Cephalocaudally - ANSWER Developing from head to toe-developing head control then
sitting then walking
Proximodistally - ANSWER Developing from the trunk to the tips of the
extremities-moving arms and legs before picking things up with fingers
from the general to the specific - ANSWER crawling, then walking, then skipping
bone age - ANSWER determined by x-ray of tarsals and carpals, can diagnose
precocious puberty
adjusted/corrected age - ANSWER chronologic age - weeks born prematurely, <37
weeks is considered premature
Used for the first two years of life
Types of growth chart - ANSWER length: used for 0-36 months
height: used for 3 years and older
General principals of weight - ANSWER weight at 6 months is DOUBLE the birth weight
weight at 1 year is TRIPLE the birth weight
BMI for age - ANSWER >85% is overweight
>95% is OBESE
Average birth length - ANSWER 20 inches
,Growth in first year of life - ANSWER 10 inches
Growth in 2nd year of life - ANSWER 5 inches
Growth every year from 3rd year until puberty - ANSWER 2.5 inches
Growth red flags - ANSWER recheck, notify other HCP, Patient family education
includings risk factors, anticipatory guidance, nutrition counseling
infant social milestones - ANSWER 2 months: instinctual smile
3 months: social smile
4 months: laughs
4-6 months: stranger anxiety
10-12 months: claps hands, waves bye-bye
infant language cognition - ANSWER 3 months - starts to babble
6 months - babbles in response to conversation
7-9 months - cause and effect (plays game)
10-12 months - points to objects when named says "mama"/"dada" says 5 words
infant physical milestones - ANSWER 2 months - lifts head, posterior fontanel closes
3 months - tracks objects
4 months - rakes objects, grasps rattle, begins to roll over
8 months - sits without support
9 months -pincer grasp, crawls, stands holding on
10-12 months - claps hands, pulls self up, may take first steps
, infantile reflexes - ANSWER present in full term infant at birth, disappear by 4 months
moro reflex - ANSWER startle with loid noise or sudden movement, infant will extend all
limb and spread fingers, then retract limbs
parachute reflex - ANSWER appears by 5-6 months and is maintained
when infant is placed face and head down slowly, infant extends both arms as to protect
self from falling
tonic neck reflex (dab) - ANSWER lying on back with head turned to one side, infant will
flex arm and leg on opposite side of body and will extend the arm and leg on the side the
infant is facing
Babinski reflex- ANSWER toes hyperextend when stroking foot, disappears within 18
months
toddler social development - ANSWER egocentric, reduction of "stranger anxiety" as
long as parent is present, development of "separation anxiety" when apart from parent,
temper tantrums
toddler language/composition - ANSWER 12 months: says 5 words
18 months: says 50 words
24 months: says 400 words, uses 2-3 word sentences
says own name
toddler physical development - ANSWER 12-18 months: anterior fontanel closes
12-16 months: walks
18-24 months: shows interest in toilet training
21 months: climbs stairs`
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toilet training - ANSWER 2-3 yrs old develops daytime dryness