Pediatric Growth and Development P1 Flashcards

1
Q

birth

A

~280 DAYS

38-42 wks

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2
Q

post natal - puberty (average)

A

girls: 13 yo
boys: 15 yo

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3
Q

post natal - puberty (later adolescent/youth)

A

girls: 14-18 yo
boys: 16-20 yo

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4
Q

mark of puberty

A

girls: menarche
boys: change of voice/facial hair

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5
Q

most rapid rate of growth during _____

A

infancy and prepubescence-adolescence

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6
Q

4 characteristics stage of growth

A

rapid in early infancy and childhood

slow and steady in middle childhood

rapid growth in puberty

gradual slowing down in adolescence
- 2 yrs p puberty especially in girls may plateau until 18-20 yo

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7
Q

body proportions in newborn

A

head large

face round

abdomen prominent

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8
Q

body proportions in adult

A

short extremities

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9
Q

discuss COG in growth

A

xiphoid in newbron to ant S2 in late childhood

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10
Q

body part of rate of growth in infancy

A

head is fastest

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11
Q

body part of rate of growth in infancy and adolescence

A

trunk

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12
Q

body part of rate of growth in 1 yr to puberty

A

extremities

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13
Q

general appearance of a typical 2-3 yo

A

mild lumbar lordosis with protuberant abdomen

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14
Q

general appearance of a typical early school age patient

A

inc abdominal strength = mature pelvic alignment = dec lumbar lordosis

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15
Q

head circumference is obtained up to _____

A

3 yrs

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16
Q

average head circumference at birth

A

35 cm

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17
Q

average head circumference at 4 mo.

A

41 cm

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18
Q

average head circumference at 12 mo.

A

47 cm

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19
Q

average head circumference at maturity

A

57 cm

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20
Q

head circumference is a good indicator of _____

A

brain development

21
Q

height at birth

A

50 cm

22
Q

height at 12 mo

A

50% inc - 75 cm

23
Q

height at 4 yrs

A

100 cm

24
Q

height at early school age

A

5 cm annually

25
Q

height at prepubescence/adolescence

A

5-8 cm annually

26
Q

what is the average growth in 2nd yr

A

12 cm

27
Q

what is the average growth in 3-5 yr

A

6-8 cm annually

28
Q

when do girls reach max growth velocity

A

before menarche then cessation 2 yrs after

29
Q

when do boys reach max growth velocity

A

later puberty pag change of voice na tas facial hair

30
Q

how to measure height

A

lying pag before 5 yo

31
Q

how to measure height is there is deformity in spine

A

use wingspan

32
Q

how is adult height estimated

A

doubling height at 2 yo

33
Q

weight at birth

A

3400 gm

34
Q

weight at 5 mo

A

double birth weight

35
Q

weight at 12 mo

A

triple birth weight

36
Q

weight at until adolescent growth spurt

A

2 kg annually

37
Q

low birth weight infants

A

< 2500 gm

38
Q

BMI is a predictor of ______

A

adiposity/obesity

39
Q

BMI at <5th percentile

A

underweight

40
Q

BMI at 5th-84th percentile

A

normal

41
Q

BMI at 85th-95th percentile

A

overweight

42
Q

BMI at 95th-98th percentile

A
43
Q

BMI at >99th percentile

A

severe obesity

44
Q

UE to LE ratio at birth

A

1.7

45
Q

UE to LE ratio at 3 yo

A

1.3

46
Q

UE to LE ratio at 7 yo

A

1 almost equal

47
Q

higher UE to LE ratio is a feature of ____

A

dwarfism

48
Q

arm span to height ratio

A

1.05:1

49
Q

if arm span to height ratio is high

A

martian syndrome