Milestones, Anticipatory guidance and
Red flags: Birth through 1 year.
Fitzgerald Pediatric questions And
Actual Answers.
The infant will initially lose how much weight after birth? - Answer 5-8% of body weight
How many days should it take for an infant to regain the initial weight loss after birth? - Answer
10-14 days
A weight loss of more than ____% after birth is concerning and requires closer monitoring? -
Answer 10%
What are the nutritional needs to promote growth in an infant? - Answer 110kcal/kg/day
How many hours a day does a newborn generally sleep? - Answer 16 out of 24 hours
How often should a mother be encouraged to breastfeed her NEWBORN? - Answer Every 2-3
hours, do not go more than 4 hours between feedings
What could a high pitched cry in an infant signify? - Answer Hypothyroidism
Cri du Chat
What are primary reflexes in an infant? - Answer Sucking
rooting
Asymmetric tonic neck
Moro
Grasp
What are a few ways in which newborns self-sooth? - Answer Sucking
moving hand to mouth
grasping at clothing
,0.8inches per month in head circumference
Approximately how many feedings per day should an infant ages 1 month to 3 months have? -
Answer 8-10 feedings per 24 hours
About how long should feeding sessions of infants take? - Answer 20-30 minutes
Feedings < 20 minutes or >30 minutes should be evaluated
How many hours do infants ages 1 month- 3 months usually sleep? - Answer Sleep cycles
become more regular and last approximately 15-16 hours per day
Motor skills at birth include? - Answer Fine motor- Flexion
Oral movement- Sucking, tongue movement, jaw movement
Motor- Momentary head control
Motor skills at 1 month old? - Answer Fine motor: extension, non-direct swipes
Oral: rooting
Motor movement: Turns head when prone
Motor skills at 4 months? - Answer Fine motor: Directed swipes, coralling, reaching. Sometime
between 4-5 months- Ulnar palmar grasp, swims in prone position
Motor movement: Sits with Support, begins to roll over and steady head
Motor skills at 6-7 months? - Answer Fine: radial digital grasp
Oral: Sucking with negative oral cavity pressure, rhythmic jaw movement, firm approx. of lips
Motor: Sits independently, rolls over, rocks on hands and knees
Motor skills at 7-9 Months? - Answer Scissor grasp
Munching, early chewing
Sits alone, may crawl
Motor skills at 9-10 months? - Answer Voluntary release
, Walks with one hand held, stands alone momentarily
Motor skills at 18 months? - Answer Makes tower of 4 cubes, imitates scribbling, dumps
pellets, puts blocks in large hole, drinks from cup with little spilling, can take off socks
Directed throwing, walks well independently, climbs into adult chair
Motor skills at 24 months? - Answer Makes tower of 7 cubes, does circular scribbling, folds
papers once imitatively, turns door knobs, turns ages one at a time, unbuttons or unzips
Throws overhand, runs well, kicks balls
Motor skills at 30 months? - Answer Makes towers of 9 cubes, makes vertical and horizontal
strokes, imitates circle, buttons large buttons, uses fork, twists jar lids
Jumps off ground with both feet
Motor skills at 36 months? - Answer Makes tower of 10 blocks, imitates bridge of 3 cubes,
copies circles, snips with scissors, can brush teeth but not well, puts on shoes
Broad jumps, walks up stairs alternating feet, may pedal tricycle, , balances on one foot for 2-3
sec
Motor skills at 48 months? - Answer Copies bridge from model, copies cross and square,
dresses self, strings small beads
Pedals tricycle, runs smoothly, hops on one foot, catches large ball
Motor skills at 60 months? - Answer Some can print name, copies triangle, opens lock with
key, bathes self, cuts out simple shapes, ours from small pitcher
Walks downstairs alternating feet, catches bouncing ball, skips, stands on one foot for 7-8
seconds
Anticipatory Guidance for Infants Birth to 1 month related to Regulation of sleep wake patterns -
Answer 1. Need assistance to develop day and night cycles
2. Placing infant in bassinet during naps help with an easier transistion from parent bed at night
3. Infants need a variety of movement, voice and touch to move them from sleep to wake states
4. Some infants benefit from external stimuli like music, voice or movement to help them calme
Red flags: Birth through 1 year.
