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Growth and Development

Growth and Development. 47.5%. 2.5%. Mean-2SD Mean+2SD. Neonatal Period (1 st 4 Week of life):. Prone: Flexed Supine: Flexed Visual: Doll’s eye,Fixate in line of vision Reflex: Moro,Grasp,Stepping, Placing. At 4 Week of life:. Prone: Extend

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Growth and Development

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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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