NRS 410 Exam 1 PEDS with verified
answers passed
•used to show an increase or change in physical size
includes: Height, wt, head circumference, VS - ANS ✔Growth
•used to denote an increase in skill or ability to function
includes Milestones in ability (talking, walking) ask parents perspective - ANS ✔Development
•Continual processes
•Rate of G/D varies at different times in life
•Proceeds in an orderly manner
-Growth from smaller to larger
-Dev't from sitting to crawling to walking
•Different children pass thru predictable stages of development at different rates - ANS
✔growth and development
Cephalocaudal - head to toe - ANS ✔growth is...
•proximo-distal direction
-Inside out
•Dev't is proximal to distal,
,-Dev't proceeds from gross to refined motor
-A child cannot learn tasks until the nervous system is ready
-Neonatal reflexes must be lost before dev't can proceed - ANS ✔development occurs...
•Genetics
•Environment
•Culture
•SES
•Gender
•Health Status
•Intelligence
•Family
•Nutrition
•Maturity - ANS ✔what are factors that influence G/D?
0-1 month - ANS ✔Newborn
1 mo - 11 mo - ANS ✔Infant
12-36 months - ANS ✔Toddler
3-6 years - ANS ✔Preschool
6-12 yr - ANS ✔School age
13-19 yr - ANS ✔Adolescence
,All peds medication dosing is based on weight - ANS ✔Why is WT important
•Measure laying down
•Completely nude - ANS ✔infants: wt
•Standing, light clothing, no shoes - ANS ✔children: wt
•Newborns may loose up to 10% of their birth weight (BW) - ANS ✔Weight Expectations:
newborns
•Then annual gain about 5 lbs a year
•Pubertal weight gain averages
•Female 40 lbs
Males 52 lbs - ANS ✔Weight Expectations:
annual
puberty
-double by 6 months
-triple at 1 year
-quadruple at 2.5 year - ANS ✔BW should...
Length: laying down
birth-36 months
, Height: standing up (shorter than length)
after 36 months - ANS ✔Length vs Height
•0 - 6 mo, gains 1 inch/month
•6 - 12 mo, gain 0.5 inch/month
-By end of the first year birth length increases by 50%
•Ex) 20" NB should be around 30" at age 1 - ANS ✔Length Expectations
•Must have at least 2 care providers, 4 hands
-Get help, they are strong!
•Fully extended on measuring board
•Hold the head midline
•Gently grasp knees together
•Feet flat against board
•Plot and compare - ANS ✔Obtaining Length
•Age 4 y.o., birth length doubles
•Gain 2" each year after that
•By age 13, birth length should triple - ANS ✔Height Expectations
•Posture! (back sway, shoulders, belly, head tilt)
•Heels together, against wall
•Head straight, angle
•Plot and compare - ANS ✔Obtaining Height
answers passed
•used to show an increase or change in physical size
includes: Height, wt, head circumference, VS - ANS ✔Growth
•used to denote an increase in skill or ability to function
includes Milestones in ability (talking, walking) ask parents perspective - ANS ✔Development
•Continual processes
•Rate of G/D varies at different times in life
•Proceeds in an orderly manner
-Growth from smaller to larger
-Dev't from sitting to crawling to walking
•Different children pass thru predictable stages of development at different rates - ANS
✔growth and development
Cephalocaudal - head to toe - ANS ✔growth is...
•proximo-distal direction
-Inside out
•Dev't is proximal to distal,
,-Dev't proceeds from gross to refined motor
-A child cannot learn tasks until the nervous system is ready
-Neonatal reflexes must be lost before dev't can proceed - ANS ✔development occurs...
•Genetics
•Environment
•Culture
•SES
•Gender
•Health Status
•Intelligence
•Family
•Nutrition
•Maturity - ANS ✔what are factors that influence G/D?
0-1 month - ANS ✔Newborn
1 mo - 11 mo - ANS ✔Infant
12-36 months - ANS ✔Toddler
3-6 years - ANS ✔Preschool
6-12 yr - ANS ✔School age
13-19 yr - ANS ✔Adolescence
,All peds medication dosing is based on weight - ANS ✔Why is WT important
•Measure laying down
•Completely nude - ANS ✔infants: wt
•Standing, light clothing, no shoes - ANS ✔children: wt
•Newborns may loose up to 10% of their birth weight (BW) - ANS ✔Weight Expectations:
newborns
•Then annual gain about 5 lbs a year
•Pubertal weight gain averages
•Female 40 lbs
Males 52 lbs - ANS ✔Weight Expectations:
annual
puberty
-double by 6 months
-triple at 1 year
-quadruple at 2.5 year - ANS ✔BW should...
Length: laying down
birth-36 months
, Height: standing up (shorter than length)
after 36 months - ANS ✔Length vs Height
•0 - 6 mo, gains 1 inch/month
•6 - 12 mo, gain 0.5 inch/month
-By end of the first year birth length increases by 50%
•Ex) 20" NB should be around 30" at age 1 - ANS ✔Length Expectations
•Must have at least 2 care providers, 4 hands
-Get help, they are strong!
•Fully extended on measuring board
•Hold the head midline
•Gently grasp knees together
•Feet flat against board
•Plot and compare - ANS ✔Obtaining Length
•Age 4 y.o., birth length doubles
•Gain 2" each year after that
•By age 13, birth length should triple - ANS ✔Height Expectations
•Posture! (back sway, shoulders, belly, head tilt)
•Heels together, against wall
•Head straight, angle
•Plot and compare - ANS ✔Obtaining Height
