Pediatrics NUR553 -Burns textbook

Pediatrics NUR553 -Burns textbook.Developmental red flags: Infants Newborn - 1 month lack of return to birth weight by 2 weeks poor coordination of suck-swallow tachy/bradycardia with feeding poor habituation to external stimuli asymetrical movements/reflexes hyper/hypotonia hands held fisted absent or asymetrical palmar grasp no startle to sound or sudden noises no quieting to voice high-pitched cry diffuse nonverbal cues poor state transitions irritable doll's eyes no red-reflex poor alert state Developmental red flags: Infants 3 months poor weight gain (less than 1 lb wt gain in 1 month) head circumferance increasing more than 2 standard deviations on growth curve or showing no increase in size continuing poor suck-swallow difficulty with regulation of sleep-wake cycle fussy baby asymetrical ​movements/reflexes hyper/hypotonia no attempt to raise head when prone hands visted ​with oppositional thumb no hand-to-mouth activity feedings longer than 45 min consistently awakining​ hourly for feeding does not turn to voice, rattle, bell no sounds, coos, squeals lack of social smile withdrawn or depressed affect lack of consistent safe child care lack of eye contact no visual tracking not able on fix on face/object 00:02 01:26 Developmental red flags: Infants 6 months Less than double birth weight head circumference shows no increase poor feeding or sleep regulation difficulty with self calming persistent primitive relfexes​ does nt​o attempt to sis​ with support head leg with pull to sit scissoring does not reach for objects, hold rattle, hold hands together does not grasp at clothes no babbling does not respond to voice, rattle, loud noises no smiles no responses to play solemn appearance lack of eye contact not visually alert does nto​ reach for objects does nt​​o look at caregiver Developmental red flags: Infants 9 months Parent control issues with feeding or sleep night awakening that persists offered bottle in bed for sleep difficulty with self-calming, self-regulation does not sit even in tripod position no lateral prop reflex asymmetrical crawl, handedness, or other movements no self-feeding no high chair sitting no solids does nto pick up toy with one hand lack of single- or double-consonant sounds lack of response to name or voice does not respond to any words lack of reciprocal vocilalizatio​ns intense stranger anxiety or absent stranger anxiety does nto​ seek comfort from caregiver with stress poor eyecontact ​ lack of visual awareness lack of reachign​ out for toys lack of toy exploration (visually or orally) Developmental red flags: Infants 12 months less than triple birth weight losing more than two standard deviations on growth curve for weight, length, or head circumference poor sleep-wake cycles extreme inability to seperate from parent not pulling self to stand not moving around the area to explore persistent mouthing not attemtping to feed self or hold cup not able to hold toy in each hand or transfer objects inability to localize to sound not imitating speech sounds not using two to three words does nto​ point, or uses only gesters​ or pointing no response to game playing no response to reading or interactive activities withdrawn or solemn affect poor eye contact not visually following activities int he environment Toddler age range 12-24 months Preschooler age range 2-5 years World Health Organization (WHO) growth chart weight for length in children less than 24 months Centers for Disease Control and Prevention (CDC) growth chart used after 24 months Average 24 month old weight, length and head circumference measurements 26 lbs 33.5 inches tall 18.5 inch head circumference Most kids have no palpable fontanelles by: 12 months Anterior fontanelle should completely close by 18-19 months