2: Growth, puberty and adolescence Flashcards Preview

Child Health Week 2 2017/18 > 2: Growth, puberty and adolescence > Flashcards

Flashcards in 2: Growth, puberty and adolescence Deck (22)
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1

Average weight of a baby is what?

3.5kg

2

Babies of mothers with uncontrolled diabetes tend to be (bigger / smaller).

What is this called?

bigger

Macrosomia

3

How do you determine if a child's growth if normal?

Growth chart

4

In a Gaussian distribution, what is the line in the middle called?

Mean / median / 50th centile

5

What is a standard deviation?

Measure of variability from the mean

6

What is a z score?

Number of standard deviations from the mean

7

In a Gaussian distribution, what percentage of values are

a) within 1 SD of the mean

b) within 2 SDs of the mean?

a) 68.3%

b) 95.4%

8

What can you say about a child's growth if they are

a) staying on centiles

b) crossing centiles?

a) Growing normally

b) Not growing normally

9

What is height velocity?

Change in height over time

10

What two criteria need to be true for you to say a child is growing normally?

Measurements are normal for kids their age

Rate of growth is normal for kids their age

11

How is weight distribution changing in response to obesity?

Shift to right

Longer tail on the right (normal is shifted slightly to right but there are more extremes)

12

The average height of the population is (increasing / decreasing).

increasing

13

Height is measured on (inspiration / expiration).

expiration

too much variability otherise

14

The pubertal growth spurt is (greater / smaller) and (earlier / later) in girls than in boys.

Why?

 

smaller

earlier

Less testosterone

15

Which two functions on a growth chart can you use to calculate the height a child

a) should be

b) is going to be based off their current height

a) Mid-parental height

b) Adult height predictor

16

At what age do boys and girls tend to enter puberty?

11 years old

Girls earlier, boys later

17

Which hormones drive puberty?

Gonadotrophins

FSH and LH

18

What is the marker of puberty in girls?

Thelarche

breast bud development

cannot be said to be in puberty until then

19

When does menarche occur in girls?

Around 2 years after thelarche

so 13 years old

20

What is an indicator of pubertal stage in boys and girls?

Girls - breast budding

Boys - testicular volume

21

What is precocious puberty?

Is it more common in girls or boys?

Onset of puberty before 8 / 9 (girls / boys)

More common in girls

22

What is delayed puberty?

Is it more common in girls or boys?

No puberty by the age of 13 / 14 (girls / boys)

More common in boys