Mod 3 Growth Flashcards
(24 cards)
average birth length
20 inches
average birth weight
7-7.5lbs
newborns lose _____ percent of their weight during first few days of life and then it is regained by day ___
5-10%, day 14
During first 3 months, average weight gain is ___ ounces per day or ____ ounces per week
0.5-1 ounce per day
5-7 ounces per week
or 1 kg / month (2.2 lbs)
birth weight doubles at ___ months, triples at ____ months, and quadruples at ___ months
4 months
12 months
24 months
average birth length is ?
20 inches or 50 cm
by the end of the first year, birth length increases by ___ percent
50 percent
average growth in length is ___ during first year of life
20 cm
what is catch up growth? when does it start and when is it complete?
- period of accelerated growth following period of reduced growth (ex: premature or SGA babies)
- begins first 3 months and complete by 12-18 months
what is lag down growth? when does it start and end?
lag down growth is when baby finds own plateau / growth slows following period of more accelerated growth; sometimes coincides with decreased appetite
starts at 9-12 months and complete by 18-24 months
weight gain during 2nd year of life is ___ kg/month
0.25 kg / month
after age 2, the average annual weight increase is ___ pounds/kgs until adolescent growth spurt
5 pounds or 2.3 kg per year
during toddler years, average annual growth in height is ___ inches per year
2 inches
birth length should double by ____
4 years
OFC at 4 years is ___ percent of adult size
90%
what age to start taking BP
3 years
measure OFC until what age
2 years
start calculating BMI at age ____
2 years and over
most sensitive / best way to determine if child is on track in terms of growth
growth velocity (rate of growth)
childhood conditions that have special growth grids / charts
- sickle cell
- down syndrome
- turner
- prader willi
- myelomeningocele
warning signs of growth abnormalities
- growth of less than 2 inches per year age 3-10 years
- crossing percentile channels
- sudden weight gain or loss
- more than 2 SD below or above mean for height
what is failure to thrive
inadequate weight gain as determined by standardized growth charts; weight below 3rd or 5th percentile or becoming flat
organic vs inorganic FTT
organic - due to physiologic/functional abnormality/disease state
inorganic - 2/2 psychosocial circumstances that affect child’s intake
conditions associated with failure to thrive (5)
developmental retardation neuromotor (ex: spasticity, hypotonia) GI disorders (diarrhea, regurgitation) disorders of PO intake (pica, anorexia) signs of physical/emotional deprivation (intense eye contact, poor hygiene, irritability, pallor)