Pediatric Growth and Development Flashcards

1
Q

How do you adjust for prematurity?

Until what age?

A

Start with the baby’s actual age in weeks and then subtract number of weeks baby was preterm

Through Age 2

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2
Q

What are the four main areas of developmental surveillance?

At what visits are development assessed?

A
  • Social and Emotional
  • Language and Communication (expressive and receptive)
  • Gross Motor Skills
  • Fine Motor Skills

Every Visit

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3
Q

What are the developmental milestones between 1-3 months?

A
  • 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
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4
Q

At what age does an infant double their birth weight?

When do the triple their weight?

A

Typically by 4 months

One year

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5
Q

What milestones are reached between 4-5 months?

A
  • 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
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6
Q

When does a child reach the milestone of object permanence?

A

6-8 months

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7
Q

Is normal growth of childhood pulsatile?

A

Yes

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8
Q

When do you stop measuring head circumfrence?

A

Age 2

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9
Q

How do we assess growth in children?

When is growth assessed?

A
  • Weight
  • Height
  • HC (until age 2) then BMI till 20 y.o.

Every visit

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10
Q

What growth chart is more accurate in breastfed infants?

A

WHO

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11
Q

Until what age should the WHO Growth Chart be used?

What Growth Chart is preferred aftr that age?

A

WHO

CDC is recommended from age 2-19

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12
Q

How many grams should a newborn gain per day until 3 months of age?

A

30 grams (1 once) per day

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13
Q

At what age should developmental screening be conducted?

A
  • 9 months
  • 18 months
  • 24 months
  • 30 months
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14
Q

What immunizations are within the primary series of vaccines?

A
  • TDaP
  • Hib
  • Inactivated polio
  • MMR
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