What is the goal of pediatrics Correct Answer-to help each child achieve
his/her individual potenial for growth and development and recognize
any deviations as early as possible
Growth Correct Answer-the increase in the size of the body as a whole
or the increase in its separate parts
Development Correct Answer-Refers to changes in function, influenced
by emotional and social environments
Norms and Trends Correct Answer-Knowledge of normal growth and
development is essential for preventing and detecting disease by
recognizing overt deviations from norma patterns.
What are patterns of growth and development that are predictable?
Correct Answer-Continuous
Orderly
Progressive
What are patterns or trends of growth and development that can vary?
Correct Answer-- Among individuals
- Over tie in one individual
Patterns of growth and development are Correct Answer-Directional
trends
,Sequential trends
Directional trends Correct Answer-- Cephalocaudal: from head to tail
- Proximosdistal: From midline to periphery
- Trends are bilateral and appear symmetric
- Simple to complex
Sequential trends Correct Answer-Definite, predictable sequence
Factors influencing growth Correct Answer-- Heredity: Ht, Wt, body
shape, and ft.
- Nutrition
- Gender: Puberty
- Disease
- Environment: Hazards, socioeconomic influences, season, climate, and
oxygen concentration
Periods of Growth Correct Answer-- Infancy: Most rapid
- Preschool to puberty: rate of growth slows
- Puberty: rapid growth
- Post-puberty: decline in rate of growth
General rules of growth: Weight Correct Answer-- 5-10% decrease in
birth weight in 1st few days of life
,- Usually regain to birth weight by 2 weeks
- 2 x birth weight @ 6 months
3 x birth weight @ 12 months
4 x birth weight @24 months
- Average annual weight gain is 5lbs/yr between 2 y.o. and puberty
___ birth weight at 6 months Correct Answer-2 times
____ birth weight at 12 months Correct Answer-3 times
___ birth weight at 24 months Correct Answer-4 times
General rules for growth: Height Correct Answer-- 1.5 x birth length @
12 months
- 2x length @ 4 years
- Average annual height increases 2-3 inches per year between age 4 and
puberty
Ends when growth plates fuse during puberty
When does growth stop? Correct Answer-when growth plates fuse
during puberty
, Pay attention for what when looking at growth charts Correct Answer--
Large shifts or discrepancies
- Individual and all measurements
What is WNL of growth records Correct Answer-5-95%
< 5% can be malnutrition
> 95% can be obesity
Factors influencing development Correct Answer-- Heredity and
environment
- Gender differences vs. Cultural expectations
- Disease
- Prenatal influences
- Socioeconomic status
- Interpersonal realtionships
- Stress
- Television, phone, computer, and mass media
- Physical activity ad nutrition
Piaget Cognitive development Correct Answer-Sensorimotor
Preopertional
Concrete Operational
Formal Operational