Growth and development of Infants
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Transcript of Growth and development of Infants
GROWTH AND
DEVELOPMENT
INFANTINFANT
Patterns of Physical DevelopmentPatterns of Physical Development
Head to toeHead to toe Lift head to see object Lift head to see object Muscle control: pick up Muscle control: pick up Walk towardsWalk towards
Near to far: trunk outwardNear to far: trunk outward Wave armsWave arms Grab with palm of hand Grab with palm of hand Pick up with thumb and fingersPick up with thumb and fingers
Simple to complexSimple to complex Eating with fingers Eating with fingers Spoon and forkSpoon and fork
WeightWeight
Lose some after birthLose some after birth 1-2 lbs/month 1st 6 months1-2 lbs/month 1st 6 months 1 pound/month in 2nd 6 months1 pound/month in 2nd 6 months
Birth weight:Birth weight:• Doubled by 6 monthDoubled by 6 month• Tripled by 1 yrTripled by 1 yr
20-22 lbs: avg wt of 1 yr old20-22 lbs: avg wt of 1 yr old Heredity, feeding habits, and physical Heredity, feeding habits, and physical
activityactivity
HeightHeight
Avg newborn =20 inchesAvg newborn =20 inches Avg 1 year =30 inchesAvg 1 year =30 inches Heredity: influences height more than Heredity: influences height more than
weightweight
ProportionProportion
Large: head and abdomenLarge: head and abdomen Short/small: arms and legsShort/small: arms and legs Head grows rapidly b/c brain Head grows rapidly b/c brain
developmentdevelopment Soft spots allow head to grow and closeSoft spots allow head to grow and close
Soft SpotsSoft Spots
11stst Year Physical Year Physical DevelopmentsDevelopments
Sight: Improves RapidlySight: Improves Rapidly
Blurry at first, within week can focus on Blurry at first, within week can focus on object 7-10 inches awayobject 7-10 inches away
1 month, focus on objects 3 feet away1 month, focus on objects 3 feet away By 3 ½ months, vision almost as good as an By 3 ½ months, vision almost as good as an
adultadult Prefer patterns with high contrast and facesPrefer patterns with high contrast and faces
alternating stripes, bull’s eyesalternating stripes, bull’s eyes Prefer color redPrefer color red
Depth PerceptionDepth Perception
2nd month: recognize that 2nd month: recognize that object is three-dimensional, object is three-dimensional, not flatnot flat
Hand-Eye Coordination Hand-Eye Coordination
Develop hand-eye coordination: Develop hand-eye coordination: Move hands and fingers in relation to what Move hands and fingers in relation to what
is seenis seen 3-4 months: reach for what they see3-4 months: reach for what they see
Essential for:Essential for:• Eating Eating • Catching a ball Catching a ball • Coloring Coloring • Tying shoesTying shoes
HearingHearing
develops before birthdevelops before birth At birth, can tell general direction sound is At birth, can tell general direction sound is
coming fromcoming from Prefer human voicePrefer human voice
soothing voice calmssoothing voice calms loud voice alarmsloud voice alarms
Smell and TasteSmell and Taste
Within 10 days can tell mom’s smellWithin 10 days can tell mom’s smell Can distinguish taste by 2 weeks oldCan distinguish taste by 2 weeks old
show preference for sweet tasteshow preference for sweet taste
Learn about world by using mouthLearn about world by using mouth
VoiceVoice
Cry becomes softer as lungs matureCry becomes softer as lungs mature Physical growth of throat muscles, tongue, Physical growth of throat muscles, tongue,
lips, teeth, and vocal cordslips, teeth, and vocal cords Tongue and mouth interior change making Tongue and mouth interior change making
speech development possiblespeech development possible
TeethTeeth
Begin to develop in 6Begin to develop in 6 thth week of pregnancy week of pregnancy Primary teeth begin to appear between 6-7 months of Primary teeth begin to appear between 6-7 months of
ageage Complete set by 20 months (1 year, 8 months)Complete set by 20 months (1 year, 8 months)
Teething can be painful processTeething can be painful process Can refuse food or drool a lot, increased desire for Can refuse food or drool a lot, increased desire for
liquid, coughing, and feverliquid, coughing, and fever how to help minor teething pain:how to help minor teething pain:
teething biscuits or rubber teething ringsteething biscuits or rubber teething rings rub ice cube on gums to ease pain temporarilyrub ice cube on gums to ease pain temporarily teething medicationteething medication
Motor SkillsMotor Skills
Abilities that depend on use and control of Abilities that depend on use and control of musclesmuscles
Mastering motor skills requires intellectual, Mastering motor skills requires intellectual, social, emotional, and physical social, emotional, and physical developmentdevelopment Control head by 1 monthControl head by 1 month 2-3 months can lift their chest2-3 months can lift their chest By 9 months crawling- adds opportunity for By 9 months crawling- adds opportunity for
learninglearning
ActivityActivity
Make a list of 3-5 toys and/or activities that Make a list of 3-5 toys and/or activities that help develop hand-eye coordination for help develop hand-eye coordination for infants up to 1 year old.infants up to 1 year old.
