lOMoAR cPSD| 67691079
Pediatric: birth-20 years old
Anticipatory guidance
Infant: birth-12 months
Toddler: 1 year-3years
Pre-school: 3 years-6 years
School aged: 6 years-12 years
Adolescent: 13-18 years
Young adult: 19+
The definition of family is whoever the child says is their family
Families are ENCOURAGED to stay at the bedside
• Also encouraged to participate in the care
*Consent slide (7)
• Informed Consent: FIRST thing that you would do is get consent by the parent for any
procedure
• Emancipated Minor: 3 ways this can happen o Delivery of a baby o Military o
“Divorcing” or legally separating from parents
Growth Chart
• Measures height, weight, head circumference, chest circumference
• Used to assess trends
• Growth chart doesn’t account for culture or genetics, or disability
• A failure to thrive is in the 4th percentile
• Obesity is 95th percentile and greater
Denver Developmental Screening Tool
• Birth-5/6 years
• 4 Categories o Gross Motor o Language o Fine Motor o Personal
• Goal as a peds nurse is early intervention
• They should be able to draw 5 body parts by age 5
• A child that is non-verbal you should get a referral to ENT first to make sure hearing is
okay o If hearing is okay then early intervention is next and important
Children grow from head to toe and then medial to distal
Newborn/Infant
Reflexes
• Need to know page 9 on slide – Reflexes
• Rooting – Infant’s head turns, and they begin to suck when the cheek or lower lip is
stroked
, lOMoAR cPSD| 67691079
• Sucking – sucking motion of lips, mouth, and tongue allows the infant to take in
sustenance
• Palmar and Plantar Grasp – When the palms of the hands or soles of the feet are
stroked, causing fingers or toes to curl inward
• Moro - “Startle” response with sudden jarring causes extension of the head. The feeling
of falling, arms and legs extend out and hands form a C
• Babinski - the turning in of the foot and fanning out of the toes, when the sole of the
foot is stroked. Goes away at 18 months (EX: 2 year old, you should not see a Babinski
reflex)
Physical Development
• Double birthweight at 6 months
• Triple the birthweight at 1 year
• You’re not supposed to put a kid on a bed and prop up their head with pillows
Infant
• If a child can do a pincer grasp they are ready for soft table foods (Typically 9-12
months)
Breast milk or formula till the age 12 months
1- 2 years old go to whole milk
After 2 years change to 2% milk
Sometimes children will say words that are not exactly what they are called, but as long as the
parent knows what they mean you do not need to put in a referral
Toddler Temper Tantrum (page 12) *important
• Stay with child so they are safe, do not leave them alone
• Remove them from the situation
• Time Outs = 1 minute per year or age
Pre-School
• Fine motor- they learn how to tie their shoes
• This is the group that asks you “Why” questions
• Doesn’t make a difference if the child is articulating the words correctly as long as the
parent knows what they’re saying
• Magical thinking o Nightmares – bad dream
o Night terror – you can’t wake them up, sometimes they’ll sleep walk or scream
hysterically, and child remembers nothing. Children do tend to outgrow this
School Age
• Tannering: staging of the breast and pubic area of children, goes from
1 to 5 with 5 being fully developed man or woman
Pediatric: birth-20 years old
Anticipatory guidance
Infant: birth-12 months
Toddler: 1 year-3years
Pre-school: 3 years-6 years
School aged: 6 years-12 years
Adolescent: 13-18 years
Young adult: 19+
The definition of family is whoever the child says is their family
Families are ENCOURAGED to stay at the bedside
• Also encouraged to participate in the care
*Consent slide (7)
• Informed Consent: FIRST thing that you would do is get consent by the parent for any
procedure
• Emancipated Minor: 3 ways this can happen o Delivery of a baby o Military o
“Divorcing” or legally separating from parents
Growth Chart
• Measures height, weight, head circumference, chest circumference
• Used to assess trends
• Growth chart doesn’t account for culture or genetics, or disability
• A failure to thrive is in the 4th percentile
• Obesity is 95th percentile and greater
Denver Developmental Screening Tool
• Birth-5/6 years
• 4 Categories o Gross Motor o Language o Fine Motor o Personal
• Goal as a peds nurse is early intervention
• They should be able to draw 5 body parts by age 5
• A child that is non-verbal you should get a referral to ENT first to make sure hearing is
okay o If hearing is okay then early intervention is next and important
Children grow from head to toe and then medial to distal
Newborn/Infant
Reflexes
• Need to know page 9 on slide – Reflexes
• Rooting – Infant’s head turns, and they begin to suck when the cheek or lower lip is
stroked
, lOMoAR cPSD| 67691079
• Sucking – sucking motion of lips, mouth, and tongue allows the infant to take in
sustenance
• Palmar and Plantar Grasp – When the palms of the hands or soles of the feet are
stroked, causing fingers or toes to curl inward
• Moro - “Startle” response with sudden jarring causes extension of the head. The feeling
of falling, arms and legs extend out and hands form a C
• Babinski - the turning in of the foot and fanning out of the toes, when the sole of the
foot is stroked. Goes away at 18 months (EX: 2 year old, you should not see a Babinski
reflex)
Physical Development
• Double birthweight at 6 months
• Triple the birthweight at 1 year
• You’re not supposed to put a kid on a bed and prop up their head with pillows
Infant
• If a child can do a pincer grasp they are ready for soft table foods (Typically 9-12
months)
Breast milk or formula till the age 12 months
1- 2 years old go to whole milk
After 2 years change to 2% milk
Sometimes children will say words that are not exactly what they are called, but as long as the
parent knows what they mean you do not need to put in a referral
Toddler Temper Tantrum (page 12) *important
• Stay with child so they are safe, do not leave them alone
• Remove them from the situation
• Time Outs = 1 minute per year or age
Pre-School
• Fine motor- they learn how to tie their shoes
• This is the group that asks you “Why” questions
• Doesn’t make a difference if the child is articulating the words correctly as long as the
parent knows what they’re saying
• Magical thinking o Nightmares – bad dream
o Night terror – you can’t wake them up, sometimes they’ll sleep walk or scream
hysterically, and child remembers nothing. Children do tend to outgrow this
School Age
• Tannering: staging of the breast and pubic area of children, goes from
1 to 5 with 5 being fully developed man or woman
