Mod 3 Growth

Question 1

average birth length

Answer 1

20 inches

Question 2

average birth weight

Answer 2

7-7.5lbs

Question 3

newborns lose _____ percent of their weight during first few days of life and then it is regained by day ___

Answer 3

5-10%, day 14

Question 4

During first 3 months, average weight gain is ___ ounces per day or ____ ounces per week

Answer 4

0.5-1 ounce per day
5-7 ounces per week

or 1 kg / month (2.2 lbs)

Question 5

birth weight doubles at ___ months, triples at ____ months, and quadruples at ___ months

Answer 5

4 months
12 months
24 months

Question 6

average birth length is ?

Answer 6

20 inches or 50 cm

Question 7

by the end of the first year, birth length increases by ___ percent

Answer 7

50 percent

Question 8

average growth in length is ___ during first year of life

Answer 8

20 cm

Question 9

what is catch up growth? when does it start and when is it complete?

Answer 9

• period of accelerated growth following period of reduced growth (ex: premature or SGA babies)
• begins first 3 months and complete by 12-18 months

Question 10

what is lag down growth? when does it start and end?

Answer 10

lag down growth is when baby finds own plateau / growth slows following period of more accelerated growth; sometimes coincides with decreased appetite

starts at 9-12 months and complete by 18-24 months

Question 11

weight gain during 2nd year of life is ___ kg/month

Answer 11

0.25 kg / month

Question 12

after age 2, the average annual weight increase is ___ pounds/kgs until adolescent growth spurt

Answer 12

5 pounds or 2.3 kg per year

Question 13

during toddler years, average annual growth in height is ___ inches per year

Answer 13

2 inches

Question 14

birth length should double by ____

Answer 14

4 years

Question 15

OFC at 4 years is ___ percent of adult size

Answer 15

90%

Question 16

what age to start taking BP

Answer 16

3 years

Question 17

measure OFC until what age

Answer 17

2 years

Question 18

start calculating BMI at age ____

Answer 18

2 years and over

Question 19

most sensitive / best way to determine if child is on track in terms of growth

Answer 19

growth velocity (rate of growth)

Question 20

childhood conditions that have special growth grids / charts

Answer 20

• sickle cell
• down syndrome
• turner
• prader willi
• myelomeningocele

Question 21

warning signs of growth abnormalities

Answer 21

• growth of less than 2 inches per year age 3-10 years
• crossing percentile channels
• sudden weight gain or loss
• more than 2 SD below or above mean for height

Question 22

what is failure to thrive

Answer 22

inadequate weight gain as determined by standardized growth charts; weight below 3rd or 5th percentile or becoming flat

Question 23

organic vs inorganic FTT

Answer 23

organic - due to physiologic/functional abnormality/disease state

inorganic - 2/2 psychosocial circumstances that affect child’s intake

Question 24

conditions associated with failure to thrive (5)

Answer 24

developmental retardation
neuromotor (ex: spasticity, hypotonia) 
GI disorders (diarrhea, regurgitation)
disorders of PO intake (pica, anorexia) 
signs of physical/emotional deprivation (intense eye contact, poor hygiene, irritability, pallor)