Developmental and Growth.txt

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Author:
dohertys
ID:
128448
Filename:
Developmental and Growth.txt
Updated:
2012-01-17 16:03:32
Tags:
development child family medicine
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Description:
Family medicine child developmental milestones for check-ups
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  1. Developmental Milestones
  2. Which primitive reflexes are babies born with?
    • 1) Placing/Stepping - hold baby's feet over a surface and it will make stepping motion
    • 2) Palmar grasp
    • 3) Asymmetric Tonic Neck Reflex (ATNR) - baby's arm extends on the side it looks towards (fencer's posture)
    • 4) Moro - drop head quickly - arms abduct with open hands then adduct with closed fists
  3. 4 domains to check development in?
    Gross motor, Fine Motor/Vision, Language/Social, and Reflexes
  4. Gross motor @ 0-4 weeks
    Head lag
  5. Gross motor @ 1-2 months
    • Better head control
    • Occasionally lifts chin
  6. Gross motor @ 4 months
    Sits
  7. Growth Questions
  8. Acceptable weight loss after birth?
    up to 10% in first few days
  9. Return to birth weight should occur by?
    7-10 days of age
  10. Baby should double birth weight by?
    4-5 months
  11. Baby should triple birth weight by?
    1 yr
  12. Quadruple birth weight by?
    2 years
  13. What is average weight at birth?
    3.5 kg
  14. What is average weight at 1 yr?
    10 kg
  15. What is average weight at 5 years?
    20 kg
  16. What is average weight at 10 years?
    30 kg
  17. What should daily weight gain be in first few months?
    20-30g per day for first 3-4 months
  18. What should daily weight gain be after 4 months?
    15-20 g per day for remainder of 1st year
  19. Developmental milestones (as per Nelson's) at 2 wks?
    • Gross motor - moves head side to side
    • Personal/Social - regards face
    • Language - alerts to bell
    • Has primitive reflexes - moro, palmar grasp, ATNR and placing
  20. Developmental milestones at 2 months?
    • Gross motor - lifts shoulder while prone
    • Fine Motor - tracks past midline
    • Personal/Social - smiles
    • Language - coos, searches for sound with eyes
  21. Developmental milestones @ 4 months?
    • Motor - Lifts up on hands, rolls front to back, if pulled to sit has no head lag
    • Fine motor/adaptive - Reaches for objects, raking grasp
    • Personal-Social - Looks at hands, begins to work toward toy
    • Language - Laughs and squeals
  22. Developmental milestones @ 6 months?
    • Motor - sits alone
    • Fine motor - transfers object hand to hand
    • Personal-Social - feeds self, holds bottle
    • Language - babbles
  23. Developmental milestones @ 9 months?
    • Motor - pulls to stand, gets into sitting position
    • Fine motor - Pincer grasp appears, bangs 2 blocks together
    • Personal/Social - Waves bye-bye, pat-a-cake
    • Language - Mama, dada (non-specific), 2-syllable sounds
  24. Milestones @ 12 months?
    • Gross motor - Walks, stoops and stands
    • Fine Motor - Puts block in cup
    • Personal/Social - drinks from a cup
    • Language - Mama, dada (non-specific), 1-2 other words
  25. Milestones @ 15 months?
    • Gross - walks backwards
    • Fine motor - scribbles, stacks 2 blocks
    • Personal-social - imitates others, uses spoon and fork, helps in housework
    • Language - 3-6 words, follows commands
  26. Milestones @ 18 months?
    • Gross - runs, kicks a ball
    • Fine - stacks 4 blocks
    • Personal-social - undresses, "feeds" a doll
    • Language - Says at least 6 words
  27. Milestones @ 2 years?
    • Gross - walks up and down stairs, throws overhand
    • Fine - stacks 6 blocks, copies a line
    • Personal/social - brushes teeth, washes and dries hands, puts on clothes
    • Language - puts 2 words together
    • Other - understands concept of today
  28. Milestones @ 3 yr?
    • Gross - walks steps alternating feet, broad jump
    • FIne - stacks 8 blocks, wiggles thumb
    • Social/personal - uses spoon well, spilling little, puts on t-shirt
    • Language - names pictures, speech understandable 75%, 3-word sentences
    • Other - understands tomorrow and yesterday
  29. Milestones @ 4 years?
    • Gross - balances well on each foot, hops on one foot
    • Fine - copies O, maybe a +, draws person with 3 parts
    • Personal/social - brushes teeth without help, dresses without help
    • Language - names colours, understands adjectives
  30. Milestones @ 5 years?
    • Gross - skips, heal-to-toe walks
    • Fine - copies a square
    • Language - counts, understands opposites
  31. Milestones @ 6 years?
    • Gross - balances on each foot 6 s
    • FIne - copes triangle, draws person with 6 parts
    • Language - Defines words
    • Other - begins to understand right and left

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