Growth and Growth charts

Question 1

What are the 3 different types of growth?

Answer 1

• Infancy (birth to 2-years-old)
• Childhood (3 to 11-years-old)
• Puberty (12 to 18-years-old)

Question 2

When does infancy growth occur?

Answer 2

Birth to 2-years-old)

Question 3

When does childhood growth occur?

Answer 3

3 to 11-years-old

Question 4

When does puberty growth occur?

Answer 4

12 to 18-years-old

Question 5

What factors can affect fetal growth?

Answer 5

• environmental
• placental
• hormonal
• genetic: predominately maternal

Question 6

What is the most important factor affecting fetal growth?

Answer 6

Environment- maternal nutrition and uterine capacity

Question 7

What are the main drivers of growth in infancy?

Answer 7

Nutrition and insulin

Question 8

What are the main drivers of growth in childhood?

Answer 8

Growth hormone and thyroxine

Question 9

What are the main drivers of growth in puberty?

Answer 9

Growth hormone and sex steroid

Question 10

What is the most important determinant of adult height?

Answer 10

Genetics

Question 11

How many recordings of weight should infants aged 0-1 years have?

Answer 11

At least 5 recordings of weight

Question 12

How many recordings of weight should infants aged 1-2 years have?

Answer 12

Children aged 1-2 years should have at least 3 recordings of weight

Question 13

How many recordings of weight should infants aged over 2 years have?

Answer 13

Children older than 2 years should have annual recording of weight

Question 14

What is the management of a child below the second decile for height?

Answer 14

children below 2nd centile for height should be reviewed by their GP

Question 15

What is the management of a child below the 0.4 decile for height?

Answer 15

Children below 0.4th centile for height should be reviewed by a paediatrician

Question 16

What are growth charts used for?

Answer 16

To plot a child’s weight, height and head circumference against the normal distribution for their age and gender.

Question 17

What is on the x-axis of a growth chart?

Answer 17

Age

Question 18

What is on the y-axis of a growth chart?

Answer 18

The weight, height and head circumference

Question 19

What do centiles indicate?

Answer 19

Where a child’s growth compares to the normal distribution for their age and sex.

Question 20

Are the centiles the same for boys and girls?

Answer 20

No

Question 21

What would it mean if a child was on the 50th centile?

Answer 21

She is basically exactly average height for her age

Question 22

What would it mean if a child was on the 1st centile?

Answer 22

They are shorter than 99% of children his age

Question 23

What would it mean if a child was on the 91st centile?

Answer 23

They are taller than 91% of children her age

Question 24

What is overweight defined as?

Answer 24

A body mass index (BMI) above the 85th percentile

Question 25

What is obese defined as?

Answer 25

A body mass index (BMI) above the 95th percentile.