Provide colored illustrations for each toy or Provide colored illustrations for each toy or activity.activity.
3-5 colored illustrations3-5 colored illustrations
Handling and Feeding Infants
Gentle Handling of an InfantGentle Handling of an Infant
Never shake a babyNever shake a baby Shaken baby syndrome- when someone Shaken baby syndrome- when someone
severely shakes the baby usually to make them severely shakes the baby usually to make them stop cryingstop crying Damages the brainDamages the brain Learning problemsLearning problems Mental retardationMental retardation BlindnessBlindness DeafnessDeafness deathdeath
Gentle Handling of an Infant Gentle Handling of an Infant continuedcontinued
Safe ways to handle a stressful situation Safe ways to handle a stressful situation with crying:with crying: Put baby down in a safe place and calm downPut baby down in a safe place and calm down Ask a friend or relative to care for the babyAsk a friend or relative to care for the baby Take deep breathsTake deep breaths Talk out your problemsTalk out your problems
Feeding Methods
Feeding a BabyFeeding a Baby
First few weeks, 6-8 times a dayFirst few weeks, 6-8 times a day Breastfed babies tend to eat more oftenBreastfed babies tend to eat more often 22ndnd or 3 or 3rdrd month, once every 3-4 hours month, once every 3-4 hours When a baby reaches 12 pounds, he will When a baby reaches 12 pounds, he will
sleep through the night because the sleep through the night because the stomach can hold more foodstomach can hold more food
Feeding MethodsFeeding Methods
Breast milk or formula during the 1Breast milk or formula during the 1 stst year year No cow’s milk until 1 yearNo cow’s milk until 1 year
How to Feed with a BottleHow to Feed with a Bottle
Hold baby is semi-upright positionHold baby is semi-upright position Support neck and head with the head held Support neck and head with the head held
above the stomachabove the stomach Hold the bottle at an angleHold the bottle at an angle
Prevents swallowing airPrevents swallowing air
Never prop a bottleNever prop a bottle Choking hazard, tooth decay, digestive Choking hazard, tooth decay, digestive
problemsproblems
Bottle WarmingBottle Warming
Formula does not have to be served warmFormula does not have to be served warm Never heat a bottle in the microwaveNever heat a bottle in the microwave
Can cause hot spotsCan cause hot spots
Heat bottle in a pan of water on the stoveHeat bottle in a pan of water on the stove Run under hot waterRun under hot water Use a bottle warmerUse a bottle warmer Check the temperature by shaking a few Check the temperature by shaking a few
drops on your wristdrops on your wrist
SanitationSanitation
Throw left over formula in the bottle awayThrow left over formula in the bottle away Wash and sterilize all bottles and bottle Wash and sterilize all bottles and bottle
parts after each useparts after each use Boiling waterBoiling water Dishwasher Dishwasher
Both eliminate bacteria contaminationBoth eliminate bacteria contamination
Burping a BabyBurping a Baby
Burping helps expel air the baby Burping helps expel air the baby swallowedswallowed
You should burp a baby once during You should burp a baby once during feeding and once afterfeeding and once after
Types of FormulaTypes of Formula
Powder, concentrate, ready to feed (RTF)Powder, concentrate, ready to feed (RTF)
PowderPowder
Mix with waterMix with water 1 scoop per 2 oz water1 scoop per 2 oz water Make on needed basisMake on needed basis
ConcentrateConcentrate
Dilute with waterDilute with water 1 can formula with 1 can water1 can formula with 1 can water Use within 24 hoursUse within 24 hours
RTFRTF
No mixing requiredNo mixing required More expensiveMore expensive Use within 24 hoursUse within 24 hours
How much formula?How much formula?
