Growth and Development COPY

Question 1

What are the recognised phases of childhood?

Answer 1

Neonate (<4w)
Infant (<12m/1y)
Toddler (~1-2y)
Pre-school (~2-5y)
School age
Teenager/ Adolescent

Question 2

What are the key developmental fields?

Answer 2

Gross motor skills
Fine motor skills
Social and self help 
Speech and language
Hearing and Vision

Question 3

What are milestones?

Answer 3

The achievement of key development skills

Question 4

What are the developmental influencing factors?

Answer 4

Genetics
Environment
Positive early childhood experience

Question 5

What are the adverse antenatal environmental factors?

Answer 5

Infections

Toxins

Question 6

What is the adverse postnatal environment?

Answer 6

Infection
Toxins
Trauma
Malnutrition
Metabolic
Maltreatment
Understimulation
Domestic violence
Maternal mental health issues

Question 7

What are the red flags in development?

Answer 7

Loss of developmental skills
Hearing loss
parental/professional concern
Low muscle tone
No speech by 18 months
Asymmetry of movements/increased muscle tone
Persistent toe walking
Occipital fontanelle circumference >99.6th centile

Question 8

What is the red book?

Answer 8

A record of childs health record and personal development

Question 9

What is included in the child health programme?

Answer 9

New born exam and blood spot screening
New born hearing screening
Health visitor first visit
6-8w review
27-30 month review
Orthoptsist vision screening aged 4-5

Question 10

What is involved in the 6-8 week review?

Answer 10

Identification data
Feeding
Parental concerns
Development
Measurements
Examination
Sleeping position

Question 11

What is involved at 27-30 month review?

Answer 11

Identification data
Development
height and weight
any other issues can be addressed at the time

Question 12

What is performed at week 1 of childs life?

Answer 12

Feeding, hearing, examination, Vitamin K immunisations, blood spot test

Question 13

What is performed at 2 weeks ?

Answer 13

Feeding assessment
maternal mental health assessment
Jaundice
SIDS

Question 14

What is performed at 6-8 weeks?

Answer 14

Exam, immunisations, measure, maternal mental health

Question 15

What is assessed at 1 year?

Answer 15

Growth, health promotion

Question 16

What is assessed at 2 years old?

Answer 16

Development and language

Any concerns are dealt with at time

Question 17

What is assessed at 5 years old?

Answer 17

Immunisations, dental check up, hearing and vision checkups

Question 18

When might immunisations be postponed?

Answer 18

If child is unwell

Question 19

What symptoms are common after immunisation?

Answer 19

Mild temperature, discomfort and swelling

Question 20

What can be checked to see if immunisations are up to date?

Answer 20

The red book

Question 21

What are the 3 key parameters in growth monitoring?

Answer 21

Weight
Length
Head circumference

Question 22

What is the average weight length and OFC for an infant at birth?

Answer 22

3.3kg
50 cm
35 cm

Question 23

What is the average weight and length for a four month old?

Answer 23

6.6 kg

60cm

Question 24

What is the average weight length and OFC for a 12 month old?

Answer 24

10kg
75cm
45cm

Question 25

What is the average weight and length for a 3 year old?

Answer 25

15kg | 95cm

Question 26

What is failure to thrive?

Answer 26

Child growing too slowly in form and usually in function at the expected rate for his or her age supply of energy and nutrients does not meet the demand the child needs

Question 27

What are the maternal causes of FTT?

Answer 27

Poor lactation Incorrectly prepared feeds Unusual milk or other feeds Inadequate care

Question 28

What are the infant causes of FTT?

Answer 28

``` Prematurity Small for dates Oropalatal abnormalities Neuromuscular disease Genetic disorders ```

Question 29

What are the non-medical causes of FTT?

Answer 29

Poverty/ socio-economic status Dysfunctional family interactions (especially maternal depression or drug use) Difficult parent-child interactions Lack of parental support (eg, no friends, no extended family) Lack of preparation for parenting/ education Child neglect Emotional deprivation Poor feeding or feeding skills disorder