Module 2 Learning Guide Assess major biologic, psychosocial, cognitive, and social developments in the first year of life and provide guidelines to parents. Interpret major growth and developmental changes in infancy and provide guidelines to parents. Differentiate hearing/vision, height/weight, and developmental screening results. Apply the nursing process to selected health problems commonly occurring in infancy. Growth and Development in Infancy It is important for you to know a few key developmental milestones (physical, gross motor, fine motor, sensory, language and communication, social-emotional, and cognitive) for each of the following ages: Newborn 1 month 2 months 4 months 6 months 9 months 12 months Physical Examination Health Promotion Health Problems Play 1 Physical Examination Health Promotion Health Problems Gross Motor Skills by age Fine Motor Skills by age Language/ Communication by age Psychosocial Cognitive Object Permanence At what age does it develop and what is it? What does it signify? Anticipatory Guidance Outline appropriate anticipatory guidance for each of the infancy age groups. Also provide anticipatory guidance for: Stranger fear Child care 2 Limit-setting/discipline Temperament Thumbsucking Pacifier use Sleep Teething Dental care Safety Nutrition Be sure to know appropriate progression of feeding for the various age groups Attachment What role does attachment play in infant growth and development? Separation Anxiety Definition and significance? Health Problems Occurring during Infancy Provide nursing assessment and management for: Colic o Nursing Assessment o Nursing Management Sudden infant death syndrome (SIDS) o Nursing Assessment o Nursing Management 3 Apparent life-threatening event (ALTE) o Nursing Assessment o Nursing Management REMEMBER: Health care providers are experts on health care; families are experts on the child and child’s response to illness Don’t forget to review the Key Point Summaries for at the ends of the chapters (available on Evolve). 4