Solutions
3 months language development
1. Coos
2. babbles
3. turns head to sound of rattle
4. social smiling
4 month language development
Laughs aloud
6 month language development
Makes raspberries
9 month language development
Comprehend the word no
12 month language development
can say 3-5 words other than dada or mama
0-5 months age appropriate play
toys that can be kicked or batted, unbreakable mirrors, and
contrasting patterns.
6-12 months age appropriate play
1. toys that make noise or light up
2. soft dolls
3. teething toys
4. board books
5. large blocks.
,hib vaccine
Haemophilus influenzae type B
DTAP vaccine
diphtheria and tetanus toxoids and accellular pertussis
IPV vaccine
Polio vaccine
MPSV4 vaccine
Meningococcal polysaccharide
What are the leading causes of death in children
1. Motor vehicle accidents (accidental injuries)
2. suicide
Infant changes in height
Increase 2.5cm (1in) per month until 6 months
Rate slows during 6-12 months (grows in spurts)
By age 1, birth length increases by 50% but most of this length
is in the trunk not legs
Infant changes in weight
Gain 5-6 oz per week in the first 5-6 months
should double birth weight by 6 months
, Should triple birth weight by 1 year
Infant head growth changes
1-6 months the head grows aprox 1.5cm a month
6-12 months the head grows 0.5cm a month
Head circumference at birth is 2-3cm bigger than chest
circumference
By age 1 chest and head circumference are equal
What pain scale is used in infants up to 1 year
Nonverbal pain scales like NIPS or FLACC
FLACC scale
face, legs, activity, cry, consolability
rated 0-2. Higher score means more pain
NIPS scale
Facial expression, cry, breathing pattern, arms, legs, and state of
arousal are scored.
Scale of 0 to 1 for all except cry, which is scored 0 to 2.
higher score indicates more pain.
What should the nurse assess for until 3 months?