growth/dvlpmt Flashcards
birthweight doubles by
5 months
birthweight triples by
1 year
birth length doubles by
age 4
growth (length) rate in first year of life
20 cm/year
normal birth length ~50cm
normal HC at birth
35cm
HC growth rate first 6 months
1cm/month
HC growth rate 6-12 mos
0.5 cm/month
macrocephaly
above 97th %ile
microcephaly
below 3rd %ile
growth parameters in inadequate caloric intake
weight drops first, then height - HC spared
growth parameters in endocrine disorders
short stature, normal/elevated weight
growth parameters in chronic medical conditions
weight and height drop equally
how much percentile change is acceptable for children?
2 channels up or down before age 2
2 month old milestones
follow 180 degrees
lift head while prone
coo
4 month old milestones
grabs and holds
places objects in mouth
6 month milestones
sits
transfer between hands
crawling
9 month milestones
separation anxiety
pulls to stand
babbling
1yr milestones
walks with one hand held
pointing
one word
18 month milestones
upstairs with hand held
climbs into chair
feed themselves
4 cube tower
2 yr milestones
toys in line
copies a circle
throws ball overhand
both feet on step
3 yr milestones
alternate feet on stairs
ride tricycle
hop 3 times
3 word sentences
4 yr milestones
opposites
4 body parts
copy a square
build a gate out of blocks
5 yr milestones
print letters
pencil grasp
walks backward heel-to-toe
when is stuttering abnormal
after preschool age (3-4)
or if persists > 6-8 weeks
or associated symptoms of stress (eg tics)
most positive intervention for hearing loss
family involvement, non verbal communication
when to do general structured developmental screening
9, 18, and 24vs30 mo
when to do autism screening
18 and 24 months
when to do social/emotional/mental health screening
CPEs from 5-18yrs
when to do substance abuse screening
CPEs in adolescence