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43 Cards in this Set

  • Front
  • Back
Periodization of paediatric age
1) Newborn
2) Infant
3) Toddler
4) Pre-school child
5) School child (younger and older)
6) Adolescent
1) Newborn: 1-28 days
2) Infant: 28 days-1 year
3) Toddler 1-3 years
4) Pre-school child: 3-6 years
5) School child (younger and older): 6-15 years (6-12 & 12-15)
6) Adolescent: (14)-18 years
newborn - physical characteristics
1) length
2) weight
3) can loose ....% of body weight
4) weight gain per day
1) length: 51cm
2) weight :3500g
3) can loose 10% of body weight
4) weight gain: 30g/day
Newborn - Set of basic reflexes facilitating survival
- Rooting reflex
- Sucking reflex
hearing in newborn
1) preferred sound
2) when can baby recognize mothers voice
1) Prefers high-pitched tones of female voices
 Prefers speech sounds
2) In 1 week of life is able to recognise mother‘s voice
In ........ of life recognizes mother‘s breast smell
In 1 week of life recognizes mother‘s breast smell
newborn - preferred taste
sweet
vision of newborn
1) Fully developed retina, lenses immobile
2) Not able to fixate and accommodate (begins at 6weeks), visual acuity poor
3) Strabismus common
4) Prefers human faces, curved lines, bright colours and high contrast
how long does child put everything into mouth
from birth to 18 months
Freud – oral stage of development
From birth to 18 months
....weeks–able to keep head lifted
.....months–lying on abdomen leans on forearms
....months–overturns from back to abdomen
....months–overturns from abdomen to back, lying on abdomen leans on palms
...months – able to sit
....months – able to sit up, crawl on all four
.....months–able to stand up with support
......months–makes atleast on estep with support
.......months–makes first steps without support
5 weeks–able to keep head lifted
3 months–lying on abdomen leans on forearms
5months–overturns from back to abdomen
6months–overturns from abdomen to back, lying on abdomen leans on palms
7 months – able to sit
9 months – able to sit up, crawl on all four
10months–able to stand up with support
11months–makes atleast on estep with support
12months–makes first steps without support
first words
12 months
vision - fixation
from 6 weeks
Accommodation develops during the first ...... months
Accommodation develops during the first 6 months
Strabismus should disappear until ........ months
Strabismus should disappear until 6 months
first vocalization
from 2 months
1⁄2 of the adult height is reached when
in 2 years
weight gain per year in toddlers
Stable gain 2-3 kg/year
first steps without support
12 months
first sentence (2 words)
18-24 months
 2 years – approx. ...... words
 3 years – approx. ..... words, sentences from ........ words
 2 years – approx. 270 words
 3 years – approx. 900 words, sentences from 4 words
Piaget – sensory-motoric stage of development
From birth to 18 months
Freud – anal stage of development
From 18 months to 3 years
Piaget – pre-operative stage of development
From 18 months to 5-6 years

- Development of speech and thinking enables to develop a symbolic world and learn to manipulate with it
- Not able to distinquish reality and imagination, can be afraid of dreams and imaginations
- Egocentric understanding of the world
Freud – Oedipal stage of development
 From 3 to 6 years
 Period of fixation on parent of different sex
height velocity in preschool child
7.5-5cm/year
height velocity in toddler
7,5-5cm/year
weight gain in toddler and preschool child
2-3 kg/year
height velocity in school child
slowly decreasing to 5cm/year until
puberty
weight gain in school child
2-3 kg/year
Freud – latent stage of development
- From 6 to 11 years
- Missing aggressivity and sexuality
- Spending time with peers of the same sex
- Importance of success among peers and identification with idols (actors, singers,...)
Piaget – concretely-operative stage of development
- From 6 to 11 years
- Using names, numbers, scales, comparing,
classifying
- Imagination relatively suppressed
why measure sitting height
- Shows proportion between body and extremities
- (Marfan syndrome, chondrodysplasia,...)
„Sandwich“ model of human growth:
Growth periods
1. Infantile: 50%
2. Childhood: 30%
3. Pubertal: 20%
peak growth velocity in females
9cm/year
peak growth velocity in males
10,3cm/year
increased length 1st year
23 cm
increased length 2nd year
12 cm
peak growth velocity is seen in what growth period
pubertal
important factor in infantile growth period
IGF-I
Physiological action of IGF
1. cell proliferation and differentiation
2. proteoanabolism
3. growth
synthesis and secretion of IGF-I
1) endocrine
2) autocrine/paracrine
1) endocrine: liver
2) autocrine/paracrine: numerous organs and tissues , growth plates of long bones ("growth cartilages")
height of daugther in relation to father
fathers height - 13 cm
height of son in relation to mother
mothers height + 13 cm