NURS 3122 - Growth & Development | UPDATED
Questions with 100% Verified Answers
Q1: Infant - Body Changes
A: Fontanelles
Anterior Fontanelle Closes (18 months)
Posterior Fontanelle Closes (8 weeks / 2 months)
Weight
6 months: weight doubles from birth weight
12 months: weight triples from birth weight
Length
1/2 inch - 1 inch every month
Teeth
first teeth to pop are lower central incisors: 10 months
first tooth lost 6-7 years old
Q2: Infant - Milestones (motor & cognitive)
A: 2 months
moves head side to side
tracts with eyes (faces)
makes verbal noise (coos)
smiles
holds head up when on stomach
4 months
begins to like play
cooing (babbling/ copies noises)
holds and reaches for toys
remembers faces/ objects
rolls over from back to belly (SAFETY!)
this is when yous top swaddling/ high areas
6 months
can sit up with support
stranger anxiety
babble with early vowels
recognizes responds to name
has fun looking at self in mirror
8-9 months
sits without support
crawling
stands with pulling and holds objects
pincer grasp (thumb & pointer)
SAFETY! things in mouth small objects
moves objects hand to hand
object permanence (peekaboo)
10-12 months
begin walking (hold hand or alone)
,follow very simple commands (no or bye)
put objects in container
bang objects together
say simple words like "mama"
separation anxiety
Q3: Infant - Nursing Interventions
A: Trust vs. Mistrust (Eriksons)
building trust with caregiver that needs will be met
1. Respond to Crying (soothe) younger
rock/swaddle/hold/ ability to suck
2. Respond to Crying
separation anxiety - keep parent there
play with toys before assessments (based on age)
keep same staff per patient
Q4: Infant - Eating / Nutrition
A: Breast Feeding
1-6 months
Vitamin D (400 IU)
Formula with Iron
no cows milk or honey in first year
Q5: Infant - Play (toys)
A: Independant Play
Observe: (birth - 4 months)
faces, high contrast items
be there with them
love faces and voices
Interact: (4 plus months)
rattles, toys, blocks in bucket, push toys, hiding objects
Q6: First contact between infant's primary healthcare provider and
parents
A: Should occur before birth
Q7: Infant - Pain Assessment
A: CRIES (0-6 months)
assess pain in infants
based on type of crying
need for oxygen
change in vital signs
expression
ability to sleep
,FLACC (2 months - 7 years)
face expression
legs / tense
active
cry is like
how consolable
Q8: Why is a trusting relationship between family and care
provider important
A: to foster a partnership that is influential in promoting development of infant
Q9: Health supervision visits
A: begin with careful observations of the infant and parent - child interactions
Q10: Surveillance of growth and development
A: provides important clues to infant's well-being
Q11: Nutrition assessment and teachings
A: are important to provide for the challenging nutritional needs of the first year of life
Q12: Mental health of parents
A: influence the atmosphere in the home and development of the infant
Q13: Disease and injury prevention strategies
A: are integrated into each infant healthcare supervision visit
Q14: Toddler - Autonomy vs. Shame and Doubt
A: Toddler feels independent from parent and tests that out. Going back and forth between
dependent vs independent.
Q15: Toddler - Developmental Milestones
A: Temper Tantrums
because of autonomy / independence
easily stressed or agitated
immature emotional processing
Education
normal
stay calm, stay close
don't give in to requests
don't reason with them
prevent: triggers, distract them, give them choices, prepare
Separation Anxiety
, protest (scream/cry when parent leaves)
despair (quit crying but sad/ withdrawn)
detachment (rare, detach from parent to cope) (appear happy but not)
Nursing Interventions
reassure child parent will be back
routines / rituals
encourage child to talk about parent
Potty Training
by 3 years (trained by 4-5)
need to be physically and mentally ready
sphincters need to be ready (18-24 months)
bowel control comes first)
daytime is faster than nighttime
EDUCATION: when are they ready?
