4-5M Length increases 0.8 inches per month, head circumference 0.4 inches month 6-8M length increases 0.5-0.6 inches per month, head circumference 0.2 inches per month A newborn's head is usually about 2 cm larger than the chest size. Between 6 months and 2 years, both measurements are about equal. After 2 years, the chest size becomes larger than the head. Measurements over time that show an increased rate of head growth often provide more valuable information than a single measurement that is larger than expected. 17. Breast milk and what signs that there is not enough -continued weight loss after 5 to 7 days -failure to regain birth weight by 2 to 3 weeks -failure to maintain an ongoing weight gain of 0.5 to 1 oz/day -weight below the third percentile for age (this finding can be a pattern over time or a sudden change)
Peds Midterm Study Guide -lethargic, sleepy, inactive, unresponsive infant -newborn or young infant sleeping longer than 4 hours between feedings -dry mucous membranes -poor skin turgor Section 4 Myesha Shultz 18. When to start measuring blood pressure P. 759 annually beginning at 3 y/o 19. Role play with exam techniques and when to start toddlers and young preschoolers p. 362 20. Abnormal language development 21. Onset of male and female puberty Female Tanner I: no glandular tissue: areola follows the skin contours of the chest (prepubertal) [ typically age 10 and younger] Tanner II: breast bud forms, with small area of surrounding glandular tissue; areola begins to widen [10- 11.5] Tanner III: breast begins to become more elevated, and extends beyond the borders of the areola, which continues to widen but remains in contour with surrounding breast [11.5-13] Tanner IV: increased breast size and elevation; areola and papilla form a secondary mound projecting from the contour of the surrounding breast [13-15] Tanner V: breast reaches final adult size; areola returns to contour of the surrounding breast, with a projecting central papilla. [15+] Male 1. Tanner I: prepubertal ( testicular volume less than 1.5 ml ; small penis of 3 cm or less) [ typically age 9 and younger] 2. Tanner II: testicular volume between 1.6 and 6 ml; skin on scrotum thins, reddens and enlarges; penis length unchanged [ 9-11] 3. Tanner III: testicular volume between 6 and 12 ml; scrotum enlarges further; penis begins to lengthen to about 6 cm [ 11-12.5] 4. Tanner IV: testicular volume between 12 and 20 ml; scrotum enlarges further and darkens; penis increases in length to 10 cm and circumference [12.5-14] 5. Tanner V: testicular volume greater than 20 ml; adult scrotum and penis of 15 cm in length [14+]
Peds Midterm Study Guide 22. What age of growth and development GROWTH AND DEVELOPMENT AGE MOTOR SOCIAL Newborn (1 week-1 month) Fixates on faces, lifts head for moments when prone and turns side to side, sleeps 3-4 hours at a time (16-18 total in 24 hours) Blinks, Cries, comforted by being held and fed 2 months Lifts head, neck, and upper chest when prone, some head control when upright, will shake rattle before 4 months Coos, smiles, shows interest in visual and auditory stimulus 4 months Reaches for objects, open hands to grasp objects,
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