Editing Pediatric Nursing – LPN Flashcards (section)

== Growth and development ==

;When does birth weight double and triple?
:It doubles by about 4 to 6 months and triples by about 12 months.

;When do the fontanels close?
:Posterior fontanel at 2 to 3 months; anterior fontanel at 12 to 18 months.

;List the milestones expected at 6 months.
:Sits with support progressing to tripod sitting, rolls in both directions, transfers objects hand to hand, babbles, begins stranger anxiety, and birth weight has doubled.

;List the milestones expected at 12 months.
:Pulls to stand and cruises, may take first steps, uses a neat pincer grasp, says 1 to 3 words besides "mama" and "dada," drinks from a cup, and birth weight has tripled.

;By what age should a child walk independently, and what if that has not happened?
:By about 15 months. A child who is not walking by 18 months should be reported to the RN for developmental evaluation.

;What language is expected at 2 years and at 3 years?
:At 2 years, two-word phrases and speech roughly 50 percent intelligible to strangers. At 3 years, three-word sentences and speech roughly 75 percent intelligible.

;Which drawing and motor skills belong to ages 3, 4, and 5?
:Age 3, rides a tricycle and copies a circle. Age 4, hops on one foot and copies a cross and a square. Age 5, skips, copies a triangle, and ties shoelaces.

;Name the type of play that matches each age group.
:Infant, solitary. Toddler, parallel. Preschooler, associative. School-age child, cooperative.

;Is a 2-year-old who plays beside other children without joining them a concern?
:No. That is parallel play and is normal and expected for a toddler.