Week 1 Chapter 25 Flashcards
Developmental changes include:
Growth - Increase in physical size
Development- Sequential process of skill attainment
Maturation- Increased functionality of body systems or developmental skills
How do we measure physical growth?
Weight
Length
Head Circumference
Each plot on standardized growth chart
Also plot weight for length
What are the other measurements?
Chest at nipple line
Abdomen at the umbilicus
Growth percentiles measurements usually in approximately the same growth percentiles over time
True
When there are significant deviations from previous percentiles it may indicate ?
Further assessments needed
Children with down syndrome need a
Specialized chart.
Special populations
Average weight of infant is
3.4 kg
Doubles at 4 to 6 months
Triples by 12 months
Length average is about
50 cm (20 in) at birth
Increases by 50% by 12 months
Head circumference at birth is
35 cm (13.5in)
Increases by 10 cm by 12 months
How do we assess developmental milestones?
Ask the parents
Observe skill during assessment
Screening tools include:
ASQ
ITC
IDI
PEDS-DM
Name the systems immature at birth and somewhat mature over the first year
Neuro
Respiratory
CV
GI
Renal
Hematopoietic
Immunological
Integumentary
Neurologic system is fully myelinated at birth
False
Primitive Reflexes at birth
Step
Root
Suck
Moro
Asymmetric Tonic
Plantar
Palmar Grasp
Babinski
Step Reflex disappears at
4-8 weeks
Root disappears at
3 months
Suck Reflex disappears at
2-5 months
Moro and Asymmetric disappears at
4 months
Plantar Grasp disappears at
9 months
Palmar grasp disappears at
4-6 months
Babinski disappears at
12 months
A positive Babinski sign can indicate what?
Damage to corticospinal tract
As primitive reflexes disappear what appears ?
Protective reflexes appear
Protective reflexes are
Involuntary motor responses maintaining equilibrium and persist throughout life
Name Protective Reflexes
Neck Righting
Parachute (sideways)
Parachute ( forward)