Power Point On Developmental Milestones And Complications

Power Point On Developmental Milestones And Complications

Developmental Milestones And Complications

a started power point and need it finalized. It is on Developmental Management in Pediatric Primary Care  Developmental Management of Infants  Developmental Management of Early Childhood  Developmental Management of School Age Children  Developmental Management of Adolescents stating the normal developmental milestones and the abnormal and what it means.  This is for Nurse Practitioner nursing school

Developmental Stages

Week 7

Christina Sierra

 

1

Subjects

Developmental Management in Pediatric Primary Care

Developmental Management of Infants

Developmental Management of Early Childhood

Developmental Management of School Age Children

Developmental Management of Adolescents

 

2

Developmental Management in Pediatric Primary Care

Assessing development

Height weight head circumference

Interviewing parents

Knowing appropriate milestones

Educating families on normal vs abnormal

Educating on developmental expectations

 

We all grow at different rates so never compare yourself to someone else’s situation, doing so, can only bring disappointment.

– Massy Arias

 

3

Growth Chart

 

In child development nothing is set in stone. There is a grey area in timing.

Development has a variation in time- it maybe a few weeks or months.

Developmental Management of Infants

Birth to one month:

Babies lose 5-8% of body weight in their first few days and then regain within 10-14 days

They should gain about 2 lbs per month

Nutritional needs should meet 110 kcal/kg/day

Sleep about 16 hours

Sucking, rooting, tonic neck, moro, grasp- present and symmetric

Moving hand to mouth, sucking, or grasp clothing- self console

May turn to parents voice

Visual space is about 8 -12 in from face, vision is foggy

Hearing and smell is developed- but especially smell

Four ways of being awake: 1. Drowsy 2. Quiet but alert 3. Crying 4. Alert and active

 

 

What does a baby’s cry mean?

Normal

Hunger- rhythmic intense

They want to be cuddled-slow, low tone

Pain- high pitch screetchy

Tired- slow rhythmic, intensifies

 

Cries should be distinctive and vary on needs or feels.

This begins articulation

What does a baby’s cry mean?

Usually colics

Crying for over 30 minutes even after being fed, cleaned, consoled.

High-pitched, shrieking

Abnormal central nervous system

Cornelia de Lange syndrome – like a bleating lamb

Cri-du-chat syndrome- like a cat

Cerebral irritability (i.e. meningitis, hydrocephalus, kernicterus)

Malnutrition especially marasmus

Grunting

Pneumonia

Sepsis

Hoarseness

Hypothyroidism

Trauma to the hypopharynx

Vocal cord paralysis

 

 

Muffled

Epiglottis

Stridorous

Foreign body

Infection – abscesses, croup, epiglottitis

Laryngeal abnormalities

Oropharynx abnormalities

Tracheal abnormalities

Neoplasm

Weak or whimperyMuscle weakness

Muscular dystrophy

Myasthenia gravis

Infection

 

 

1 month to 3 months

Growth in height is approximately 1.4in per month

Growth in head circumference is approximately 0.8 in

Weight gain is approximately 420 g= about 1 lb a month

Growth spurts are expected and baby will eat more in a quicker time frame

Baby becomes more routined with sleeping, passing stool and eating schedule

Body movement is symmetric

Attempts to grasp objects

Cooing and babbling should be expected

Response to conversations- acknowledgment, turning head, focused with communication with body language

They may show smiles, imitation, tracking objects

 

By two months you should expect to see:

Social and Emotional

Begins to smile at people

Can briefly calm herself (may bring hands to mouth and suck on hand)

Tries to look at parent

Language/Communication

Coos, makes gurgling sounds

Turns head toward sounds Baby raising head and chest when lying on stomach

Cognitive (learning, thinking, problem-solving)

Pays attention to faces

Begins to follow things with eyes and recognize people at a distance

Begins to act bored (cries, fussy) if activity doesn’t change

Movement/Physical Development

Can hold head up and begins to push up when lying on tummy

Makes smoother movements with arms and legs

4 months to 5 months

Sleep approximately 12 hours and through the night

By 5 months baby DOUBLE BIRTH weight

Weight gain, height and head circumference growth slows down

Begin to grab objects, hold bottles

You now see the Landau reflex

Baby rolls

Tummy time is important- they should start to see slight holding of the head while on their belly

Beginning to show signs of progression to sit

You may begin

 

 

Landau’s Reflex

Begins at 3-4 months

Seen until 12-24 months

Lay prone supported in air

You want to see the “superman”

 

 

Is your baby ready for solids?

At 4 months you can introduce solids such as cereals.

`Can your baby hold his or her head in a steady, upright position?

Can your baby sit with support?

Is your baby mouthing his or her hands or toys?

Is your baby showing a desire for food by leaning forward and opening his or her mouth?

Foods are introduced one at a time for three days straight to assure there are no food allergies

 

6 months to 8 months

Teething symptoms begin

Crawling begins, infant may stand, scooting, sitting longer

Rake and pincer grasp, transfer ball to ball, reach and grab, pointing, tugging throwing

Led weaning begins at this time

Single sound- oh, ah, da, ba, ma. Cooing and babbling

Imitation of sounds such as coughing

They learn parents tone and can understand no

Social play, separation anxiety

Cause and effect- gravity, peek a boo

 

 

 

9 months to 12 months

Bowel and bladder are more regular

Food preferences with structured meals- breakfast snacks lunch snack dinner

Hold cups and sips

They should put objects in box, stack objects,

Add a Slide Title – 4

Resource through the CDC

Developmental check list

/orders/www.cdc.gov/ncbddd/actearly/pdf/checklists/Checklists-with-Tips_Reader_508.pdf

 

References

American Academy of Pediatrics, healthychildren.org website. Responding to your baby’s cries. www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Responding-to-Your-Babys-Cries.aspx. Updated November 21, 2015. Accessed November 20, 2018.

Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM. Irritable infant (fussy or excessively crying infant). In: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, eds. Pediatric Decision-Making Strategies. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 79.

Illingworth RS. Common Symptoms of Disease in Children. Blackwell Scientific Publications: Oxford. 1988:296.

Jonathan Juett, and Benjamin Kuipers, “Learning to reach by building a representation of peri-personal space,” 2016 IEEE-RAS 16th International Conference on Humanoid Robots (Humanoids), pp. 1141–1148, .

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Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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