55 calories/pound each day55 calories/pound each day Standard formula: 20 calories per ounceStandard formula: 20 calories per ounce Example: How many ounces does a 12 Example: How many ounces does a 12
pound baby need each day?pound baby need each day?
Why Breastfeed?Why Breastfeed?
HealthyHealthy FreeFree BondingBonding NaturalNatural Builds immune systemBuilds immune system Mom burns more calories and loses Mom burns more calories and loses
weight quickerweight quicker
How long should you breastfeed?How long should you breastfeed?
Recommend 1Recommend 1stst 6 months 6 months First milk- colostrum First milk- colostrum
High in fat, protein, antibodiesHigh in fat, protein, antibodies
20 minutes on each breast20 minutes on each breast Feed on demandFeed on demand 5-6 wet diapers5-6 wet diapers 3-4 dirty diapers3-4 dirty diapers
NutritionNutrition
Avoid gassy foods:Avoid gassy foods: Broccoli, green leafy vegetables, spicy foodsBroccoli, green leafy vegetables, spicy foods
Avoid alcoholAvoid alcohol ““pump and dump”pump and dump”
Mom’s diet becomes baby’s dietMom’s diet becomes baby’s diet
Video Clips and Pictures
http://www.ameda.com/breastpumping/videos/popup_video.aspx?id=LatchOnEnglish
http://www.breastfeeding.com/helpme/helpme_video_4_bf_positions.html
http://www.breastfeeding.com/helpme/helpme_videos/18_how_baby_sounds_bfing.html
http://similac.com/feeding-nutrition/diaper-decoder
Breastfeeding vs Breast PumpBreastfeeding vs Breast Pump
Pumping is an alternative to breast Pumping is an alternative to breast feedingfeeding
Use manual or electric pumpUse manual or electric pump Hand expressHand express Some babies cannot latch onSome babies cannot latch on Mother feels uncomfortableMother feels uncomfortable
StorageStorage
Room temp 6-10 hrsRoom temp 6-10 hrs Refrigerator 5-7 daysRefrigerator 5-7 days Freezer 3-6 monthsFreezer 3-6 months
SanitationSanitation
Clean breasts with warm water and dry Clean breasts with warm water and dry towel after feedingtowel after feeding
Soap will remove natural oilsSoap will remove natural oils Cause drying or crackingCause drying or cracking
Can use a breast creamCan use a breast cream
How to stop breastfeedingHow to stop breastfeeding
Slowly wean the babySlowly wean the baby Milk will eventually dry upMilk will eventually dry up Could experience engorgement Could experience engorgement
Hand express to relieve discomfort Hand express to relieve discomfort
New Foods
WeaningWeaning
Introduce sippy cup around 6 monthsIntroduce sippy cup around 6 months Put fruit juice in a cup, never in a bottlePut fruit juice in a cup, never in a bottle
Introducing New FoodsIntroducing New Foods
Introduce solids around 4-6 monthsIntroduce solids around 4-6 months Cereal firstCereal first
Mix with breast milk or formula to make it runnyMix with breast milk or formula to make it runny Feed with a spoon, never in a bottleFeed with a spoon, never in a bottle
Vegetables, then fruitsVegetables, then fruits 1 new food at a time for at least 3 days1 new food at a time for at least 3 days Feed with a spoon, never in a bottleFeed with a spoon, never in a bottle
Never feed straight from the jarNever feed straight from the jar 8-10 months, start using fingers; eventually 8-10 months, start using fingers; eventually
move to spoonsmove to spoons
What Infants Need to Stay HealthyWhat Infants Need to Stay Healthy
Enough calories to provide rapid growthEnough calories to provide rapid growth Protein, iron, vitamins B, C, and DProtein, iron, vitamins B, C, and D Food that is easy to digestFood that is easy to digest Adequate amounts of liquidAdequate amounts of liquid
Other Infant Care SkillsOther Infant Care Skills
Bathing a BabyBathing a Baby
Sponge baths for the first two weeks while Sponge baths for the first two weeks while the navel healsthe navel heals Soft bath towelsSoft bath towels Soft washclothSoft washcloth DiaperDiaper Mild soapMild soap Baby shampooBaby shampoo
Warm room for the bathWarm room for the bath Lukewarm water; test with elbowLukewarm water; test with elbow
Bathing a Baby continuedBathing a Baby continued
