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🌱 Pwomosyon Sante · Leson 1 sou 6 · 6 min

Li Woule a Kat, li Chita a Sis, li Mache a Douz

Rolls at Four, Sits at Six, Walks at Twelve

👶 Yon manman di tibebe li ki gen 10 mwa a 'poko mache' epi li enkyè. Yon lòt manman di tibebe li ki gen 10 mwa a 'pa chita pou kont li'. Youn ladan yo se yon kesyon pou pedyat la. Egzamen an espere ou konnen kilès.

👶 A mother says her 10-month-old 'isn't walking yet' and is worried. A different mother says her 10-month-old 'doesn't sit up alone.' One of those is a question for the pediatrician. The exam expects you to know which.

💡 Ide prensipal

Souri 2, tèt 3–4, woule 4–6, chita 6–8, ranpe 8–10, priz pens 9–12, mache 12–15. Pèdi yon konpetans ou te deja genyen se toujou yon siy avètisman.

Smile 2, head 3–4, roll 4–6, sit 6–8, crawl 8–10, pincer 9–12, walk 12–15. Losing a skill already gained is always a red flag.

🧠 Poukisa sa enpòtan

Devlopman fèt depi TÈT rive nan PYE (cephalocaudal) epi depi SANT rive deyò (proximodistal). Apeprè: SOURI SOSYAL a 2 mwa; KONTWÒL TÈT a 3 a 4 mwa; li WOULE a 4 a 6 mwa (devan ale dèyè anvan); li CHITA san sipò a 6 a 8 mwa; ENKYETID ak moun etranje kòmanse a 6 a 8 mwa; li RANPE a 8 a 10 mwa; PRIZ AK PENS a 9 a 12 mwa; li RALE POU KANPE alantou 9 mwa; li MACHE a 12 a 15 mwa; premye MO alantou 12 mwa epi fraz de mo a 2 zan. Pwa nesans la DOUBLE a anviwon 6 mwa epi li TRIPLE a 12 mwa. Fontanèl dèyè a fèmen a 2 a 3 mwa epi fontanèl devan an a 12 a 18 mwa. Premye dan an soti alantou 6 mwa. Yon konpetans ki poko dwe parèt se nòmal; yon etap ki pase tan li san li pa rive, oswa yon pèt konpetans li te deja genyen, bezwen swivi ak depistaj devlopman olye 'tann pou wè'.

Development proceeds HEAD TO TOE (cephalocaudal) and CENTER OUTWARD (proximodistal). Roughly: SOCIAL SMILE by 2 months; HEAD CONTROL by 3 to 4 months; ROLLS over at 4 to 6 months (front to back first); SITS without support at 6 to 8 months; STRANGER ANXIETY begins 6 to 8 months; CRAWLS at 8 to 10 months; PINCER GRASP by 9 to 12 months; PULLS TO STAND around 9 months; WALKS at 12 to 15 months; first WORDS around 12 months and two-word phrases by 2 years. Birth weight DOUBLES by about 6 months and TRIPLES by 12 months. The posterior fontanel closes by 2 to 3 months and the anterior by 12 to 18 months. The first tooth erupts around 6 months. A skill not yet due is normal; a milestone missed past its expected range, or a loss of skills already gained, needs follow-up and developmental screening rather than 'wait and see'.

🏥 Nan lavi reyèl

🧸 Yo mennen yon tibebe 7 mwa nan klinik la. Li woule nan de sans yo, li chita ak yon ti sipò, li babaye epi li kriye lè enfimyè a pwoche. Chak rezilta a nan lè li, kriye a tou; enkyetid ak moun etranje nan laj sa a se devlopman, se pa yon pwoblèm. Opsyon 'enkyetan' egzamen an ta dwe yon tibebe 7 mwa ki pa gen kontwòl tèt.

🧸 A 7-month-old is brought to the clinic. She rolls both ways, sits with a little support, babbles and cries when the nurse approaches. Every finding is on schedule, including the crying; stranger anxiety at this age is development, not a problem. The exam's 'concerning' option would be a 7-month-old with no head control.

📌 Sa pou retni

  • Depi tèt rive nan pye, depi sant rive deyòHead to toe, center outward
  • Pwa double a 6 mwa, li triple a 12Weight doubles by 6 months, triples by 12
  • Poko dwe: nòmal; konpetans rate oswa pèdi: rapòte pou depistajNot yet due: normal; missed or lost skills: report for screening

📖 Tèm nan leson sa a

Pri ak pous ak endèks (Pincer grasp): Pran yon ti objè ant pous la ak dwèt endèks la, yo atann li nan 9 jiska 12 mwa.

✅ Teste tèt ou

Ki rezilta nan yon tibebe 9 mwa enfimyè a ta dwe rapòte pou plis evalyasyon?Which finding in a 9-month-old should the nurse report for further evaluation?
  1. Li itilize yon priz ratiso pou ti objèUses a raking grasp for small objects
  2. Li pa ka chita san sipòCannot sit without support
  3. Li kriye lè yon moun etranje leve lCries when a stranger picks him up
  4. Li poko macheIs not yet walking

Repons: B · Li pa ka chita san sipò

Chita san sipò espere a 6 a 8 mwa. Mache espere a 12 a 15 mwa, kidonk pa mache a 9 mwa se nòmal, epi enkyetid ak moun etranje ak yon priz ratiso tipik nan laj sa a.

Sitting unsupported is expected by 6 to 8 months. Walking is expected by 12 to 15 months, so not walking at 9 months is normal, and stranger anxiety and a raking grasp are typical at this age.

Yon tibebe te peze 7 lb (3.2 kg) lè li fèt. Ki pwa ki espere a 12 mwa?An infant weighed 7 lb (3.2 kg) at birth. Which weight at 12 months is expected?
  1. Anviwon 10 lbAbout 10 lb
  2. Anviwon 21 lbAbout 21 lb
  3. Anviwon 14 lbAbout 14 lb
  4. Anviwon 30 lbAbout 30 lb

Repons: B · Anviwon 21 lb

Pwa nesans la triple a en an: 7 lb × 3 = 21 lb (anviwon 9.5 kg). Anviwon 14 lb se de fwa pwa nesans la, sa ki espere a anviwon 5 a 6 mwa, pa 12.

Birth weight triples by one year: 7 lb × 3 = 21 lb (about 9.5 kg). About 14 lb is double the birth weight, which is expected by about 5 to 6 months, not 12.

A ki laj fontanèl devan an fèmen anjeneral?At what age does the anterior fontanel typically close?
  1. A 12 a 18 mwaBy 12 to 18 months
  2. A 2 a 3 mwaBy 2 to 3 months of age
  3. A 6 mwaBy 6 months of age
  4. A 2 a 3 zanBy 2 to 3 years of age

Repons: A · A 12 a 18 mwa

Fontanèl devan an fèmen ant 12 ak 18 mwa; fontanèl dèyè a fèmen a 2 a 3 mwa.

The anterior fontanel closes between 12 and 18 months; the posterior closes by 2 to 3 months.

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