Peds Growth and Development

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Author:
ariabarr1
ID:
131928
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Peds Growth and Development
Updated:
2012-01-31 00:07:43
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Peds
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Peds Growth and Development
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  1. Prenatal
    Internal organ formation and growth
  2. Neonatal (birth - 30 days)
    • Normal birth weight: 2750-3629g (6-8lbs)
    • Head circumference larger than chest
    • Higher risk: low immunity, respiratory problems, congenital defects, low birth weights
  3. Infant (birth - 12 months)
    • Weight gains: 680g (1.5lb/month) first 6 months; 340 (0.75lb/month) 6-12 months
    • Doubles weight 4-7 months
    • Triples weight 12 months
    • Head and Chest equal out @ 12 months
  4. Toddler (1 - 3 years)
    • Weight gains: 2-2.5kg (4-6lb/year)
    • Height: 2 years = 50% of adult size; 7.5cm (3inch/year)
  5. Preschool (3 - 6 years) & School Age (6-11 years)
    Weight gain consistent of 2-3kg and approx. 5cm yearly

    School Age: limbs major growth
  6. Adolescence (11 - Adult)
    • Trunk major growth
    • Girls: 7-25kg (15-55lb) 5-25cm (2-10inch)
    • Boys: 7-30kg (15-60lb) 10-30cm (4-12inch)
  7. Adolescent Females
    • Mature physically 2 1/2 years before males
    • Puberty 11-12 years
    • Takes about 2 years after development to start menstrum
  8. Adolescent Males
    • Scrotum development/pubic hair and then voice changes; occurs 2 years after girls
    • After puberty, growth slows to a stop
  9. BMI
    weight/height/height * 1000
  10. BMI Index
    • <18.5 Underweight
    • >30 Obese
  11. Cephalocaudal
    head to toe
  12. Proximodistal
    close to far
  13. Differentiation
    simple to complex
  14. Sequence
    predictable but individual timing is not
  15. Newborn: Sucking and Gag Reflex
    • On ultrasounds can be sucking
    • Normal suck is not until 36 weeks (coordinated, disorganized, dysfunctional)
  16. Newborn: Rooting Reflex
    • Touch lower lip or side of cheek
    • Mouth will open big and tongue will go down (strongest in first 3 months)
  17. Newborn: Babinski Reflex
    Toes will fan up to two years
  18. Newborn: Planter and Palmar Grasp Reflex
    • Can close hand around an object placed in their hand (3 months max)
    • Toes will curl (9 months max)
  19. Newborn: Moro or Startle Reflex
    • Extend arms and then bring them in (6 months)
    • Is it symmetrical?
    • Only one side?
  20. Newborn: Extrusion Reflex
    If you put anything in the mouth and the tongue comes out; this needs to disappear before feeding them food (4-6 months)
  21. Infant: Gross Motor - Hold Head
    Around 3 months
  22. Infant: Gross Motor - Roll Over
    6 months (from back to abdomen)
  23. Infant: Gross Motor - Sits
    Around 6 months; can be up to 8 months
  24. Infant: Gross Motor - Crawls
    Around 6-8 months
  25. Infant: Gross Motor - Stand
    Around 9 months
  26. Infant: Gross Motor - Walk
    Coincides w/first bday
  27. Infant: Gross Motor - Parachute
    Using hands and fingers to protect head when falling down/7-9 months
  28. Infant: Fine Motor - Palmar Grasp
    Disappears around 3 months
  29. Infant: Fine Motor - Pincer Grasp
    7-9 months (can pick up smaller things)
  30. Infant: Fine Motor - Neat Pincher
    9-12 months
  31. Infant: Fine Motor - Voluntary Release
    5-6 months
  32. Infant: Social - Cry, Coos
    2 months
  33. Infant: Social - Laughs
    3-4 months
  34. Infant: Social - Imitates Sounds
    6 months
  35. Infant: Social - Words
    1-4 words at first bday
  36. Infant: Social - Smile
    6 weeks - 2 months
  37. Infant: Misc.
    • Development of trust
    • Stranger anxiety - 6 months
    • Tactile and Observation Play
    • Object Permanence
    • Safety Prec: falling, choking
  38. Toddler: Gross Motor
    • Walking
    • Running
    • Undress Self
    • Walk up stair (18 months)
    • Down stairs (2 years)
  39. Toddler: Fine Motor
    • Scribble
    • Hold Spoon
  40. Toddler: Social
    • 15-18 months: "no"
    • 2 years: 300 words
    • 3 years: 1000 words

    • Routine very important
    • Separation Anxiety
    • Independence
  41. Toddler: Misc
    • Toilet Training
    • Should help to remove clothing
    • Sexual awareness
    • Safety Prec: wandering, falling in water, burns
    • Toys: blocks, balls, books, kitchen, making noise, water, simple puzzles, things that adults do
  42. Preschool: Gross Motor - Age 3
    • Balance on 1 foot for short period
    • Running
    • Copies a circle
    • Dresses self
  43. Preschool: Gross Motor - Age 4
    • Catch ball
    • Climbs
    • Brushes teeth w/no help
  44. Preschool: Gross Motor - Age 5
    • Jumps rope
    • Spoon
    • Fork
    • Knife
  45. Preschool: Fine Motor
    • Uses spoon, fork and knife
    • Brush teeth
    • Dresses self; ties shoes, buttons
    • Uses scissors
  46. Preschool: Social
    • "Why?"
    • Powerful fantasy life
    • Magical thinking; can also cause nightmares
    • Egocentric
    • Exploring
    • Understanding literally
    • Sexual differences
    • Toys: dress-up, music, sports, scissors, coloring, books
  47. School Age: Gross Motor
    Motor mastery
  48. School Age: Fine Motor
    • Printing
    • Handwriting
    • Keyboard
    • Math
    • Typing
    • Art
    • Music
  49. School Age: Social
    • Peer development
    • Time
    • Play- Competitive and Complex
    • Sexual awkwardness
  50. Adolescent: Social
    • Question who they are
    • Question values
    • Independece/Dependency
    • Use verbal and written communication
    • Moral reasoning
    • Influence of puberty
    • Search for a mate
    • Risk takers

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