Growth & Devel Assessment (3 ques)

Question 1

Cephalocaudally

Answer 1

Baby develops from head to toe

Head control —> sitting —> crawling —> walking

Question 2

Proximodistally

Answer 2

From trunk to tips of extremities

Moving arms & legs to picking up things with fingers

Question 3

Developmental principles of age

Answer 3

1. Chronological
2. Mental
3. Bone - determine w/x-Ray of tarsals & carpals
4. Adjusted corrected age - for growth charting

Question 4

Adjusted/corrected age

Answer 4

Chronologic age — # of weeks born prematurely (40 weeks — gestational age)

Prematurity = < 37 weeks

Used until 2 years old

Question 5

How measure height?

Answer 5

0-36 months —> laid down (length)

2 -18 —> standing up (height)

Question 6

Weight at 6 months

Answer 6

Doubles from birth weight

Question 7

Weight at 1 year

Answer 7

Triple birth weight

Question 8

Influence of weight > 1 year

Answer 8

• genetic
• environmental
• illness/health

Question 9

BMI for age - what used for?

Answer 9

Screen for overweight / underweight

Used from 2 years to adulthood

Question 10

BMI parameters

Answer 10

85% - <95% = overweight (25 - 29.9)

< 5% = underweight (< 18.5)

Teach —> healthy eating, activity, reduced screen time

Question 11

Growth rate

Answer 11

20 inches —> Average birth length

10 inches —> first year growth

5 inches —> 2nd year growth

2.5 inches —> each year growth until puberty

Question 12

How tall at 4 years old?

Answer 12

Birth length roughly DOUBLES

Question 13

Red flags for growth & follow up

Answer 13

Weight —> BMI > 85%

Length/height — <5%

Falling off growth chart to lower percentage

FOLLOW UP

• recheck measurement
• notify other HCP (nutritionist/MD)
• parent- family education