CPN Growth & Development Q&A
Cephalocaudally - CORRECT ANSWER-from head to toe - type of
growth/development progress
Ex: Head control, then sitting, then walking
Proximodistally - CORRECT ANSWER-from trunk to the extremities - type of
growth/development progress
Ex: moving arms and legs before picking up things with fingers
Infancy growth pattern - CORRECT ANSWER-rapid growth, head grows fastest
Toddler/preschool growth pattern - CORRECT ANSWER-slow growth; trunk
grows fastest
School age growth pattern - CORRECT ANSWER-slow growth; limbs grow
fastest
Adolesence growth pattern - CORRECT ANSWER-rapid growth; trunk and
gonads fastest
Bone age - CORRECT ANSWER-determined by XR of tarsals and carpals;
should equal chronological age
Adjusted or corrected age - CORRECT ANSWER-chronologic age minus weeks
born prematurely
premature = less than 37 weeks
used for first 2 years of life
Weight at 6 months - CORRECT ANSWER-double birth weight (minimum)
Weight at one year - CORRECT ANSWER-triple birth wt (minimum)
BMI - CORRECT ANSWER-use from 2 years - adulthood
greater than 95% - obese
85-95% - overweight
, less than 5% - underweight
average birth length - CORRECT ANSWER-20 in
first year length growth rate - CORRECT ANSWER-10 in
2nd year length growth rate - CORRECT ANSWER-5 in
3rd - puberty length growth rate - CORRECT ANSWER-2.5 in (each year)
birth length doubles at - CORRECT ANSWER-4 years old
half of adult height at - CORRECT ANSWER-2 years old
Assess HOC in all kids under - CORRECT ANSWER-2 years
At birth, HOC is - CORRECT ANSWER-greater than chest circumference
6 months-24 months, HOC is - CORRECT ANSWER-equal to chest
circumference
After 24 months, HOC is - CORRECT ANSWER-less than chest circumference
Red Flags for Growth and Development - CORRECT ANSWER-BMI greater or
equal to 85%
less than 5% = stunting shortness
"Falling off growth curve"
Red Flag Follow up options - CORRECT ANSWER-recheck: accuracy
notify other HCP: MD or nutritionist
Pt-Family Edu: share % measurement with parent/caregiver; risk factors;
guidance; counseling
Infant: Erikson Pyschosocial Development Theory - CORRECT ANSWER-Trust
v. Mistrust
- infant develops trust as caregivers meets needs
- Key Factors: Consistency & Ability to predict responses
Cephalocaudally - CORRECT ANSWER-from head to toe - type of
growth/development progress
Ex: Head control, then sitting, then walking
Proximodistally - CORRECT ANSWER-from trunk to the extremities - type of
growth/development progress
Ex: moving arms and legs before picking up things with fingers
Infancy growth pattern - CORRECT ANSWER-rapid growth, head grows fastest
Toddler/preschool growth pattern - CORRECT ANSWER-slow growth; trunk
grows fastest
School age growth pattern - CORRECT ANSWER-slow growth; limbs grow
fastest
Adolesence growth pattern - CORRECT ANSWER-rapid growth; trunk and
gonads fastest
Bone age - CORRECT ANSWER-determined by XR of tarsals and carpals;
should equal chronological age
Adjusted or corrected age - CORRECT ANSWER-chronologic age minus weeks
born prematurely
premature = less than 37 weeks
used for first 2 years of life
Weight at 6 months - CORRECT ANSWER-double birth weight (minimum)
Weight at one year - CORRECT ANSWER-triple birth wt (minimum)
BMI - CORRECT ANSWER-use from 2 years - adulthood
greater than 95% - obese
85-95% - overweight
, less than 5% - underweight
average birth length - CORRECT ANSWER-20 in
first year length growth rate - CORRECT ANSWER-10 in
2nd year length growth rate - CORRECT ANSWER-5 in
3rd - puberty length growth rate - CORRECT ANSWER-2.5 in (each year)
birth length doubles at - CORRECT ANSWER-4 years old
half of adult height at - CORRECT ANSWER-2 years old
Assess HOC in all kids under - CORRECT ANSWER-2 years
At birth, HOC is - CORRECT ANSWER-greater than chest circumference
6 months-24 months, HOC is - CORRECT ANSWER-equal to chest
circumference
After 24 months, HOC is - CORRECT ANSWER-less than chest circumference
Red Flags for Growth and Development - CORRECT ANSWER-BMI greater or
equal to 85%
less than 5% = stunting shortness
"Falling off growth curve"
Red Flag Follow up options - CORRECT ANSWER-recheck: accuracy
notify other HCP: MD or nutritionist
Pt-Family Edu: share % measurement with parent/caregiver; risk factors;
guidance; counseling
Infant: Erikson Pyschosocial Development Theory - CORRECT ANSWER-Trust
v. Mistrust
- infant develops trust as caregivers meets needs
- Key Factors: Consistency & Ability to predict responses
