Pediatric Growth & Development

w:5-7 oz/ week
L: 2.5cm/month
Head C: 2cm/month until 3mo

Gross motor: lift head if prone
Fine motor: hold hand in fist
Sensory: Prefer faces, follow line of vision

disappears at 1 year

disappears 3-4 months-1 year

finger grasp, until 3 months

toe curl around midline, until 8 months

startle reflex, until 4 months

fencing position, important for rolling over, 6 months

Stepping reflex 4-8 weeks

breastfed: 2-3 hours, 6-8 wet diapers
Bottle: 60-90cc/2-3hrs

posterior fontanel closes
Gross motor: sit w/ hands, decreased head lag
Fine motor: hold rattle, play with fingers, bring object to mouth

turn head towards voices, social smile, laugh @ 4 months
language; coo, gurgle, laugh

every 3-4 hours, 90-120cc

Double birth weight
Gross motor: looses head lag
roll over (belly-back @ 4, back-belly @ 6)
Crawling
Fine motor: palmar grasp- reach for object, manipulate

separation anxiety, mirror play

solid foods: rice cereal-barley-oatmeal every 4-7days

Growth rate declines, sitting ( @8 independently)
fine motor: transfer objects, banging, crude pincer grasp

Stronger anxiety,
language imitates sound

Decreased growth rate
Gross motor: creeping, pull to stands, sits alone
Fine motor: fine pincer grasp

object permanence
Language: understand no

Growth 3x birth weight at 12 month
Gross motor: stand alone, sit from standing, walk holding on
Fine motor:hold crayons, build tower

Patty cake and peek a boo, 3-5 words

indpendent utensil feeding, soft table foods, milk

@3-4 months

Erikson: Trust vs Mistrust
-consistencey
-needs met
Piaget: Sensorimotor
-act intentinally
-object permanence

4x birth weight
chest>head circumference
pot bellied appearance
elongation of legs (acident#2 death)
anterior fontanel closes
first molars

anorexia, limit to less than one liter of milk

increased comprehension, parallel play, toilet training, bed wetting common up to 5 years

Erickson: autonomy vs shame & doubt
-increase ability to control
-rituals
-"no"
- limit setting
Piaget: sensorimotor-preoperational
-cause & effect
- object permanence
-less fear of strangers
-imitation
-concept of time

Long bones, more coordinated, buttons, draw shapes & 6 part person

2,000 word vocabulary, complete sentences, literal meanings
association & dramatic play, cooperative, solitary

Erickson: initiation vs guilt
-satisfaction in accomplishments
Piaget-preopperational
-magical thinking

increase in length and muscle development, jaw changes
last time boys=girls
Gross: balance & strength
Pre-adolescent growth spurt

Erickson: industry vs inferiority
-self-esteem
Piaget: concrete operational
-alternate solutions
-conversation
-reversibility
-classification