Physical Growth

Question 0

Height

Answer 0

height increase by 50% by 1yo
2yo height = 1/2 adult height
doubles by 4yo
triples by 13yo
*average birth length 50cm
6cm/yr prior to puberty 
peak height velocity Tanner stg II/III in girls, stg IV in boys
predicted adult height: mid-parental height +/- 4 inches

Question 1

Head Circumference

Answer 1

normal NB HC 35cm

2cm/mo 0-3mos
1cm/mo 3-6mos
0.5cm/mo 6-12mos

Question 2

Weight

Answer 2

doubles by 5mos
triples by 12mos
quadruples by 24mos

Question 3

Type I FTT/Growth Deficiency

Answer 3

Weight low, Height/HC wnl

Calorie deficiency- usually social

Question 4

Type II FTT/Growth Deficiency

Answer 4

Weight/Height low, HC wnl

genetic, endocrine, constitutional, heart dz, renal dz, skeletal dysplasia

Question 5

Type III FTT/Growth Deficiency

Answer 5

Weight, Height and HC all low

CNS dz, chromosomal abnl, perinatal injury

Question 6

Daily Weight Gain

Answer 6

0-3mos: 20-30g/d
3-6mos: 15-20g/d
6-9mos: 10-15g/d
9-12mos: 6-11g/d
12-18mos: 5-8g/d
18-24mos: 3-7g/d

Question 7

GH Treatment

Answer 7

increase ~⅓ inch or a little less than 1cm yearly

Question 8

GH Deficiency

Answer 8

low/normal weight
LOW height
could also be hypothyroidism

Question 9

Types of FTT General Rules

Answer 9

Weight most affected: caloric intake
Height most affected: endocrine
HC affected: chromosomal

Question 10

Vision

Answer 10

Fix and follow: 6 weeks
Color vision: 2 months
Binocular vision/convergence: 3 months