Growth & Development/ Preventive Peds Flashcards
What is expected height for girl?
_(Father’s ht - 13cm) + (Mother’s ht) _
2
What is expected height for boy?
(Mother’s ht + 13cm) + (Father’s ht)
2
50th percentile for head circ of full-term infant at birth is about __ for girls and __for boys.
35cm for girls; 36cm for boys
Birth weight is regained by day__-__ of life
10-14
Birth weight doubles by __ months
4
Birth weight triples by __ months
Quadruples by __ months
12 months
24 months
After age 2, normal wt gain is __lb per year until adoescence
5lbs
Birth length doubles by __ years
Triples by __ years
4 yrs
13 yrs
Largest rate of head growth is between __-__ months
0 and 2 months
(0.5cm/week)
Definitions for FTT:
Weight <__ percentile
Weight for height <__ percentile
Weight __% or more below ideal weight for height
Downward crossing of > or = __ major percentiles
3rd
5th
20%
2
Normally, head grows __cm per month for 1st year.
Most rapid growth occurs during 1st __ months.
1cm
6
Brain weight doubles by __ months
Triples by __ months
Majority of head growth occurs by __ years of age.
6
12
4
2 benign causes of macrocephaly in normal infants?
- enlargement of subarachnoid space (mostly in males, frequently seen in the father)
- genetic megalencephaly (normal head CT)
A child should copy a circle by __ years of age
Draw a cross by __
Copy a square by __
Copy a triangle by __
3
3-4
4
5
Reflexes:
Palmar grasp absent by __
Moro absent by __
Parachute present by __
2-3 months
3-4 months
6-9 months
Head control
When lying down:
head up to 45 degrees/can lift head off table by __
head up to 90 degrees/can lift chest by __
When pull to sitting:
complete head lag __
No head lag __
Lifts head off table in anticipation of being lifted __
2 months
4 months
newborn
4 months
6 months
Rolls front to back __
Rolls back to front __
4-5 months
5-6 months
Block stacking:
2 cubes
4 cubes
6 blocks
8 blocks
3 block bridge
5 block gate
13-15 mo
18 mo
24 mo
30 mo
3 yrs
4 yrs
What is expected upper:lower segment ratio?
What is U:L ratio for:
1) infants
2) 10yo
3) pubertal
The upper-to-lower (U:L) segment ratio is an important part of the physical examination that can be used to detect subtle abnormalities of growth and development. The distance from the pubic symphysis to the floor (in a standing patient) is measured to obtain the lower segment value; this is subtracted from the patient’s height to obtain the upper segment value. The U:L ratio is then calculated using the two values.
1) 1.7 (babies have short legs!)
2) 1.0
3) 0.9
How old is baby who smiles, listens to voice, and coos?
2 month
How old is baby who laughs out loud, shows interest in their reflection in the mirron, squeals?
4 month
How old is a baby who babbles, shows emotional response with positive/negative affect, displays stranger anxiety, reaches for familiar person?
6 month
How old is baby who says mama/dada NON-specifically, imitates speech sounds, recognizes familiar people?
9 months
How old is baby who has first words and says mama/dada specifically
9-12 months
How old is baby who uses >5 words and knows at least 4 body parts?
18 months
How old is baby who uses 2 word sentences?
18-24 months
How old is child who uses 100-200 words, is 50% understood?
2 year old
How old is child who uses 3-4 word sentences, knows 250 words, speech is 75% understood, can identify 2 colors?
3 years
How old is patient who 100% understood, speaks in paragraphs, identifies gender, knows 5-6 colors, asks “why”?
4 year old
How old is child who can dress self? (except bottons in back)
3 year old
How old is baby who waves bye bye?
10 months
How old is child who can tie shoes?
5yo
Ready for kindergarten!
How old is child who speaks in 2-3 word phrases, points to pictures, uses 50+ words, says “I, me, mine”?
2 years
How old is child who can balance on foot fo 2-3 sec?
3 years
How old is child who can hop on 1 foot?
4 years
How old is child who can balance on 1 foot for 6-10 secs?
And walk up/down stair with alternating feet?
4 years old