Milestones

Question 1

True or false: neonates gain 10% of initial weight within the first days of life

Answer 1

False! Newborns lose up to 10% of their weight within the first few days of life

Question 2

At how many months will birth weight be doubled?

Answer 2

5 months

Question 3

At how many weeks will birth weight be regained?

Answer 3

2 weeks

Question 4

At one year, how much more will the infant weigh in relation to their birth weight?

Answer 4

triple their birth weight

Question 5

What are some two month milestones?

Answer 5

Social smile, vocalization, lifting head, follow midline

Question 6

What are some 4 month milestones?

Answer 6

Sit (with assistance), control head, laugh, grasp toy, regard own hand

Question 7

What are some milestones for six months?

Answer 7

“the R’s”: rollover, reach, raspberry sounds (turns head to sound), self-feed, reach for toy that is out of reach

Question 8

What are some nine month milestones?

Answer 8

waving, single-syllable words, stand with holding

Question 9

1 year milestones

Answer 9

walking, babbling, banging blocks together, pointing, playing patty cakes

Question 10

Would you expect to see more or less stooling with bottle feeding in a newborn?

Answer 10

Less stooling; with breast feeding, typically there is stooling shortly after each feed

Question 11

What is the typical frequency of urination?

Answer 11

6-8 times/daily

Question 12

When does toileting begin?

Answer 12

2.5-3 years (per PKM)

Question 13

Define failure to thrive

Answer 13

inadequate weight gain and physical growth in comparison to standard growth curve; caused by inadequate nutrition ; weight less than 1/3 percentile for age

Question 14

Define familial short stature

Answer 14

Skeletal maturation and puberty consistent with age; the final height is short but within percentile; deceleration of linear height within first two years of life

Question 15

What would you expect the birth weight and length of an infant with familial/genetic short stature to be?

Answer 15

normal!

Question 16

Defined as having a growth pattern similar to familial/genetic short stature but parents are not necessarily short

Answer 16

constitutional growth delay with growth that continues beyond the time that the average child stops growing but final heigh is appropriate for target height; “LATE BLOOMERS”

Question 17

What is the difference between short stature and constitutional delay of growth?

Answer 17

CDG: delayed skeletal maturation and onset of puberty

Question 18

What are some risk factors for short stature?

Answer 18

steroid use secondary to asthma, cancer treatment, hormone derangement (GH, thyroid), chronic illness, small for gestational age

Question 19

When do the primary teeth come in?

Answer 19

6 months but can be as early as 3-4 months or as late as 12-16 months

Question 20

Which come first: maxillary or mandibular incisors?

Answer 20

mandibular