Physically Jasmine is very active whenever she is awake. Her limbs are now constantly moving, displaying non-symmetrical, unco-ordinated, jerky movements. When held sitting, Jasmine is able to hold her head erect for several seconds before dropping forward. She constantly strives to look around her, and her spine is less frequently curved than at a younger age. When prone, Jasmine can now lift her head briefly. If held standing, Jasmine pushes downwards with her feet.
When supine, Jasmine turns to the right and appears near to rolling over. She reaches for her cot mobile and follows the animals with her eyes as they turn mechanically. She cries strongly when her needs are not met and clearly demonstrates her enjoyment of being in her bath.
Jasmine's weight continues to increase at a very slow rate and is closely monitored by health professionals. At seven weeks she still only weighs 3310kg (7lb 41/2oz). This has taken her close to the bottom centile.
Questions
1 What reasons could be given to explain Jasmine's slow weight gain?
2 At what age would you expect an infant to roll from supine to prone?
3 At what age do infants begin to show awareness rather than passive acceptance of care routines?
Answers to part two questions:
1 Social smiles are usually present by six weeks. Later than seven weeks can give cause for concern.
2 The presence of menstrual blood and swollen breasts (in both boys and girls) is due to the mother's hormones crossing the placenta.
3 Babies can lose up to 10 per cent of their birth weight without any concern from health professionals. Jasmine was slightly below this, and her weight would be closely monitored.
By Sandy Green, an early years lecturer and Jasmine's grandmother
