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growth children

growth children values

QuestionAnswer
factors that influence growth genes, brain, hormones, nutrition, SES, season, disease, stress
different ways to define age & growth chronological, height & weight, bone age, dental age, sexual age (Tanner stages), mental age (Bayley, IQ)
normal growth infant 1 oz/day initial weight loss of 10% at birth wt doubles by 4-5 months & triples by 1 year grow 25 cm (10 inches) in first year of life)
normal growth rate decrease in 2nd year of life to 12 cm/yr (5 inc), to 8 cm in 3rd yr (3 inch). from 3-puberty: 4.5 cm-7 cm/year Weight gain slows to 2-3 kg/yr
head circumference growth 1cm/2wk from birth to 2 months; 1cm/month for next 3-6 months; 0.5cm/month next 6-12 months
weight gain newborn & infant 4-7 oz/wk for first month; average 1-2 lb (.5-1 kg)/month for first 6mth; 1 lb (0.5kg) from 6mth to 1 yr
height gain newborn & infant at birth average length: 20 inch (50 cm) grow 1 inch/mth (2.5 cm) first 6mth; 0.5 inch/mth from 6mth-1 yr
head circumference average newborn 33-36cm
Barlow maneuver physical examination performed on infants to screen for developmental dysplasia of the hip
positive Barlow performed by adducting the hip (bringing the thigh towards the midline) while applying light pressure on the knee, directing the force posteriorly.If the hip is dislocatable - that is, if the hip can be popped out of socket
ortolani maneuver flexing the hips and knees of a supine infant to 90 degrees, then with the examiner's index fingers placing anterior pressure on the greater trochanters, gently and smoothly abducting the infant's legs using the examiner's thumbs.
positive ortolani A positive sign is a distinctive 'clunk' which can be heard and felt as the femoral head relocates anteriorly into the acetabulum
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