Pediatric Nursing video 5 – Infants, Immunizations, Nutrition, Safety

Pediatric Nursing video 5 - Infants, Immunizations, Nutrition, Safety

okay in this video we're gonna start by talking about immunisations that the baby needs to get within their first year of life there are a lot but I have a couple tricks that may help you so at birth the baby will only get one vaccine and that is for Hep B so that's fairly easy to remember but at two months they're gonna get a whole bunch of vaccines so the mnemonic that I like to use use is be doctor hip so the B stands for Hep B so that'll be the second Hep B vaccination they get there at two months the D for doctor stands for DTaP the R and dr. stands for RV or roto virus vaccine the H in hip will stand for the hip vaccine HIV the I will stand for IPV and the P will stand for PCV okay so be doctor hip at four months we're gonna drop the B part of that and just have dr. hip so they will get all those vaccines I just talked about at two months but not the Hep B again yet and then at six months we're gonna remember these vaccines by the mnemonic be doctor hip again so at two months and at six months they're getting the same vaccines but again at four months word rocket dropping the Hep B all right and then we also need to remember in addition to those vaccines that starting at six months of age we would expect the baby to get their annual flu vaccine so that starts at six months so those that's kind of an easy way to remember or easier way to remember the immunizations during the first year and we'll go over more immunizations when we talk about toddlers okay let's talk about some infant nutrition now so we would expect the baby during the first year of their life to be either breastfed or use iron fortified formula you would not give the baby cow's milk during the first year of life whole milk can be given start at one year of age you also want to begin giving the baby vitamin D supplements within the first few days of life because again vitamin D is necessary for the absorption of calcium alternate sources of fluid beyond like the breast milk or the formula is not needed so you're not going to need to give the baby water you're not gonna need to give the baby juice or anything else the only fluid they need is that breast milk or that formula so that's an important thing to know you're going to introduce solids to the baby around four to six months of age when the baby has voluntary control of their head and neck so again when they have that head lag we're definitely not gonna try to feed them we want them be able to sit upright and have control of that head and neck the first food that we introduce is iron fortified cereal and then we introduce foods one at a time over a five to seven period five to seven day period to identify any possible allergies so we start with the iron fortified cereal and then we'll add one food at a time for five to seven days make sure they don't have any reactions to that and then add a second food after that and let's keep going with that in terms of choking hazards we definitely want to avoid certain foods that pose choking hazards for infants as well as toddlers these foods are really important for you to know for your exam so this includes popcorn raisins peanuts grapes raw carrots so like really soft cooked carrots are okay but not raw carrots hotdogs are a no-no celery peanut butter candy and tough knee these are all foods that pose a choking hazard and should be avoided in infants you also want to take measures to prevent burns in infants and toddlers so you want to turn handles of pots and pans towards the back of the stove not have them like hanging out where they can grab them you want to cover the electrical outlets you want to turn your water heater temperature down to below 120 degrees Fahrenheit that's a super important one to know you want to apply a waterproof sunscreen on the infant and you want to use an SPF at least 15 or higher likely much higher and you want to reapply that sunscreen every two to three hours and avoid but however avoid liberal application of sunscreen on infants who are under six months of age you can also you also want to dress your children in tight weave cotton fabric which allows for sun protection other safety things you want to prevent drowning in the infant so you never want to leave the baby unattended around water sources so this includes bathtubs toilets cleaning buckets and pools you want to close the bathroom doors and lock the toilet seats so that the baby doesn't accidentally drowned in terms of crib safety you're gonna want to always place your infant on their back to sleep super important so placing on their back is the safest way for them to sleep it will help to prevent SIDS which is sudden infant death syndrome you do not want to place anything in the crib with the baby so no stuffed animals pillows that type of thing you want to use a firm mattress and a snug fitting crib mattress and you want to remove crib Mobile's by four to five months old because they can start grabbing that and possibly you know hurt themselves and then most importantly you want to make sure that the crib slats are less than two and three eighths inches apart so it's like a random little number but it's a really important number to know so two and three eighths inch is as wide as you want to see those crib slats so if those crib slats are two-and-a-half inches apart that is too wide and that is not safe for the baby and then finally when it comes to car seats you want the baby in a rear facing car seat until two years old they should be in the backseat ideally in the middle and then you want to use lower anchors and tethers to secure the seat if those are available in the car you want to position the car seat at a 45 degree angle and position the harness at or just below the infant's shoulders so that some important car seat safety information to remember so that's it with infants so we will pick it up and talk about toddlers in my next video thanks for watching

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