The firstyear is characterized by the development of motorskills, including reaching, grasping, crawling, standing, walking, and running.
By age two, children can understand simple sentences and use short phrases to communicate their needs and wants.
Languageacquisition begins with babbling sounds at around six months old, followed by single words at about one year old.
neonatalperiod
first fourweeks of life, a time of transition from intrauterine dependency to independent existence.
in their first few days, neonates loses as much as 10% of body weight because of loss of fluids
-they gain weight at the 5th day and generally back to birth weight by the 10th to14th day
neonates
newborn
-boys tend to be slightly longer than girls
Neonatal period

First four weeks of life, a time of transition from intrauterine dependency to independent existence
In their first few days, neonates lose as much as 10 percent of their body weight, primarily because of a loss of fluids
Newborns begin to gain weight again at about the fifth day and are generally back to birth weight by the tenth to the fourteenth day
Newborn

Largehead (one-fourth the body length)
Recedingchin (which makes it easier to nurse)
At first, a neonate's head may be long and misshapen because of the molding that eased its passage through the mother'spelvis
The places on the head where the bones have not yet grown together- the fontanels, or softspots-are covered by a tough membrane
Body systems before birth
1. Blood circulation
2. Respiration
3. Nourishment
4. Eliminationofwaste
5. Temperatureregulation
Body systems after birth
1. All systems and functions must operate on their own
2. Most of the work of this transition occurs during the first four to sixhours after delivery
The fetus and mother have separate circulatorysystems and separateheartbeats; the fetus's blood is cleansed through the umbilicalcord, which carries used blood to the placenta and returns a freshsupply
A neonate'sbloodcirculates wholly within the baby's body. The heartbeat at first is fast and irregular, and bloodpressure does not stabilize until about tendays after birth
The fetus gets oxygen through the umbilical cord, which also carries away carbon dioxide
A newborn needs much more oxygen than before and now must get it alone. Most babies start to breathe as soon as they are exposedtoair
If breathing has not begun within about fiveminutes, the baby may suffer permanent brain injury caused by anoxia, lack of oxygen, or hypoxia, a reduced oxygen supply
Because infants'lungs have only one-tenth as many air sacs as adults' do, infants (especially those born prematurely) are susceptible to respiratoryproblems
Anoxia or hypoxia may occur during delivery (though rarely so) as a result of repeatedcompression of the placenta and umbilical cord with each contraction. This form of birthtrauma can leave permanent brain damage, causing mentalretardation, behaviorproblems, or even death
In the uterus, the fetus relies on the umbilical cord to bring food from the mother and to carry fetalbody wastes away
At birth, babies instinctively suck to take in milk, and their own gastrointestinal secretions digest it
During the first few days infants secrete meconium, a stringy, greenish-blackwastematter formed in the fetal intestinal tract
When the bowels and bladder are full, the sphinctermuscles open automatically; a baby will not be able to control these muscles for many months
Infantile reflexes are present during this stage, such as rooting, sucking, stepping, Moro, tonic neck, palmar grasp, and plantargraspreflexes
Layers of fat that develop during the last two months of fetal life

Enable healthy full-term infants to keep their body temperature constant after birth despite changes in air temperature
Newborn babies also maintain body temperature by increasing their activity when air temperature drops
ApgarScale

Standard measurement of a newborn's condition; it assesses appearances, pulse, grimace, activity, and respiration
Apgar Scale

1. Assessed 1minute after delivery
2. Assessed again 5 minutes after birth
Apgar Score

Newborn is rated 0, 1, or 2 on each measure, for a maximum score of 10
A score below 7 means the baby needs help to establish breathing
A score below 4 means the baby needs immediate lifesaving treatment
Neurological and behavioral test to measure neonate's responses to the environment
Assesses motor organization, reflexes, state changes, attention and interactive capacities, and indications of central nervous system instability
The NBAS takes about 30 minutes, and scores are based on a baby's best performance
StateofArousal

An infant's physiological and behavioral status at a given moment in the periodic daily cycle of wakefulness, sleep, and activity
Babies have an internal clock that regulates their daily cycles of eating, sleeping, and elimination and perhaps even their moods
Most new babies sleep about 75 percent of their time-up to 18 hours a day-but wake up every 3 to 4 hours, day and night, for feeding
Newborns' sleep

Alternates between quiet (regular) and active (irregular) sleep
Active sleep is probably the equivalent of rapid eye movement (REM) sleep, which in adults is associated with dreaming
Active sleep appears rhythmically in cycles of about 1 hour and accounts for up to 50 percent of a newborn's total sleep time
The amount of REM sleep declines to less than 30 percent of daily sleep time by age 3 and continues to decrease steadily throughout life
Low birth weight

Preterm infants born before completing 37 weeks of gestation
Small-for-date infants-infants whose birth weight is less than that of 90 percent of babies of the same gestational age, as a result of slow fetal growth
Weight of less than 5% pounds (2.500 grams) at birth because of prematurity or being small for date