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Nursing Care of A Family With An Infant Nursing Care of A Family With An Infant

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94 views38 pages

Nursing Care of A Family With An Infant Nursing Care of A Family With An Infant

Uploaded by

Rj Santiago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Chapter 29

Nursing Care of a Family With an


Infant
Growth and Development #1

Physical growth
o Weight
o Height
o Head circumference
o Body proportion
o Body systems
o Teeth

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Typical Eruption Pattern of Deciduous
Teeth

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Growth and Development #2

Motor development
o Gross motor development
 Ventral suspension position
 Prone position
 Sitting position
 Standing position

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Ventral Suspension and Prone Positions

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Growth and Development #3

Motor development
o Fine motor development
 Thumb opposition
 Pincer grasp

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Pincer Grasp

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Growth and Development #4

Developmental milestones
o Language development
o Play

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Growth and Development #5

Development of senses
o Vision
o Hearing
o Touch
o Taste
o Smell

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Vision Development: 2 Months

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Growth and Development #6

Emotional development
Cognitive development
o Primary circular reaction
o Secondary circular reaction
o Object permanence

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2020 National Health Goals Related to
Promoting Infant Health #1

Increase the proportion of mothers who exclusively


breastfeed until 6 months of age from a baseline of
14.1% to 25.5%.
Reduce the rate of infant deaths from a baseline of
6.9 out of 1,000 live births to 6.7 out of 1,000 live
births.

Copyright © 2018 Wolters Kluwer · All Rights Reserved


2020 National Health Goals Related to
Promoting Infant Health #2

Increase immunization levels for universally


recommended vaccines among young children for
such diseases as diphtheria, tetanus, poliomyelitis,
pertussis, measles, mumps, rubella, and varicella
(chickenpox) from varying actual levels to the target
level of 90%.
Increase age-appropriate vehicle restraint system
use in children aged 0 to 12 months from 86% to
95%.

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2020 National Health Goals Related to
Promoting Infant Health #3

Decrease the number of infants who die from


sudden infant death syndrome (SIDS) from 0.55 out
of 1,000 live births to 0.50 out of 1,000 live births.

Copyright © 2018 Wolters Kluwer · All Rights Reserved


Nursing Process: Healthy Development of
the Infant

Assessment
Nursing diagnosis
Outcome identification and planning
Implementation
Outcome evaluation

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Assessing Infant Growth and
Development #1

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Assessing Infant Growth and
Development #2

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Nursing Diagnoses: Infant Growth and
Development

Ineffective breastfeeding related to maternal fatigue


Disturbed sleep pattern (maternal) related to baby’s
need to nurse every 2 hours
Health-seeking behaviors related to adjusting to
parenthood
Delayed growth and development related to lack of
stimulating environment
Ineffective role performance related to new
responsibilities within the family

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Quality & Safety Education for Nurses
(QSEN)

Patient-Centered Care
Teamwork & Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics

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Health Promotion: Achievement of
Developmental Task

Trust versus mistrust


o Met needs
o Routines
o Rituals
o Consistent caregiver

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Health Promotion: Achievement of
Developmental Task

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Health Promotion: Promoting Infant
Safety

Aspiration prevention
Fall prevention
Car safety
Safety with siblings
Bathing and swimming safety
Childproofing

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Health Promotion: Nutritional Health #1

Recommended dietary allowances


Introduction of solid foods
o Loss of extrusion reflex
o Techniques for feeding solid foods

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Health Promotion: Nutritional Health #2

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Health Promotion: Nutritional Health #3

Quantities and types of food


o Cereal
o Vegetables and fruits
o Meat and eggs
o Table food

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Health Promotion: Nutritional Health #4

Establishment of healthy eating patterns


Weaning
Self-feeding
Adequate intake with vegetarian diet

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Health Promotion: Daily Activities

Development in daily activities


o Bathing
o Diaper-area care
o Dental care
o Dressing
o Sleep
o Exercise

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Health Promotion: Family Functioning #1

Healthy family functioning


Parental concerns and problems
o Teething
o Thumb sucking
o Use of pacifiers
o Head banging
o Sleep concerns

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Health Promotion: Family Functioning #2

Parental concerns and problems


o Constipation
o Loose stools
o Colic
o Spitting up

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Health Promotion: Family Functioning #3

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Health Promotion: Family Functioning #4

Parental concerns and problems


o Diaper dermatitis
o Miliaria (prickly heat)
o Baby-bottle tooth decay syndrome
o Infant obesity

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Health Promotion: Family Functioning #5

Family concerns with an infant with unique needs


o Cognitive challenge
o Physical challenge; chronically ill
o Trust versus mistrust
o Nutrition

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Question #1

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.”

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Answer #1

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.

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Question #2

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.

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Answer #2

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.

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Question #3

You discover that an infant’s mother is propping a


bottle at bedtime to help her fall asleep. Which patient
teaching would the nurse provide this mother?
A.This can promote tooth decay.
B.This can cause a facial rash.
C.The bottle could break, injuring the infant.
D.Calcium can be drained from the bones.

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Answer #3

A. This can promote 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.

Copyright © 2018 Wolters Kluwer · All Rights Reserved

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