Pediatric Growth and Development Flashcards
How is corrected age calculated
begin with babys actual age in weeks and then subtract number of weeks the baby was preterm
what are the four main areas of developmental surveillance
social and emotional
language and communication
gross motor
fine motor
at what age does birth weight double
4-5 months
when does object permanence begin
6-8 months
how do we assess growth
growth charts
-weight
-height
-head circumfrence (until age 2)
-BMI until 20yo
what growth chart is considered better for breastfed infants
WHO:
slower weight gain between 3 and 4 months
use up to age 2 then CDC from 2-19
at what age do babies triple their birth weight
by one year
at what age are children about half their adult height?
24- 30 months
what is the average growth between 2 years and puberty
~2 inches / year
what are red flags for growth
< 2 inches of linear growth/year between 3 years and puberty
Height < 5th percentile
significant changes on growth curve
when do we start measuring blood pressure in children
age 3
is adenopathy common in early childhood
yes
when are testes decended into the scrotal sac in male children
by age 1
what is the age range that children are knock-kneed
18 months to 4 years of age
when are developmental screenings done
9 months
18 months
24 months
30 months
what is newborn screenings
genetic and metabolic screen
critical congenital heart disease: pulse ox
hearing
Bilirubin
What is Esotropia
eye deviated nasally
what is extropia
eye deviates temporally
what is strabismus
eyes are not aligned
when is austism screening done
18 months and 24 months
when is developmental surveillance done
every single visit
how many shots should a child have before 6 years of age
15 shots
when do babies typically begin teething
4-7 months
Can teething cause diarrhea and vomitting
NO
Can teething cause rashes on the body
NO
Can teething cause high fever, or cough and congestion
NO
when is the average age of Menarche
8-12 years old (10.5 mean)
What is Thelarche
breast and areola development
when is the average age of puberty in boys
avg 9-13 years old (mean 11.5)
How is puberty staged
Tanner staging
what is precocious puberty in girls and boys
Girls: breast development prior to age 8
boys: testicular enlargement earlier than 9 years of age
What are teen/adolescent issues
acne
scoliosis
gynecomastia in boys
anemia and dysfunctional uterine bleeding in girls
