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Promotinv family-centered care |
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strengths and weaknesses listen to concerns about child listen to children's opinions |
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Medical history for parents, siblings, aunts, uncles, and grandparents. |
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Pulse- 1 week to 3 months |
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Pulse 3 months to 2 years |
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12 years and older- pulse |
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30 to 60/min with short period of apnea (less than 15 seconds) |
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should be nonpalpable, but lymph nodes that are small,palpable, nontender, and mobile in children may still be considered normal. |
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The posterior fontanel usually closes between 2 and 3 months of age, and the anterior fontanel usually closes between 12 and 18 months of age. |
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holding object in front of eyes and checking to see if the infant is able to fix on the object and follow it. |
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Upward 50 degrees Downward 70 degrees Nasally 60 degrees Temporally 90 degrees |
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strabimus- equal eye movement |
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the top of the auricles should meet in an imaginary horizonal line that extends from the outer canthus of the eye. |
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In infants to examine ear |
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pull the pinna down and back |
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In children older than 3 years |
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pull the pinna up and back to visualize |
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visible bony landmarks (inter ear) |
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Umbo (tip of the malleolus) and manubrium (long process of handle |
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intact acoustic blink reflexes to sudden sounds |
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children/adolsecent teeth |
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20 deciduous and 32 permanent |
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Children younger than 7- breathing |
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female breasts development |
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develop between 10 to 14 years of age. |
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cylindric mass in lower left quadrant |
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able to standwith slight swaying while eyes are closed |
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Dever Developmental Screening Test |
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language, cognition, and fine and gross motor development |
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left testicle hands slightly lower than the right |
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6 months to a year growth |
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only used in infants older than 6 months |
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Demonstrates head lag Has a grasp reflex |
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Lifts head off mattress Holds hands in an open position |
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No longer has a grasp reflex Keeps hands loosely open |
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Rolls from back to side Places objects in mouth |
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Rolls from front to back Uses palmar grasp dominantly |
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Rolls from back to front Holds bottle |
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Bears full weight on feet Moves objects from hand to hand |
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Sits unsupported Begins using pincer grasp |
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Pulls to a standing position Has a crude pincer grasp |
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Changes from prone to a sitting position Grasps rattle by its handle |
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Walks while holding on to something Places objects into a container |
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Tries to build a two-block tower without success |
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Sensorimotor (birth to 24 months) 3 tasks |
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Separation- self from objects Object Permanance Mental representation (symbols) |
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Trust earned from infants |
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feeding, comfor, stimulation, and caring needs |
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Social development (infants |
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attachment (bond- starts from birth) Separatoin recognition Separation anxeity (4 to 8 months) Stranger fear ( 6 to 8 months) |
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By the end of the first year, infants will be able to distinguish themselves as being separate from their parents |
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DTAP, RV, IPV, HIB, PCV, Hep B |
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DTaP, IPV, PVC, Hep B, RotaTeq (RV) |
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influenza yearly, TIV (trivalent inactivated influenza vaccine |
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Indicators from readiness for solid foods |
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interest, voluntary control head/neck/ hunger less than 4 hr after vigorous nursing or intake of 8oz of formula |
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introduced one at a time over 5 to 7 day period(Veggies and fruits started between 6 to 8 months of age. After both introduced meats added |
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delay until the first year of life (food) |
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milk, eggs, wheat, citrus fruits, peanuts, peanut butter, and honey |
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Rear facing chair seat until |
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no farther than 6 cm apart |
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Crib mobiles and crib gyms removed by |
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Diphtheria and tetanus toxoids and pertussis |
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Haemophilus influenzae type B |
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