Failure to thrive/short stature Flashcards
How many centile lines are there on a growth chart?
9
What are the centile lines on the growth charts?
0.4th / 2nd / 9th / 25th / 50th / 75th / 91st / 98th / 99.6th
Where should children born between 32 weeks and 36+6 weeks gestation be plotted, and for how long?
In the preterm section on the left
Growth should be plotted there until 2 weeks after the EDD
On the main chart, how long should a gestational correction be done for if the child is born before 32 weeks?
2 years
On the main chart, how long should gestational correction be done for if the child is born 32-36+6 weeks?
1 year
When is a child considered to be ‘on the centile’?
When they plot within 1/4 space of the line
When is a child considered to be ‘between centiles’?
When they plot outside 1/4 space of the line
How is the mid-parental height of a girl calculated?
(Father’s height + mother’s height - 12.5)/2
How is the mid-parental height of a boy calculated?
(Father’s height + mother’s height + 12.5)/2
How is predicted adult height calculated?
Using specific part of chart, plot child’s last centile, then +/-6cm and read of predicted adult range. 80% of children will grow to fall between this range.
How is the mid-parental centile comparator calculated?
Using specific part of the chart, plot Mother and Father’s height, draw and line between them. +/- 2 centiles from mid-point. 90% of children will fall between these centile lines.
How should head circumference measurements be taken?
3 times, and take an average
By what age should an IUGR child catch-up in growth?
4y/o
What is a short 5th metacarpal a sign of?
Pseudohypoparathyroidism
What is a baby’s milk requirement?
150ml-200ml/kg/day