NURS 5432 FNP 1 Module 1
Breast feeding benefits - ✔️✔️· Perfect food; cannot be duplicated
· Decreases illness in infants
· Maternal antibodies are transferred to infants
· Decreased GI problems such as GERD
· Decreases allergies as it contains anti-inflammatory agents
· Breastfeeding during painful procedures provides analgesia
· The longer the mom breastfeeds, the less chance of the child to be overweight
independent of education and socioeconomic status
Recommended time to exclusive breast feed - ✔️✔️6 months and feed on demand
· Adequate nutrition confirmed by weight gain up to 3 months - ✔️✔️o 30 g/day (1
oz/day) for the first 3 months
o Gain of 15-20 g/day during subsequent 3 months
· Vitamin Supplementation - ✔️✔️o Vitamin D (400 IU per day at 2 months of age to
adolescence
o Vitamin B12 for breastfeeding mothers who are strict vegetarians
Iron supplementation - ✔️✔️o For exclusively breast-fed infants: approximately 1
mg/kg/day of iron is recommended after 6 months of age
o Bottle feeding should contain iron supplementation
o Ideally iron should come from fortified cereals
o Elemental iron supplements can be given if iron intake from diet is not adequate
Calorie Requirements: Birth -6 months - ✔️✔️120kcal/kg/day
Calorie Requirements: 7mo - 1 year - ✔️✔️100kcal/kg/day
Calorie Requirements: 2 - 10 years - ✔️✔️100 to 70 kcal/kg/day
Calorie Requirements: adolescents - ✔️✔️45 kcal/kg/day
· Fluoride Supplementation - ✔️✔️o Supplements only when local water supply is less
than 0.3 parts per million (ppm)
o Supplementation first 6 months of life
, Initial weight loss after birth - ✔️✔️10%
Initial weight loss regained when - ✔️✔️within 7-14 days
Weight should double by when - ✔️✔️5-6 months old
Weight should triple by when - ✔️✔️1 year of age
Weight should quadruple by when - ✔️✔️2 years of age
Weight gain for 3 year old - school age - ✔️✔️4-6 pounds per year
Weight gain for school age children - ✔️✔️5-7 pounds per year
Gross Motor skills:
2-3 months
5-6 months
7 months
9-10 months - ✔️✔️2-3 months: good head control
5-6 months: rolls back to front
7 months: sits alone
9-10 months: pulls to stand
Gross Motor Skills
11-12 months
12-14 months
24 months
24-28 months - ✔️✔️11-12 months: stands alone
12-14 months: walks
24 months: walks up and down stairs
24-28 months: jumps
Fine Motor Skills
2-3 months
3-4 months
5-6 months
6-7 months
7-9 months
8-10 months - ✔️✔️2-3 months: grasps and shakes rattle
3-4 months: reaches for objects
5-6 months: hand to hand transfer
6-7 months: raking grasp
7-9 months: finger grasp
8-10 months: pincer grasp
Breast feeding benefits - ✔️✔️· Perfect food; cannot be duplicated
· Decreases illness in infants
· Maternal antibodies are transferred to infants
· Decreased GI problems such as GERD
· Decreases allergies as it contains anti-inflammatory agents
· Breastfeeding during painful procedures provides analgesia
· The longer the mom breastfeeds, the less chance of the child to be overweight
independent of education and socioeconomic status
Recommended time to exclusive breast feed - ✔️✔️6 months and feed on demand
· Adequate nutrition confirmed by weight gain up to 3 months - ✔️✔️o 30 g/day (1
oz/day) for the first 3 months
o Gain of 15-20 g/day during subsequent 3 months
· Vitamin Supplementation - ✔️✔️o Vitamin D (400 IU per day at 2 months of age to
adolescence
o Vitamin B12 for breastfeeding mothers who are strict vegetarians
Iron supplementation - ✔️✔️o For exclusively breast-fed infants: approximately 1
mg/kg/day of iron is recommended after 6 months of age
o Bottle feeding should contain iron supplementation
o Ideally iron should come from fortified cereals
o Elemental iron supplements can be given if iron intake from diet is not adequate
Calorie Requirements: Birth -6 months - ✔️✔️120kcal/kg/day
Calorie Requirements: 7mo - 1 year - ✔️✔️100kcal/kg/day
Calorie Requirements: 2 - 10 years - ✔️✔️100 to 70 kcal/kg/day
Calorie Requirements: adolescents - ✔️✔️45 kcal/kg/day
· Fluoride Supplementation - ✔️✔️o Supplements only when local water supply is less
than 0.3 parts per million (ppm)
o Supplementation first 6 months of life
, Initial weight loss after birth - ✔️✔️10%
Initial weight loss regained when - ✔️✔️within 7-14 days
Weight should double by when - ✔️✔️5-6 months old
Weight should triple by when - ✔️✔️1 year of age
Weight should quadruple by when - ✔️✔️2 years of age
Weight gain for 3 year old - school age - ✔️✔️4-6 pounds per year
Weight gain for school age children - ✔️✔️5-7 pounds per year
Gross Motor skills:
2-3 months
5-6 months
7 months
9-10 months - ✔️✔️2-3 months: good head control
5-6 months: rolls back to front
7 months: sits alone
9-10 months: pulls to stand
Gross Motor Skills
11-12 months
12-14 months
24 months
24-28 months - ✔️✔️11-12 months: stands alone
12-14 months: walks
24 months: walks up and down stairs
24-28 months: jumps
Fine Motor Skills
2-3 months
3-4 months
5-6 months
6-7 months
7-9 months
8-10 months - ✔️✔️2-3 months: grasps and shakes rattle
3-4 months: reaches for objects
5-6 months: hand to hand transfer
6-7 months: raking grasp
7-9 months: finger grasp
8-10 months: pincer grasp