2 or more hrs with dry diaper
on/off by self (potty/clothing)
interested in potty
likes sitting on toilet (5-10 mins)
experiences regular BMs
tells you they have to go
Loves to say No
negativism (do opposite of what is asked)
Nursing Interventions
don't say do you want to take your meds
do say do you want a red cup or blue cup
Q16: Toddler - Rituals, Rivalry, Regression
A: Ritualism
same things same way
predictable, comfortable, promote learning
decrease stress
know what to expect
Rivalry
siblings
attention diverted to other sibling
may have more tantrums
Parent Education
include toddler in care of new child
routines
watch for jealousy
Regression
revert back skills
too stressed out
caused by change in routine (sibling, hospital)
Parent Education
no punishment for poor performance
identify stress
Questions with 100% Verified Answers
Q1: Infant - Body Changes
A: Fontanelles
Anterior Fontanelle Closes (18 months)
Posterior Fontanelle Closes (8 weeks / 2 months)
Weight
6 months: weight doubles from birth weight
12 months: weight triples from birth weight
Length
1/2 inch - 1 inch every month
Teeth
first teeth to pop are lower central incisors: 10 months
first tooth lost 6-7 years old
Q2: Infant - Milestones (motor & cognitive)
A: 2 months
moves head side to side
tracts with eyes (faces)
makes verbal noise (coos)
smiles
holds head up when on stomach
4 months
begins to like play
cooing (babbling/ copies noises)
holds and reaches for toys
remembers faces/ objects
rolls over from back to belly (SAFETY!)
this is when yous top swaddling/ high areas
6 months
can sit up with support
stranger anxiety
babble with early vowels
recognizes responds to name
has fun looking at self in mirror
8-9 months
sits without support
crawling
stands with pulling and holds objects
pincer grasp (thumb & pointer)
SAFETY! things in mouth small objects
moves objects hand to hand
object permanence (peekaboo)
10-12 months
begin walking (hold hand or alone)
,follow very simple commands (no or bye)
put objects in container
bang objects together
say simple words like "mama"
separation anxiety
Q3: Infant - Nursing Interventions
A: Trust vs. Mistrust (Eriksons)
building trust with caregiver that needs will be met
1. Respond to Crying (soothe) younger
rock/swaddle/hold/ ability to suck
2. Respond to Crying
separation anxiety - keep parent there
play with toys before assessments (based on age)
keep same staff per patient
Q4: Infant - Eating / Nutrition
A: Breast Feeding
1-6 months
Vitamin D (400 IU)
Formula with Iron
no cows milk or honey in first year
Q5: Infant - Play (toys)
A: Independant Play
Observe: (birth - 4 months)
faces, high contrast items
be there with them
love faces and voices
Interact: (4 plus months)
rattles, toys, blocks in bucket, push toys, hiding objects
Q6: First contact between infant's primary healthcare provider and
parents
A: Should occur before birth
Q7: Infant - Pain Assessment
A: CRIES (0-6 months)
assess pain in infants
based on type of crying
need for oxygen
change in vital signs
expression
ability to sleep
,FLACC (2 months - 7 years)
face expression
legs / tense
active
cry is like
how consolable
Q8: Why is a trusting relationship between family and care
provider important
A: to foster a partnership that is influential in promoting development of infant
Q9: Health supervision visits
A: begin with careful observations of the infant and parent - child interactions
Q10: Surveillance of growth and development
A: provides important clues to infant's well-being
Q11: Nutrition assessment and teachings
A: are important to provide for the challenging nutritional needs of the first year of life
Q12: Mental health of parents
A: influence the atmosphere in the home and development of the infant
Q13: Disease and injury prevention strategies
A: are integrated into each infant healthcare supervision visit
Q14: Toddler - Autonomy vs. Shame and Doubt
A: Toddler feels independent from parent and tests that out. Going back and forth between
dependent vs independent.
Q15: Toddler - Developmental Milestones
A: Temper Tantrums
because of autonomy / independence
easily stressed or agitated
immature emotional processing
Education
normal
stay calm, stay close
don't give in to requests
don't reason with them
prevent: triggers, distract them, give them choices, prepare
Separation Anxiety
, protest (scream/cry when parent leaves)
despair (quit crying but sad/ withdrawn)
detachment (rare, detach from parent to cope) (appear happy but not)
Nursing Interventions
reassure child parent will be back
routines / rituals
encourage child to talk about parent
Potty Training
by 3 years (trained by 4-5)
need to be physically and mentally ready
sphincters need to be ready (18-24 months)
bowel control comes first)
daytime is faster than nighttime
EDUCATION: when are they ready?
2 or more hrs with dry diaper
on/off by self (potty/clothing)
interested in potty
likes sitting on toilet (5-10 mins)
experiences regular BMs
tells you they have to go
Loves to say No
negativism (do opposite of what is asked)
Nursing Interventions
don't say do you want to take your meds
do say do you want a red cup or blue cup
Q16: Toddler - Rituals, Rivalry, Regression
A: Ritualism
same things same way
predictable, comfortable, promote learning
decrease stress
know what to expect
Rivalry
siblings
attention diverted to other sibling
may have more tantrums
Parent Education
include toddler in care of new child
routines
watch for jealousy
Regression
revert back skills
too stressed out
caused by change in routine (sibling, hospital)
Parent Education
no punishment for poor performance
identify stress
