Sleep-Hunger infants.pptx
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This document provides information on recognizing infant hunger and sleep cues. It discusses early and late hunger cues in infants, including rooting, sucking, mouth opening, head bobbing, and crying. Signs of infant satiety are also outlined. The document reviews early, middle, and late sleep cues exhibited by infants as they get tired. It includes recommendations for sleep needs by age and wake windows. Finally, the document discusses considering family and support structure when determining the best approach to infant sleep and feeding schedules.
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Developmental Stages Week 7Christina Sierra 1Sub.docx
Developmental Stages
Week 7
Christina Sierra
1
Subjects
Developmental Management in Pediatric Primary Care
Developmental Management of Infants
Developmental Management of Early Childhood
Developmental Management of School Age Children
Developmental Management of Adolescents
2
Developmental Management in Pediatric Primary Care
Assessing development
Height weight head circumference
Interviewing parents
Knowing appropriate milestones
Educating families on normal vs abnormal
Educating on developmental expectations
We all grow at different rates so never compare yourself to someone else’s situation, doing so, can only bring disappointment.
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Growth
Chart
In child development nothing is set in stone.
There is a grey area in timing.
Development has a variation in time- it maybe a few weeks or months.
Developmental Management
of Infants
Birth to one month:
Babies lose 5-8% of body weight in their first few days and then regain within 10-14 days
They should gain about 2 lbs per month
Nutritional needs should meet 110 kcal/kg/day
Sleep about 16 hours
Sucking, rooting, tonic neck, moro, grasp- present and symmetric
Moving hand to mouth, sucking, or grasp clothing- self console
May turn to parents voice
Visual space is about 8 -12 in from face, vision is foggy
Hearing and smell is developed- but especially smell
Four ways of being awake:
1. Drowsy
2. Quiet but alert
3. Crying
4. Alert and active
What does a baby’s cry mean?
Normal
Hunger- rhythmic intense
They want to be cuddled-slow, low tone
Pain- high pitch screetchy
Tired- slow rhythmic, intensifies
Cries should be distinctive and vary on needs or feels.
This begins articulation
What does a baby’s cry mean?
Usually colics
Crying for over 30 minutes even after being fed, cleaned, consoled.
High-pitched, shrieking
Abnormal central nervous system
Cornelia de Lange syndrome – like a bleating lamb
Cri-du-chat syndrome- like a cat
Cerebral irritability (i.e. meningitis, hydrocephalus, kernicterus)
Malnutrition especially marasmus
Grunting
Pneumonia
Sepsis
Hoarseness
Hypothyroidism
Trauma to the hypopharynx
Vocal cord paralysis
Muffled
Epiglottis
Stridorous
Foreign body
Infection – abscesses, croup, epiglottitis
Laryngeal abnormalities
Oropharynx abnormalities
Tracheal abnormalities
Neoplasm
Weak or whimperyMuscle weakness
Muscular dystrophy
Myasthenia gravis
Infection
1 month to 3 months
Growth in height is approximately 1.4in per month
Growth in head circumference is approximately 0.8 in
Weight gain is approximately 420 g= about 1 lb a month
Growth spurts are expected and baby will eat more in a quicker time frame
Baby becomes more routined with sleeping, passing stool and eating schedule
Body movement is symmetric
Attempts to grasp objects
Cooing and babbling should be expected
Response to conversations- acknowledgment, turning head, focused with communication with body language
They may show smiles, imitation, tracking objects.
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Developmental Stages Week 7Christina Sierra 1Sub.docx
Developmental Stages
Week 7
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Subjects
Developmental Management in Pediatric Primary Care
Developmental Management of Infants
Developmental Management of Early Childhood
Developmental Management of School Age Children
Developmental Management of Adolescents
2
Developmental Management in Pediatric Primary Care
Assessing development
Height weight head circumference
Interviewing parents
Knowing appropriate milestones
Educating families on normal vs abnormal
Educating on developmental expectations
We all grow at different rates so never compare yourself to someone else’s situation, doing so, can only bring disappointment.
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Growth
Chart
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There is a grey area in timing.
Development has a variation in time- it maybe a few weeks or months.
Developmental Management
of Infants
Birth to one month:
Babies lose 5-8% of body weight in their first few days and then regain within 10-14 days
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Nutritional needs should meet 110 kcal/kg/day
Sleep about 16 hours
Sucking, rooting, tonic neck, moro, grasp- present and symmetric
Moving hand to mouth, sucking, or grasp clothing- self console
May turn to parents voice
Visual space is about 8 -12 in from face, vision is foggy
Hearing and smell is developed- but especially smell
Four ways of being awake:
1. Drowsy
2. Quiet but alert
3. Crying
4. Alert and active
What does a baby’s cry mean?
