can’t open any cabinets
■ Chemicals high and out of reach, sharp objects high and out of
reach
○ Breastfeeding → give iron
■ Iron fortified formula 400 international units
○ Vitamin D
○ Walking children catching speed → gates, can’t fall down stairs
● Lift head up 45 degrees, turn head to head when prone → 1-3 months
● Sit with support → 4-6 months
● Sit alone → 7-9 months
● Pulling self up → 7-9 months
● Playing with infant → stimulating senses
● Peek and boo → 6 months
● Patty cake → 12 months
● Difference between WHO and CDC growth standards
○ WHO → better description in physiological growth
■ Uses weight
■ Standards for how children should grow in optimal conditions
○ CDC → references for how children should grow
● Teeth start @ 4-6 months, DROOLING = normal
○ Clean with water and cotton swab
● Baby fenced in, moms off texting, few toys → get the baby out and play with the
child!! Stimulate the senses!
● Infants entire motivation = exploring
○ Do it by putting in mouth, grabbing and dropping multiple toys
● Stimulate infant w/ bright colors, music, mobile (0-6 mos)
● Preventing SIDS
○ Supine in crib
○ No pillows, no blankets
○ No smoking in house
, ○ Tummy time to promote strength and development of head and neck
(head up 45 degrees)
Safety
● Help find affordable housing for homeless families
● Rear facing car seats
○ Manipulate car seat based on height and weight
○ Face front around 2 years
Growth patterns and developmental levels
● Orderly, sequential, differential
ADOLESCENT
● Cognitive - perceptual pattern:
○ Piaget -- formal operations
■ Groundwork for abstract thinking
■ Introspection - what others think of them
○ Erickson -- identity vs. role confusion
■ Threats to identity = delinquent and risky behavior, mental health
issues
■ Desire to be independent
■ Social pressure, bigger academic demands
■ Attention disorders can be detected here
● Self perception - self concept
○ Body image
■ Acne = problematic
■ Tattoos and piercings - health risks associated with them
■ Obesity can become an issue -- stress & eating
○ Self esteem
■ Peer pressure, norms, and expectations
○ Guidance to help them choose healthy choices
● Roles - relationships
○ Changing roles - stressful time
■ More independence wanted -- parents learn to let go but still have
rules and boundaries
○ Positive strategies
■ Willingness to listen, ongoing affection and acceptance of teen,
negotiation of limits