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Child Growth and Development Milestones Guide

Learn key developmental milestones in children from neonatal to 60 months of age, including motor skills, social interactions, and language development. Understand failure to thrive and common protein energy malnutrition conditions.

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Child Growth and Development Milestones Guide

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  1. Growth and Development

  2. 47.5% 2.5% Mean-2SD Mean+2SD

  3. Neonatal Period(1st 4 Week of life): • Prone: Flexed • Supine: Flexed • Visual: Doll’s eye,Fixate in line of vision • Reflex: Moro,Grasp,Stepping, Placing

  4. At 4 Week of life: • Prone: Extend • Supine: Tonic neck • Visual: Follow • Social: Begin to smile

  5. At 8 Week of life: • Visual: Follow 180 degree • Social: Smile to social contact

  6. At 12 Week of life: • Prone: Lifts head and chest • Sitting: Early head control • Social: Says aah,ngah

  7. At 16 Week of life: • Supine: Symmetric ,Grasp object , Bring to mouth • Sitting: No head lag • Social: Laughs out loud

  8. At 28 Week of life: • Prone: Roles over , Crawl • Sitting: With support , Transfer • Standing: Support most of weight • Language: Polysyllabic vowel • Social: Prefer mother

  9. At 40 Week of life: • Prone: Crawl • Sitting: Sits up alone • Standing: Walks holding on furniture • Social: Response to sound of name

  10. At 52 Week of life: • Walk: Take several steps

  11. At 15 months of life: • Walk: alone • Crawl: Upstairs • Play: 3 cubes

  12. At 18 months of life: • Walk: Upstairs • Language: 10 words,1-2 part of body • Play: 4 cubes

  13. At 24 months of life: • Walk: Runs well,downstairs, Jumps • Language: 3 words together • Play: 7 cubes • Handle spoon well , Listen to story

  14. At 30 months of life: • Refers I • Full name

  15. At 36 months of life: • Ride tricycle • Stand on one foot • Copy circle • Wash hands • Age and sex

  16. At 48 months of life: • Copy cross and square • Tell a story • Play with children • Go to toilet alone

  17. At 60 months of life: • Draw triangle • Names 4 colors • Count ten coins • Dressing

  18. Failure to Thrive(FTT)

  19. Failure to thrive(FTT): • Weight< 3% • Drop of weight percentile • Weight/Height < 5% • Weight < 80% Median for Height

  20. Kwashiorkor: • Inadequate protein diet • Pitting edema • Complication of critical illness • Weight 60-80% for age • Skin sign

  21. Marasmus: • The most common form of PEM • Severe caloric depletion • Secondary to diseases • Weight below 60% for age • Inappropriate weaning

  22. In most children with FTT, both organicand inorganic risk factors are present.

  23. Early Infancy: Feeding difficulties: • 1)Lactation failure • 2)Inadequate feedings • 3)Formula mixing error • 4)Inadequate calories

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