1. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 29 Nursing Care of a Family With an Infant

2. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Healthy Development of the Infant Assessment Nursing diagnosis Outcome identification, planning Implementation Outcome evaluation

3. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development Physical growth –Weight –Height –Head circumference –Body proportion –Body systems –Teeth

4. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development (cont’d)

5. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development (cont’d) Motor development –Gross motor development Ventral suspension position Prone position Sitting position Standing position

6. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development (cont’d) Motor development –Fine motor development Thumb opposition Pincer grasp

7. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development (cont’d) Developmental milestones –Language –Play

8. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development (cont’d) Development of senses –Vision –Hearing –Touch –Taste –Smell

9. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development (cont’d) Emotional development Cognitive development –Primary circular reaction –Secondary circular reaction –Coordination of secondary schema

10. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion Achievement of developmental task: Trust vs. Mistrust –Routines –Caretakers

11. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Promoting infant safety –Aspiration –Falls –Car –Siblings –Bathing, swimming –Childproofing

12. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Nutritional health –Recommended dietary reference intakes –Introduction of solid foods –Loss of extrusion reflex –Techniques for feeding solid foods

13. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d)

14. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Nutritional health –Quantities, types of food Cereal Vegetables, fruits Meat, eggs Table food

15. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Nutritional health –Establishment of healthy eating patterns –Weaning –Self-feeding –Adequate intake with vegetarian diet

16. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Development in daily activities –Bathing –Diaper-area care –Care of teeth –Dressing –Sleep –Exercise

17. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Healthy family functioning Parental concerns, problems –Teething –Thumb sucking –Use of pacifiers –Head banging –Sleep patterns

18. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Parental concerns, problems –Constipation –Loose stools –Colic –Spitting up

19. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Parental concerns, problems –Diaper dermatitis –Miliaria (prickly heat) –Baby-bottle syndrome –Obesity

20. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d)

21. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Concerns with cognitively or physically challenged or chronically ill infant –Nutrition and cognitively or physically challenged infant

22. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question An infant’s mother asks you, “When should I expect my daughter to begin to walk?” Which of the following is an appropriate response? A.“Probably by 9 months.” B.“Most children walk around 12 months.” C.“It varies so much I couldn’t even guess.” D.“Try not to worry. When she’s ready, she’ll walk.”

23. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer B. “Most children walk around 12 months.” Rationale: Children typically walk by 12 months, although there is a wide range from 7 to 22 months.

24. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question You learn that a friend’s 4-month-old son rolled off a changing table. Which of the following would you conclude from this? A.The parents were neglectful. B.The parents lacked knowledge of infant development. C.The changing table was poorly built. D.The infant was unusually advanced in development.

25. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer B. The parents lacked knowledge of infant development. Rationale: Most 4-month-olds are capable of turning over. If parents are not aware of this, “rolling over” accidents tend to happen during this month.

26. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question You discover that an infant’s mother is propping a bottle at bedtime to help her fall asleep. You would advise her against this practice because A.it promotes tooth decay. B.it can cause a facial rash. C.the bottle could break, injuring the infant. D.calcium is drained from the bones.

27. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer A. It promotes tooth decay. Rationale: Falling asleep with a bottle of formula allows formula to remain in contact with teeth for an extended time, which leads to “baby-bottle syndrome,” or tooth decay.