Pediatric Growth and Development Flashcards
How do you adjust for prematurity?
Until what age?
Start with the baby’s actual age in weeks and then subtract number of weeks baby was preterm
Through Age 2
What are the four main areas of developmental surveillance?
At what visits are development assessed?
- Social and Emotional
- Language and Communication (expressive and receptive)
- Gross Motor Skills
- Fine Motor Skills
Every Visit
What are the developmental milestones between 1-3 months?
- Rapid Growth
- More regular sleep cycles (sort of)
- Grasp rattle, lift head, symmetrical movements
- Cooing and babbling sounds
- Imitates expressions, social smile
- Track vision past midline
At what age does an infant double their birth weight?
When do the triple their weight?
Typically by 4 months
One year
What milestones are reached between 4-5 months?
- Double birth weight, may begin solf solids
- Reach and pull objects, rolling, sitting, bear weight with assisted standing
- Babbling, cooing, laughing
- Exploration: chewing, mothing
- Sleep through the night but 12-15 hour a day
When does a child reach the milestone of object permanence?
6-8 months
Is normal growth of childhood pulsatile?
Yes
When do you stop measuring head circumfrence?
Age 2
How do we assess growth in children?
When is growth assessed?
- Weight
- Height
- HC (until age 2) then BMI till 20 y.o.
Every visit
What growth chart is more accurate in breastfed infants?
WHO
Until what age should the WHO Growth Chart be used?
What Growth Chart is preferred aftr that age?
WHO
CDC is recommended from age 2-19
How many grams should a newborn gain per day until 3 months of age?
30 grams (1 once) per day
At what age should developmental screening be conducted?
- 9 months
- 18 months
- 24 months
- 30 months
What immunizations are within the primary series of vaccines?
- TDaP
- Hib
- Inactivated polio
- MMR