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Growth Charts and Their Uses Flashcards

(5 cards)

1
Q

What do we monitor Growth for?

Where is the monitoring written down?

A
  • • Public health - Screening and Surveillance
    • Clinical practice - Assessment of health and nutrition, Diagnosis, and Monitoring of disease
  • Growth diary
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2
Q

MONITORING OF GROWTH:
Weight - How is this measured? What should be used?

Length - How is this measured? What should be used?

Height - How is this measured? What should be used?

Head circumference - How is this measured? What should be used?

BMI - How is this measured?

A
  • Babies weighed naked, Children >2yrs can be weighed in clothes without shoes - Only Class III Clinical electronic scales should be used
  • Measure naked - Use Length board/mat and 2 assessors
  • Measure after 2yrs - No shoes, Ensure heels, bottom, back and head are touching the wall with eyes and ears at 90 degrees, Measure on expiration - Use Rigid rule/Stadiometer
  • Measure where head circumference is widest - Use narrow plastic/disposable paper tape
  • Weight against height measure, not a measure of adiposity
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3
Q

GROWTH CHART:
How would you explain what the lines on a growth chart show?

If a boy was on the 25th percentile line, how would you explain this?

A
  • “If we lined up 100 healthy boys of exactly the same age in order of size, the smallest would have a weight around the bottom line, and the heaviest around the top line.”
  • “In a group of 100 boys, there would be about 75 boys heavier than him and about 25 lighter than him”
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4
Q

GROWTH PATTERNS:
What is Growth affected by?

When is Height velocity highest?

A
  • • Nutrition
    • Genetics and Hormones
    • Disease
    • Timing of puberty - can cause deviations in the growth chart
  • Early infancy and Puberty - “2 growth spurts”
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5
Q

GROWTH PROBLEMS:
What is Faltering growth?

What is Short Stature?

What is Underweight?

What is Overweight?

What is Obesity?

A
  • Weight CROSSING DOWN the percentile lines
  • Short child not meeting their height potential
  • BMI <2ND percentile for age and gender
  • BMI >91ST percentile for age and gender
  • BMI >98TH percentile for age and gender
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