Exam 1: Growth & Development

5-10

babies will lose _______ % of weight in first couple days

7-10

reutn to birthweight at _______ days

4-5

double birthweight at _______ months

1

triple birthweight at _____ yo

20-30

daily weight gain of _______ g for first 3-4 months

15-20

daily weight gain of _______ g for rest of 1st year

20

mean heigh is ____ in at birth

30

mean height is ______ in at 1 yo

4

at ___ yo birth length doubles (40in)

35

mean head circumference at birth is ______ cm (13.5in)

1

mean head circumference increases ___ cm/mo for first year of life

weight, height, head circumference

with diminished caloric intake -> ____ percentile falls -> then _______ -> then ________ _________

- poor feeding, inadequate attention/stimulation

hypothyroidism

when weight percentile increases but height percentile decreases it suggests _____________

more

for children with chronic illness they may require ______ calorie intake

2 years

how long do we regularly measure head circumference?

macrocephaly

famililal megalocephaly, hydrocephalus, catch up growth in normal premie

parents

_________ heights may help when considering further evaluation of growth... but there are many exceptions

6

if infants born small for gestational age (SGA) they will have catch up growth in the first ____ months

obesity

infants who recover from being low birthweight or premature have an increased risk of childhood __________

failure to thrive

being born small or ealy may contribute to ________ _______ ______ (FTT)

4

we will seek parental concerns about hearing until _____ yo

3

we will seek parental concerns about vision until ______ yo

1

children should see a dentist once they are over ____ yo every 6 months

3-6

should apply dental flouride varinish evere _______ months between 9 mo- 5 yo

birth, 4, 12

infants are screened for anemia at _______, ______ mo if documented risk, and then all screened again for iron def at _________ mo

lower

anemic infants usually perform ________ with developmental testing `

iron

if iron deficiency is strongly suspected you may use a trial of _____

lead

may cause irreversible developmental/behavioral abnormalities

12, 24

CDC recommends lead screening at _______ mo & ________ mo

- venous blood preferred

9-11

screen all children for cholesterol between ______ yo

3

BP measurements in infants and children with specific risk conditions should be performed at visits before age ______

1

sudden infant death syndrome of an infant < ___ yo unexplained after autopsy, death scene investiagation, and clinical hx review

- avoid soft bedding, stomach sleeping, bed sharing

25%

up to ______ of children have a serious psychosocial problem

screenings for development

ages and stages questionnaires, parents evaluation of developmental status

18-24

autism screening mandated for all _________ mo

- modified checklist for autism in todlers revised (M-CHAT-R)

- + if >2 predictive or >3 total

expressive

what is the most obvious language element

receptive

most dramatic changes in language development in 1st year of life involves recognition & understanding (___________ language)

hearing

with speech and/or language delay consider _______ deficit

4

stuttering is not normal if it still occurs after _____ yo

2 wks

moves head side to side

regards face

alerts to bell

2 mo

lifts shoulder while prone

tracks past midline

smiles responsively

cooing, search for sounds w/ eyes

4 mo

lifts up on hands

rolls front to back

reaches for objects, raking grasp

looks at hands

laughs & squeals

6 mo

sits alone

rolls back to front

trasfers objects hand to hand

feeds self, holds bottle

babbles

9 mo

pulls to stand, gets into seating position

pincer grasp

bangs 2 blocks together

waves bye and hi

says dada and mama

2 syllable sounds

12 mo

walks

stoops and stands

puts block into cup

drunks from cup

imitates others

says mama and dada with 1 or 2 other words

15 mo

walks backwards

scribbles

stacks 2 blocks

uses fork and spoon

helps around the house

says 3-6 words and follows commands

18 mo

runs

stacks 4 blocks

kicks a ball

"feeds" doll

removes garment

says >/= 6 words

2 yo

walks up and down stairs

throws overhand

copies line

stacks 6 blocks

pooints to pictures

knows body parts

puts 2 words together

understands concepts of today

3 yo

walks steps alternating feet

broad jump

stacks 8 blocks

wiggles thumb

uses spoon well

puts on T shirt

3 word sentences

speech understamdable to stranger

understands concepts of tomrorow and yesterda

4 yo

balances on each foot

hops on 1 foot

draws person w/ 3 parts

brushes teeth without help

dresses w/o help

names colors

5 yo

skips

heel to toe walks

can copy

counts

understands opposites

full sentences

6 yo

balance on each foot 6 sec

draws person w/ 6 parts

defines words

begins to understand L vs R