Normal
Hunger- rhythmic intense
They want to be cuddled-slow, low tone
Pain- high pitch screetchy
Tired- slow rhythmic, intensifies
Cries should be distinctive and vary on needs or feels.
This begins articulation
What does a baby’s cry mean?
Usually colics
Crying for over 30 minutes even after being fed, cleaned, consoled.
High-pitched, shrieking
Abnormal central nervous system
Cornelia de Lange syndrome – like a bleating lamb
Cri-du-chat syndrome- like a cat
Cerebral irritability (i.e. meningitis, hydrocephalus, kernicterus)
Malnutrition especially marasmus
Grunting
Pneumonia
Sepsis
Hoarseness
Hypothyroidism
Trauma to the hypopharynx
Vocal cord paralysis
Muffled
Epiglottis
Stridorous
Foreign body
Infection – abscesses, croup, epiglottitis
Laryngeal abnormalities
Oropharynx abnormalities
Tracheal abnormalities
Neoplasm
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Myasthenia gravis
Infection
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Here is a little effort to help new parents to understand their neonates behavior and some basic reflex . I Wish this slide may help you a little bit .Best of luck........
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- 1. I’M A LITTLE HUNGRY, TIRED AND LOUD…. LEARNING INFANT HUNGER AND SLEEP CUES Kelly Cotaleen Todd CPNP-AC/PC, FPA Hope Chest Pediatrics LLC HopeChestPediatrics.com NPKelly@HopeChestPediatrics.com Ph 815-310-6222
- 2. WHAT ARE WE GOING TO LEARN? The Basics Feeding reflexes Hunger Cues Satiety Cues How to recognize early What to do with them What to do when the early cues are missed Sleep Cues Recognizing early signs How to manage late signs Setting up sleep/feeding schedules Awake/sleep needs by age What works best with your family Sleep/wake/feeding windows
- 3. ROOTING -INCREASES OVER THE FIRST 2 WEEKS OF LIFE -DISAPPEARS BETWEEN 6 -8 WEEKS OF LIFE -HELPFUL CUE TO HUNGER UNDER 8 WEEKS OF AGE
- 4. S U C K I N G - F U L L Y D E V E L O P E D B Y 3 6 W E E K S G E S T A T I O N - D I S A P P E A R S B E T W E E N 2 - 3 M O N T H S O F A G E - A F T E R T H A T S U C K I N G I S M O R E F O R C O M F O R T / H U N G E R N O T A R E F L E X - C A N C A U S E C O N F U S I O N W I T H B O T T L E F E E D I N G S I N C E T H E Y W I L L S U C K W H E N S O M E T H I N G I S I N T H E I R M O U T H S U N T I L R E F L E X I S G O N E
- 5. HUNGER CUES • Early hunger cues (meh I could eat) • Mouth open • Turning head to side • Smacking lips • Rooting • Middle hunger cues (food is needed soon guys) • Head bobbing • Hand to mouth • Squirming • Fussy • Late hunger cues (Hangry baby) • Crying • Face is red from crying • Agitated body movements • Frantic body movements
- 6. CUES OF SATIETY OR FULLNESS Open, relaxed hands Relaxed, soft body Arms lie across lower body Falls asleep at the breast or bottle Turns head away Has “wet burps,” where milk dribbles out of the side of her or her mouth Decreases or stop sucking Spits out the nipple on a bottle Becomes more interested in surroundings than eating (under 3 months)
- 7. SLEEP CUES I’m getting sleepy • Reddish eyebrows • Staring • Looking away • Red eyes Sooo Imma need to go to sleep soon guys • Yawning • Fussy • Rubbing eyes Listen…..I am so tired I can’t control myself • Arching back • Crying • Pushes away • Rigid body
- 8. SLEEP NEEDS BY AGE WAKE WINDOWS BY AGE
- 9. WHAT WORKS BEST WITH YOUR FAMILY? • Many options for sleep training that exist • Are you strictly breast feeding or doing any bottles? • Who else will be helping with care? • How can support people/other parent help you most • Accept help!
- 10. HOW TO WORK WITH BABY’S SLEEP/WAKE/FEEDING WINDOWS Every child is different Every family is different What works best for you and your child Schedules help, but be prepared to be flexible
- 11. SOME OF MY FAVORITE RESOURCES FOR BABY SLEEP AND BREASTFEEDING • Courney Olson SLP, IBCLC @lactationchat - Instagram • Krystal Duhaney RN, IBCLC @milkymamallc – Instagram • Cara Dumaplin RN, certified pediatric sleep consultant @takingcarababies –Instagram • Katy Bourzikas CPNP, certified pediatric sleep consultant @wellrestedweeones –Instagram