GFRC - human growth and development Flashcards
Development
Refinement and acquisition of skills
Embryonic development
Development that happens in the first two months
Fetal development
Development that happens after the first 2 months
Gestational age of fetus
38 weeks to 42 weeks
(premature
Conceptional age of fetus
Since conception
Maternal infections
[SToRCH] Syphilis Toxoplasmosis Rubella Cytomegalovirus Herpes simplex
GP(FPAL)
Gravida Parity Full term Pre-term Abortion Live birth
APGAR scale
Appearance Pulse Grimace Activity Respiration
Head circumference
Glabella to occipital protuberance
Birth: 35cm
At 4 months: 41cm
At 12 months: 47cm
Adult: 57cm
+0.25cm per month on 5th to 12th month
Head to trunk circumference ratio
CC
=1 year: HC=CC
>1 year: HC
Center of gravity
Child: Xiphoid process
Adult: 1” anterior to S2
Height
Birth: 50cm
Adult: Twice that of the child at 2 years old
Newborn weight
Average: 3.5kg
Range: 2.5kg to 4.5kg
Positional evolution of knee
Newborn: Moderate genu varum
6 months: Minimal genu varum
1 year and 7 months (19 months): Straight legs
2 years and 6 months (30 months) : Physiologic genu valgum
Adult: Straight legs with normal toe-out
Eric Erickson’s stages of development
Trust vs mistrust Autonomy vs shame and doubt Initiative vs guilt Industry vs inferiority Identity vs identity confusion Intimacy vs isolation Generativity vs stagnation Integrity vs despair
Piaget’s stages of cognitive development
Sensorimotor: immature reflex - birth to 2 months
Preoperational: symbolic language - 2 months to 7 months
Concrete operations: logical thinkung - 7 months to 11 months
Formal operations: abstract thinking - 11 months onwards
IQ scoring
>130: very superior/ genius 120-129: superior 110-119: above average 90-109: average 80-89: below average 70-79: borderline 50-69: mild MR (moron) 35-49: moderate MR (imbecile) 20-34: severe MR (idiot) 10-19: profound MR (idiot)
Babinski reflex
Age: 0 month - 12 months
Stimulus: Stroke lateral plantar aspect
Response: Extension of big toe and fanning of toes
Flexor withdrawal reflex
Age: 0 month - 2 months
Stimulus: Quick sharp pressure to sole or palm
Response: Withdrawal of extremity
Crossed extension reflex
Age: 0 month - 2 months
Stimulus: Quick sharp pressure to sole
Response: Withdrawal of I/L extremity, extension of C/L extremity
Galant (trunk incurvation) reflex
Age: 0 month to 2 months
Stimulus: Stroke along paravertebral line from scapula to top of iliac crest
Response: Trunk lateral flexion towards stimulated side
Rooting reflex
Age: 0 month - 3 months
Stimulus: Stroke peri-oral region
Response: Head turn towards stimulus, mouth open
Moro reflex
Age: 0 month - 4 months
Stimulus: Sudden neck extension
Response: Shoulder flexion, abduction, elbow extension, followed by shoulder adduction, elbow flexion, cry
NOTE: last to be tested
Palmar grasp reflex
Age: 0 month - 4 months
Stimulus: Pressure against palm
Response: Grasp with slow release
Asymmetric tonic neck reflex
Age: 0 month - 5 months
Stimulus: Head rotation
Response: UE extension on chin side, UE flexion on occiput side
Sucking reflex
Age: 0 month - 6 months
Stimulus: Touch lips, tongue, palate
Response: Automatic sucking