Growth & Development

• Growth 


  Quantity size ; physical size or structure
• Growth - 2 parameters

  1. Weight
  2. Height
• Weight 


  Best criteria to determine the growth process
• Normal weight at birth: 2500 to 4000 grams; 2.5 to 4.5 kg; 6 to 9 lbs
• Weight

  Less than 2500 g - LBW or SGA

  • The mother is a smoker during pregnancy - nicotine - vasoconstrictor - decreased blood and O2 supply to the placenta - fetus - fetal distress
• Weight

  More than 4000 g - Excessive large baby

  • Due to GDM - HPL - decreased insulin sugar + maternal glucose
• Birth Weight

  • Doubles at 6 months
  • Triples at 12 months
  • Quadriples at 2 1/2 years old
• Height 


  Length of the baby
• Height

  Normal: 19 to 21 inches; average - 50 cm; maximum - 55 cm
• Height

  • 1st 6 months - 1 inch per month
  • 7 to 12 months - 1.5 inches per month
• Development 


  Qualitative size
• Normal IQ: 90 to 110 or 80 to 120

  Superior or genius: >130 to 140

  Mental retardation: IQ <70 (mild) - educable and trainable

  • Profound: <20 - close supervision
• Denver Developmental Screening Test (DDST) 


  Tool to determine the developmental process of the child is okay
• DDST


  Screening test whole world
• Metro Manila Developmental Screening Test (MMDST) 


  Philippine-based screening test
• Metro Manila Developmental Screening Test (MMDST)

  4 main categories:

  1. Language - communication
  2. Personal or social - interaction
  3. Gross motor skills - general
  4. Fine motor skills - specific

  • IQ is not included