Life Span Project

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    Infants:Birth to One YearGroup 5:

    Rosa, Brian and Jacqui

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    Psychosocial Development

    Crying is the major waybabies communicate stress.

    Infants depend on parentsup until year 1 forphysiologic and psychologicneeds.

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    Psychosocial Development

    Central crisis of this stage according toErikson is trust vs. mistrust.

    Parents can enhance sense of trust by: Being sensitive to the infants needs

    Responding consistently to an infants needs

    Providing a predictable environment in which

    routines are established.

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    Psychological Development

    Examples Of SocialDevelopment In Infancy

    Newborn- showsdispleasure by cryingand satisfaction with softvoices.

    4 months- Babbles,laugh. More response toverbal play.

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    Psychological Development

    More Examples Of Social Development InInfancy 6 months- Starts to imitate sounds.

    9 months- Complies withsimple verbal commands.Waves bye.

    12 months- Demonstrates

    emotions and clings tomother in unfamiliarsituations

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    Physical Development

    A neonates basic task isadjustment to the environment.

    Adjusting requires breathing,sleeping, sucking, eating, swallowing, digesting, andeliminating.

    Extremely vulnerable

    First 3 months of life have been referred to as the fourth

    trimester

    Ethnicity needs to be considered when determiningwhat is normal.

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    Physical Development

    Weight

    At birth, babies weigh 6 to 8.5 lbs.

    Just after birth they lose 10 -15% of weight

    because of fluid loss but regain that in abouta week.

    By 5 months, infants reach twice their birthweight, and by 12 months, three times theirbirth weight.

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    Copyright 2010. www.heightweightchart.org

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    Physical Development

    Length

    Average length of an American newborn inthe USA is about 50 cm or 20 in.

    Female babies tend to be smaller than malebabies.

    By 6 months, babies gain another 5.5 inchesand by 12 months they add another 3 inches.

    The rate of increase is usually determined bynutrition and the size of the baby at birth.

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    Physical Development

    Head & Chest Circumference

    An infants head should bemeasured at every visit to

    the primary care provideruntil the child is 2 yearsold.

    At about 9-10 months the head and chestcircumference are about the same and at 1year the chest circumference is larger.

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    Normocephaly

    Normal headcircumference

    At birth is generallyaround 14 inches.

    The chestcircumference is

    usually an inch lessthan the headcircumference.

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    Physical DevelopmentHead Molding

    Molding of the head occurs due to fontanels andsutures in the skull.

    Heads of newborns are misshapen due to the molding

    occurring during vaginal deliveries. Within a week, a newborns head regains symmetry.The larger anterior fontanel can increase in size forseveral months after birth.

    Closure of the anterior fontanel occurs between 9-18

    months. The posterior fontanel closes between 2 and3 months after birth. Ethnicity needs to be considered when determining

    what is normal.

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    Physical DevelopmentVision

    Newborn can follow large moving objects andcan blink in response to light.

    Pupils respond slowly and therefore theycannot focus on close objects

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    Physical DevelopmentVision

    At 1 month they can focus or gaze on objectsand follow moving ones.

    At 2 month they recognize social smiles. At 4 months,

    They recognize a parents smile

    Has almost complete color vision.

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    Physical DevelopmentVision

    At 5 months, the infant reaches for objects.

    At 6 months the infantcan follow an object inall directions

    At 12 months, they can recognize change inlevel such as the edge of a bed.

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    Physical DevelopmentSmell and Taste

    Smell and taste are functional right after birth.

    Prefer sweet tastes

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    Physical DevelopmentTouch

    Developed at birth.

    Has poor regulation ofbody temperature.

    Responds positivelywhen touched, held, and

    cuddled.

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    Reflexes

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    Risks: Failure to Thrive,SIDS, SBS

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    Apgar Scoring System

    Assessment done within 60 seconds of birth

    Again 5 minutes after birth

    A numeric indicator of physiologic capacitiesto adapt to extrauterine life

    Maximum score of 10

    Under 7 suggests difficulty Under 4 indicates critical

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    Denver Developmental Screening Test

    (DDST-II) Standardized to screen children (birth to 6

    years)

    Estimate the abilities of the child compared toaverage child of same age

    Four main areas to assess:

    Personal-Social

    Fine-Motor adaptive

    Language

    Gross Motor

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    Sex Development

    Ability to experience sexual response ispresent before birth

    When babies find their fingersand toes, they find theirgenitals

    Believed toexperience somepleasure, but notconsidered sexualexperience