Fitzgerald Pediatric questions And
Actual Answers.
The infant will initially lose how much weight after birth? - Answer 5-8% of body weight
How many days should it take for an infant to regain the initial weight loss after birth? - Answer
10-14 days
A weight loss of more than ____% after birth is concerning and requires closer monitoring? -
Answer 10%
What are the nutritional needs to promote growth in an infant? - Answer 110kcal/kg/day
How many hours a day does a newborn generally sleep? - Answer 16 out of 24 hours
How often should a mother be encouraged to breastfeed her NEWBORN? - Answer Every 2-3
hours, do not go more than 4 hours between feedings
What could a high pitched cry in an infant signify? - Answer Hypothyroidism
Cri du Chat
What are primary reflexes in an infant? - Answer Sucking
rooting
Asymmetric tonic neck
Moro
Grasp
What are a few ways in which newborns self-sooth? - Answer Sucking
moving hand to mouth
grasping at clothing
,0.8inches per month in head circumference
Approximately how many feedings per day should an infant ages 1 month to 3 months have? -
Answer 8-10 feedings per 24 hours
About how long should feeding sessions of infants take? - Answer 20-30 minutes
Feedings < 20 minutes or >30 minutes should be evaluated
How many hours do infants ages 1 month- 3 months usually sleep? - Answer Sleep cycles
become more regular and last approximately 15-16 hours per day
Motor skills at birth include? - Answer Fine motor- Flexion
Oral movement- Sucking, tongue movement, jaw movement
Motor- Momentary head control
Motor skills at 1 month old? - Answer Fine motor: extension, non-direct swipes
Oral: rooting
Motor movement: Turns head when prone
Motor skills at 4 months? - Answer Fine motor: Directed swipes, coralling, reaching. Sometime
between 4-5 months- Ulnar palmar grasp, swims in prone position
Motor movement: Sits with Support, begins to roll over and steady head
Motor skills at 6-7 months? - Answer Fine: radial digital grasp
Oral: Sucking with negative oral cavity pressure, rhythmic jaw movement, firm approx. of lips
Motor: Sits independently, rolls over, rocks on hands and knees
Motor skills at 7-9 Months? - Answer Scissor grasp
Munching, early chewing
Sits alone, may crawl
Motor skills at 9-10 months? - Answer Voluntary release
, Walks with one hand held, stands alone momentarily
Motor skills at 18 months? - Answer Makes tower of 4 cubes, imitates scribbling, dumps
pellets, puts blocks in large hole, drinks from cup with little spilling, can take off socks
Directed throwing, walks well independently, climbs into adult chair
Motor skills at 24 months? - Answer Makes tower of 7 cubes, does circular scribbling, folds
papers once imitatively, turns door knobs, turns ages one at a time, unbuttons or unzips
Throws overhand, runs well, kicks balls
Motor skills at 30 months? - Answer Makes towers of 9 cubes, makes vertical and horizontal
strokes, imitates circle, buttons large buttons, uses fork, twists jar lids
Jumps off ground with both feet
Motor skills at 36 months? - Answer Makes tower of 10 blocks, imitates bridge of 3 cubes,
copies circles, snips with scissors, can brush teeth but not well, puts on shoes
Broad jumps, walks up stairs alternating feet, may pedal tricycle, , balances on one foot for 2-3
sec
Motor skills at 48 months? - Answer Copies bridge from model, copies cross and square,
dresses self, strings small beads
Pedals tricycle, runs smoothly, hops on one foot, catches large ball
Motor skills at 60 months? - Answer Some can print name, copies triangle, opens lock with
key, bathes self, cuts out simple shapes, ours from small pitcher
Walks downstairs alternating feet, catches bouncing ball, skips, stands on one foot for 7-8
seconds
Anticipatory Guidance for Infants Birth to 1 month related to Regulation of sleep wake patterns -
Answer 1. Need assistance to develop day and night cycles
2. Placing infant in bassinet during naps help with an easier transistion from parent bed at night
3. Infants need a variety of movement, voice and touch to move them from sleep to wake states
4. Some infants benefit from external stimuli like music, voice or movement to help them calme
