Pediatric Growth and Development P1 Flashcards
birth
~280 DAYS
38-42 wks
post natal - puberty (average)
girls: 13 yo
boys: 15 yo
post natal - puberty (later adolescent/youth)
girls: 14-18 yo
boys: 16-20 yo
mark of puberty
girls: menarche
boys: change of voice/facial hair
most rapid rate of growth during _____
infancy and prepubescence-adolescence
4 characteristics stage of growth
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
body proportions in newborn
head large
face round
abdomen prominent
body proportions in adult
short extremities
discuss COG in growth
xiphoid in newbron to ant S2 in late childhood
body part of rate of growth in infancy
head is fastest
body part of rate of growth in infancy and adolescence
trunk
body part of rate of growth in 1 yr to puberty
extremities
general appearance of a typical 2-3 yo
mild lumbar lordosis with protuberant abdomen
general appearance of a typical early school age patient
inc abdominal strength = mature pelvic alignment = dec lumbar lordosis
head circumference is obtained up to _____
3 yrs
average head circumference at birth
35 cm
average head circumference at 4 mo.
41 cm
average head circumference at 12 mo.
47 cm
average head circumference at maturity
57 cm
head circumference is a good indicator of _____
brain development
height at birth
50 cm
height at 12 mo
50% inc - 75 cm
height at 4 yrs
100 cm
height at early school age
5 cm annually
height at prepubescence/adolescence
5-8 cm annually
what is the average growth in 2nd yr
12 cm
what is the average growth in 3-5 yr
6-8 cm annually
when do girls reach max growth velocity
before menarche then cessation 2 yrs after
when do boys reach max growth velocity
later puberty pag change of voice na tas facial hair
how to measure height
lying pag before 5 yo
how to measure height is there is deformity in spine
use wingspan
how is adult height estimated
doubling height at 2 yo
weight at birth
3400 gm
weight at 5 mo
double birth weight
weight at 12 mo
triple birth weight
weight at until adolescent growth spurt
2 kg annually
low birth weight infants
< 2500 gm
BMI is a predictor of ______
adiposity/obesity
BMI at <5th percentile
underweight
BMI at 5th-84th percentile
normal
BMI at 85th-95th percentile
overweight
BMI at 95th-98th percentile
BMI at >99th percentile
severe obesity
UE to LE ratio at birth
1.7
UE to LE ratio at 3 yo
1.3
UE to LE ratio at 7 yo
1 almost equal
higher UE to LE ratio is a feature of ____
dwarfism
arm span to height ratio
1.05:1
if arm span to height ratio is high
martian syndrome
