Growth monitoring Flashcards
1
Q
what are the 3 physical measurements ?
A
- weight
- length or height
- head circumference
2
Q
Other derived examples that are not routine
A
- weight for age
- length / height for age
- body mass index
- weight for length
- rate of weight gain (g/kg/day) infants only
3
Q
Birth weight on average? how does it change ?
A
3.3 kilos
4 months = 6.6
1 year = 10
4
Q
Birth length on average? how does it change ?
A
half a metre
3 years =doubled
5
Q
what is failure to thrive?
A
child growing too slowly in form and in function at the expected rate for their age
- low rate of weight gain
6
Q
causes of failure to thrive - maternal (4)
A
- poor lactation
- incorrectly prepared feeds
- unusual milk or other feeds
- inadequate care
7
Q
causes of failure to thrive - infant (5)
A
- prematurity
- small for dates
- palatal abnormalities - cleft palate
- neuromuscular disease
- genetic disorders
8
Q
increased metabolic demand?
A
congenital lung disease
- heart disease
- liver disease
- renal disease
- infection
- CF
- Crohn’s
- malignancy
9
Q
Excessive nutrient loss - FTT
A
- Gastro-oesophageal reflux
- pyloric stenosis
- gastroenteritis
- malabsorption (allergy, coeliac, diarrhoea)
10
Q
Failure to thrive - non- medical
A
- poverty
- dysfunctional family interactions
- child neglect
- poor feeding
- lack of parental support
