Growth

Question 1

General Parameters (Infant)

Answer 1

-Regain birth weight by 2 weeks
-Double birth weight by 6 months
-Triple birth weight by 1 year
-50% increase in length by 1 year

Question 2

General Parameters (Toddler)

Answer 2

-Height at 2 years is about 1/2 of adult height
-Double birth length by 4 years

Question 3

When does posterior fontanel close?

Answer 3

By 6-8 weeks of age

Question 4

When does anterior fontanel close?

Answer 4

18-24 months

Question 5

Child should have __ teeth at x months.

Answer 5

Minus 6 rule; if 12 months old, should have (12-6) 6 teeth.

Question 6

When should all primary teeth erupt by?

Answer 6

~2-2.5 years

Question 7

Start shedding primary teeth by what age?

Answer 7

~6 years

Question 8

Weight gain in 1st year

Answer 8

5-7 ounces/week during first 6 months
12-20 ounces/month during month 6-12

0-3 months: 4-8 ounces/week
3-6 months: 5 ounces/week
6-12 months: 3-4 ounces/week

Question 9

Length gain in 1st year

Answer 9

0.5 inches/month during first 6 months
0.3 inches/month during months 6-12

Question 10

Toddler/Preschool weight gain/year

Answer 10

~4 pounds/year

Question 11

Toddler/Preschool length gain/year

Answer 11

~3 inches/year

Question 12

School age weight and length gain/year

Answer 12

5-7 pounds/year
2 inches/year

Question 13

Adolescent Female weight and length gain

Answer 13

Between age 10-14:
-38 pounds
-9 inches

Question 14

Adolescent Male weight and length gain

Answer 14

Between age 12-16:
-42 pounds
-9 inches

Question 15

Female Sexual Development Stages

Answer 15

Onset 9-10 years
First sign: breast buds
1. Ovaries increase in size (not seen)
2. Thelarche (9-10 years)
3. Adrenarche (11.5 years)
4. Rapid Linear Growth (12 years)
5. Menarche (12.5 years)

Question 16

Male Sexual Development Stages

Answer 16

Onset 11-12 years
First sign: testicular growth
1. Testicular Enlargement (11 years)
2. Pubic hair development
3. Spermarche (13.5-14.5 years)
4. Elongation/Widening of Penis
5. Rapid Linear Growth (14 years)
6. Change in voice
7. Axillary, Facial, Body hair

Question 17

Tanner Stages (Female, Breast)

Answer 17

1. Pre-pubertal, no palpable breast tissue
2. Breast bud with areolar enlargement
3. Enlargement of breast without separate contour with nipple
4. Projection of areola and nipple as secondary mound to breast
5. Adult breast with areola receding and nipple projecting from breast

Question 18

Tanner Stages (Male, Genital)

Answer 18

1. Preadolescent testes, scrotum, penis
2. Enlargement of scrotum and testes; scrotum reddens and roughens
3. Penis enlarges in length
4. Penis enlarges in breadth and development of glans
5. Adult size and shape

Question 19

Tanner Stages (Pubic Hair)

Answer 19

1. Preadolescent without pubic hair
2. Sparse, pale, fine
3. Darker, more curled, increased amount
4. Hair is adult in character but doesn’t extend to thighs
5. Adult distribution

Question 20

At what ages do you conduct vision screens?

Answer 20

3, 4, 5, 6, 8, 10, 12, 15, 18

Question 21

At what ages do you conduct hearing screens?

Answer 21

At birth, 4, 5, 6, 8, 10 years

Question 22

How many grams in an ounce?

Answer 22

28

Question 23

Estimated bilirubin levels

Answer 23

5 @ nipple line
10 @ hips
>12 @ lower extremities

Question 24

Phototherapy Treatment Levels

Answer 24

> /= 15 @ 25-48 hours
/= 18 @ 49-72 hours
/= 20 @ 72 hours+

Question 25

Estimated number of ounces/feed

Answer 25

Age + 1

Question 26

Formulas for expected height

Answer 26

Boys: (mom+5) + dad/2
Girls: (dad-5) + mom/2

Question 27

Calorie requirements 0-3 months

Answer 27

100-110 kcal/kg/day

Question 28

Calorie requirements 4 months-3 years

Answer 28

80-85 kcal/kg/day

Question 29

Calorie requirements 3-8 years

Answer 29

80-90 kcal/kg/day

Question 30

Calorie requirements 8-12 years

Answer 30

60-80 kcal/kg/day

Question 31

Calorie requirements 12-16 years

Answer 31

45-60 kcal/kg/day

Question 32

Starting age and peak of stranger anxiety

Answer 32

Begins @ 6 months
Peaks @ 12 months

Question 33

Starting age and peak of separation anxiety

Answer 33

Begins @ 8-9 months
Peaks @ 14 months