CHAPTER19CHILDHEALTH - CHILD HEALTH CHAPTER 19 1 Child...

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Copyright © 2003 by Delmar Learning, a 1 CHILD HEALTH CHAPTER 19
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Copyright © 2003 by Delmar Learning, a 2 Child Health Overview Well-Child Visit Health professionals assess the child for: Current health status Progression of growth and development Need for immunizations Health professionals have opportunity to teach parents about child’s growth and development
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Copyright © 2003 by Delmar Learning, a 3 Growth and Development Growth Physical increase in the whole or any of its part Parameters of a child’s growth can be easily measured with accuracy through acquiring the following: Weight Head circumference Length or height Dentition
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Copyright © 2003 by Delmar Learning, a 4 Growth and Development (continued) Weight Important indicator of child’s nutritional status and general growth Used to calculate medication dosages for children Should be measured at every visit
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Copyright © 2003 by Delmar Learning, a 5 Growth and Development (continued) Head Circumference Related to intracranial volume Normal brain growth = expected rate of increase in head circumference Abnormal lags or surges may indicate serious problems
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Copyright © 2003 by Delmar Learning, a 6 Growth and Development (continued) Length or Height Compared with head circumference and weight measurement for overall indicator of physical growth Measure infant from crown of head to heel Place child in recumbent position Standing height measurement for children 3 years or older
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Copyright © 2003 by Delmar Learning, a 7 Growth and Development (continued) Dentition Refers to eruption of teeth and follows sequential pattern Eruption of primary teeth – 6-30 months Twenty primary teeth Eruption of permanent teeth - around 6 years of age Normally 32 permanent teeth
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Copyright © 2003 by Delmar Learning, a 8 Development Increase in function and complexity that results through learning, maturation, and growth Development screening tests are used as assessment tools Brazelton Neonatal Behavior Assessment Scale for Newborns Dubowitz for Newborns Denver II Developmental Screening Test for Infants and Young Children Growth and Development (continued)
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Copyright © 2003 by Delmar Learning, a 9 Stages of Childhood Growth and Development Newborn – birth to 1 month Infancy – 1 month to 1 year Toddlerhood – 1 to 3 years Preschool Age – 3 to 6 years School Age – 6 to 12 years Adolescents – 12 to 18 years or 21 years Growth and Development (continued)
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Copyright © 2003 by Delmar Learning, a 10 Cephalocaudal Growth and development proceeds from head to toe Muscular control follows the spine downward Proximodistal Growth and development proceeds from the center outward or from the midline to the periphery Growth and Development Principles
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Copyright © 2003 by Delmar Learning, a 11 General to Specific Activities move from being generalized toward being more focused
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