Support the baby with your hand and Support the baby with your hand and begin washing the facebegin washing the face Never rub, the face is very tenderNever rub, the face is very tender Wash each part of the body one at a timeWash each part of the body one at a time Creases of skin should be thoroughly dried Creases of skin should be thoroughly dried
after washingafter washing
Bathing a Baby continuedBathing a Baby continued
Wash the scalp using tear-free baby Wash the scalp using tear-free baby shampoo once or twice a weekshampoo once or twice a week Can just use water other daysCan just use water other days Cradle cap- patches of yellowish crusty scalesCradle cap- patches of yellowish crusty scales
• Apply baby oil or lanolin at nightApply baby oil or lanolin at night• Gently loosen scales with washcloth or soft Gently loosen scales with washcloth or soft
hairbrush and shampoo the hair in the morninghairbrush and shampoo the hair in the morning
Bathing a Baby continuedBathing a Baby continued
Baby powder and lotion are not necessaryBaby powder and lotion are not necessary Powder safety- apply to your own hands and Powder safety- apply to your own hands and
rub together then rub on baby’s skinrub together then rub on baby’s skin
Baby can be bathed in a tub once the Baby can be bathed in a tub once the navel healsnavel heals
Never leave a baby unattended in the bathNever leave a baby unattended in the bath
Dressing a BabyDressing a Baby
Sleeper- one piece stretchy garment with Sleeper- one piece stretchy garment with feetfeet
Cotton clothing helps skin breatheCotton clothing helps skin breathe More durable clothes for crawlersMore durable clothes for crawlers
Pants, padded knees, cotton shirtsPants, padded knees, cotton shirts
Pants with snaps for easy diaper changePants with snaps for easy diaper change
Dressing a Baby continuedDressing a Baby continued
Shoes are not needed until the baby is walking Shoes are not needed until the baby is walking outsideoutside Best to learn walking barefoot so baby can grip floor Best to learn walking barefoot so baby can grip floor
with toeswith toes Nonskid socks are good for hard floorsNonskid socks are good for hard floors
Clothes should be flame retardantClothes should be flame retardant Clothes are sized by age and weightClothes are sized by age and weight
Babies grow rapidBabies grow rapid
Avoid loose strings and long ties on clothingAvoid loose strings and long ties on clothing
Diapering a BabyDiapering a Baby
Cloth diapers- least expensiveCloth diapers- least expensive Wash separately in hot water Wash separately in hot water
Disposable diapers offer more Disposable diapers offer more convenienceconvenience
Babies need about 12-15 diaper changes Babies need about 12-15 diaper changes a daya day Newborn wets several times an hour, but not Newborn wets several times an hour, but not
enough to be changed each timeenough to be changed each time Older babies will let you knowOlder babies will let you know
Supplies Needed to Diaper a BabySupplies Needed to Diaper a Baby
Changing table or sturdy surfaceChanging table or sturdy surface Wet washcloth or wipesWet washcloth or wipes Powder Powder
How to Diaper a BabyHow to Diaper a Baby
Remove the diaper and clean the babyRemove the diaper and clean the baby Put on a fresh diaperPut on a fresh diaper
Slide under bottomSlide under bottom Bring diaper up between legs and fastenBring diaper up between legs and fasten
Dispose of used suppliesDispose of used supplies Wash handsWash hands Diaper rash- change more frequently, Diaper rash- change more frequently,
expose infected area to air as much as expose infected area to air as much as possible, special creamspossible, special creams
SleepSleep
Newborns sleep 12-20 hours a dayNewborns sleep 12-20 hours a day By 1 year has 2-3 sleep periods including By 1 year has 2-3 sleep periods including
napsnaps Preparation for sleep:Preparation for sleep:
Change diaper and clothes, wash face/handsChange diaper and clothes, wash face/hands Rock to calm the babyRock to calm the baby Put the baby in the bed on it’s backPut the baby in the bed on it’s back Follow the same routine to provide comfort Follow the same routine to provide comfort
each timeeach time