Question

A 6-month-old female infant is brought into the pediatric clinic for a well-baby check. You, as the pediatric nurse, will be assigned to care for this family.

1. Identify the primary growth and development expectations for a 6-month-old.

2. What stage is this child in according to Erikson and what is the key concept the child should achieve? According to Piaget?

3. What typical behaviors would you expect of this child towards the nurse?

4. What immunizations are recommended at this age to maintain health and wellness?

5. Identify what types of toys would be appropriate for play for this 6-month-old child.

6. What information would you give these parents regarding anticipatory guidance?

Answer 1

1. Growth and development expectations for a 6month baby are :-

- weight doubles

- height

- most of the reflexes start to disappear such as moro reflex ,tonic neck reflex etc

- starts have soft food other along with breastfeeding

- Rolls over in both directions (front to back, back to front) video icon.

Begins to sit without support.

When standing, supports weight on legs and might bounce. video icon.

Rocks back and forth, sometimes crawling backward before moving forward. video icon.

2. According to Erikson ,the stage the infant is in Trust vs mistrust .

According to Piaget :-

Sensorimotor

Age: 0-2 (Infancy-Toddler)

- Egocentric (thinking only one self)

- Starting unds symbolic thought

- Organizes thoughts by schemas

-The time where babies experience the world through their senses and actions. (grabbing, looking, touching, hearing, putting things in their mouth <- mostly)

-Successful in object permanence by 18-24 months

Language during Sensorimotor

- Speaks first word by 1 year old

- First sentence (two words) by 18-24 months

4. Immunization include :-

At birth - BCG ,OPV Hib B ,Hep B

Vaccines that should be administered at 2 month well baby check up

RV, DtaP, Hib, PCV, IPV, Hep B

Vaccines that should be administered at 4 months

RV, DtaP, Hib, PCV, IPV

Vaccines administered at 6 months

RV, DtaP, Hib, PCV, IPV (6-18 months), Hep B

5. Toys include :-

Fisher-Price Brilliant Basics Snap Lock Beads.

ALEX Discover My Busy Town Wooden Activity Cube.

Sprout Ware Stacking Cups.

Pop-Up Pals by Battat.

Who Wears What? Touch & Feel Learning Toy Board Book by Bendon.

O Ball 1-Piece Rattle & Roll Car.

Infantino Textured Multi Ball Set.

Sassy Floor Mirror.