gd3. normal childok

7/29/2019 GD3. Normal ChildOK

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Normal Child

Rismarini


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Body Weight

Birth weight for full term baby : 2.500 4.000 g

Low birth weight : < 2.500 g

Lose weight in the first week < 10 % BW

BW regained in the second week

First 6 mo : gain of 150-250 g/wk 6 mo : 2 x birth weight

6-9 mo : 90-150 g/wk

9-12 mo : 60-90 g/wk

12 mo : 3 x birth weight

Second year : 40 g/wk


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Catch-up growth When a child has had an illness or period of

starvation and is then restored to health, heshows catch-up growth his growth rate is far

more rapid than normal untill he has caught up

to the point which he would have reached but for

his illness.

If the cause of the delayed growth lasts for a

long time, he may never catch up.

The longer the illness lasts, the greater is theeventual retardation, and the more the weight is

below its own growth curve


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Body length / height

Age Body height / length

Newborn

1 yr

4 yr

5 yr

13 yr

+ 50 cm

1,5 x birth length

2 x birth length

2 x birth length + 5 cm

3 x birth length


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Head circumference

Newborn : 33 35 cm

1 yr : 45 47 cm

2 yr : 48 50 cm 5 yr : 51 53 cm

In first year head circ increases + 1 cm/mo

From 2-7 yr increases + cm / yr From 7-10 yr increases + 1/3 cm / yr


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Dentition of Primary teeth

Primary Age at eruption Age at sheding

teeth Max Mand Max Mand

Central incissors 6-8 mo 5-7 mo 7-8 yr 6-7 yr

Lateral incisors 8-11 mo 7-10 mo 8-9 yr 7-8 yr

Canines 16-20 mo 16-20 mo 11-12 yr 9-11 yr1 st molars 10-16 mo 10-16 mo 10-11 yr 10-12

2 nd molars 20-30 mo 20-30 mo 10-12 yr 11-13 yr


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Dentition of Secondary teeth

Secondary Age at eruption

teeth Max MandCentral incissors 7-8 yr 6-7 yr

Lateral incisors 8-9 yr 7-8 yrCanines 11-12 yr 9-11 yr

1 st premolar 10-11 yr 10-12 yr

2 nd premolar 10-12 yr 11-13 yr

1 st molars 6-7 yr 6-7 yr2 nd molars 12-13 yr 12-13 yr

3 rd molars 17-22 yr 17-22 yr


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Areas of development

Gross motoric

Fine motor and vision Speech, language and hearing

Social, emotional and behaviour


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Gross motor development

Involves the use of muscles to gainindependent control of the bodymovements

Dependent on adequate growth andphysical development within the body

Motor dev. are not possible unless the

body systems such as the brain, nervoustissue and muscles are increased in sizeand function


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Gross motor development (mo)

Head steady in sitting 2,0

Pull to sit, no head lag 3,0

Hands together in midline 3,0

Asymetric tonic neck reflex gone 4,0Sits without support 6,0

Rolls back to stomach 6,5

Crawling 10Walks alone 12,0

Crawl up stair 15


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Gross motor development (mo)

Runs stiffy, walks up stairs with one 18

hand held

Runs well, walks up and down stairs 24

one step at a time, open doors, jumpsGoes up stairs alternating feet 30

Rides tricycle 36

Hops on one foot, throws ball 48Skips 60


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Fine motor development

The infant needs to acquire visual

attention and a pincer grip to develop the

dexterity required to perform complex

tasks such as feeding, dressing, writing,and playing computer games


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Fine motor developent (mo)

Grasps ratle 3,5

Reaches for objects 4,0

Palmar grasp gone 4,0

Transfer object hand to hand 5,5

Thumb-finger grasp 8,0

Turns pages of books 12,0

Scribbles 13,0

Build tower of 2 cubes 15,0

Build tower of 4 cubes 18,0


15/22

Fine motor developent (mo)

Tower of 7 cubes 24

Makes vertical and horizontal strokes, 30

Imitates circular strokesImitates a cross 36

Draws a man with 2-4 parts, 48

Imitates squareDraws triangle 60


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Speech & language development

Speech is not as same as language

Language is a boarder form ofcommunication encompassing aspects

non verbal : writing, sign language,facial expression, gestures

verbal : speaking

Speech is the part of language wheresounds are used to convey meaning


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Speech development (mo)

Speaks 1st real word 12Speaks 4 - 6 words 15

Identifies one or more parts of body 18

Puts 3 words together 24

Knows full name 30

Knows age and sex, count 3 objects 36

Tells a story, counts 4 pennies 48

Names 4 colors, Counts 10 pennies 60


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Social development

Involves the process of learning the sklills

and attitudes which enable individuals ti

live easily with other members of the

community


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Social development (mo)

Watches its mothers face when being 0,5

fed and talk to

Begins to smile 1

Smiles on social contact, 3

listen to music, says aah, ngah

Laughs out loud, shows displeasure 4

if social contact is broken,

excited at sight of food


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Prefers mother, enjoy mirror 6

Responds to sound of name, 10

plays peek-a-boo or pat-a-cake,

waves bye-byePlays simple bell game, 12

Indicates some desires or needs 16

by pointing

Feeds self 18



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Handles spoon well 24

Pretends in play, 30

helps put things away

Plays simple games (paralel), 36washes hands, helps in dressing

Plays with several children, 48goes to toilet alone

Dresses and undresses, 60

Domestic role-playing

gd3. normal childok

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