Growth and physical dev.

Question 1

2 fastest periods of growth

Answer 1

intrauterine and infancy

Question 2

6 influences on growth

Answer 2

1. genes
2. health
3. nutrition
4. hormones
5. env.
6. drugs

Question 3

3 factor affecting intrauterine growth

Answer 3

1. fetal
2. placental
3. maternal

Question 4

3 measurements of growth

Answer 4

1. ht, wt, HC

Question 5

how to use charts for preemies

Answer 5

use the corrected age (how old they should have been)

Question 6

2 different charts and their diffs

Answer 6

1. CDC - reference to the normal of pop

2. WHO - reference to ideal

Question 7

when is BMI used and how is it measured

Answer 7

> 2yo kg/m2

Question 8

*what is avg. HC at birth and growth in first year

Answer 8

35cm and 12 cm

Question 9

*what is avg. wt at birth and 5 months and a year

Answer 9

birth - 3.5 kg
5 mon - doubled
year - tripled

Question 10

*height at birth

Answer 10

50cm

Question 11

*what is growth velocity in cm/yr in childhood

Answer 11

6cm/YR

Question 12

what percentile is important for ht (2)

Answer 12

1. falling under 3%

2. crossing %iles after age 2

Question 13

what is most important when loking at growth

Answer 13

velocity more important than absolute

Question 14

*what is parental height facotr

Answer 14

90% should fall within 2 SD of parents height

Question 15

• calc. for midparental height

Answer 15

male = father + (discrep + mother)/2
female = mother + (father-discrep)/2

Question 16

markers and times of female puberty

Answer 16

7-13yo

1. breast dev.
2. growth spurt
3. menarche - growth almost complete

Question 17

what is common and patho in puberty timing in females

Answer 17

early - common

late - patho

Question 18

markers and times of male puberty

Answer 18

9-14

1. teste dev.
2. later growth spurt

Question 19

what is common and patho in puberty timing in males

Answer 19

early- patho

late - common

Question 20

**4 questions that provide all answers about short stature

Answer 20

1. was child IUGR
2. is child disproportionate
3. is velocity normal or delayed
4. is bone age normal or delayed

Question 21

what if IUGR was present

Answer 21

maternal - health, nutrition, infection, size, drugs
fetal - genes, multiple gest
placental - insuff. TTTS

Question 22

what is proportion important

Answer 22

most cause that at disproportionate are bony in nature should be 1:1

Question 23

bony causes

Answer 23

short trunk - spinal rad. , kyphoscoliosis

short limbs - achondro, rickets

Question 24

why is velocity important

Answer 24

normal growth velocity assoc. with normal variants - while slow velocity is associated with patho

Question 25

why is bone age important

Answer 25

more delayed the bone growth, the more likely something organic

Question 26

5 causes of slow grorth velocity

Answer 26

1. malnutrition
2. chronic disease
3. psychosocial dep.
4. drugs
5. endocrine disorders

Question 27

what does normal bone age indicate

Answer 27

familial short stature