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This guide details the regular patterns of children's growth and development from infancy through puberty. It covers the continuous nature of growth, variations in development rates among individuals, and factors influencing growth such as genetics, nutrition, and environment. We explore physical growth measurements, neuro-psychological development milestones, and assessments for growth inaccuracies. Additionally, the document addresses potential psychological disorders and development problems, emphasizing the importance of nurturing each child's unique growth trajectory.
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GROWTH AND DEVELOPMENT 儿童生长发育
REGULAR PATTERN OF GROWTH AND DEVELOPMENT • A continuous process • Different rate of development in various systems • General pattern • Individual variance • Puberty 13 yr (F)/15yr(M)
FACTORS OF GROWTH AND DEVELOPMENT • Genetics • Gender • Endocrine • Pregnant condition • Nutrition • Living environment • diseases
PHYSICAL GROWTH weight ≌3kg W(kg)=newborn weight (kg)+month×0.7 (kg) W(kg)=6 (kg)+month×0.25 (kg) W(kg)=yrs ×2 (kg)+7 or 8 (kg) newborn 1 to 6 mon 7 to 12 mon 2 to 12 yrs
PHYSICAL GROWTH Height 50cm newborn ↑25cm 0-1yr H (cm)= yrs×7+70 (cm) 2-12yrs
PHYSICAL GROWTH Head circumference (HC) 34cm newborn 46cm 1yr 2yr 48cm 5yr 50cm
PHYSICAL GROWTH Chest circumference (CC) Newborn 32cm 46cm 1yr CC=HC
PHYSICAL GROWTH • Skeleton development 1~1.5 yr closure Anterior fontannel Teeth development 6mon first tooth 20 Deciduous teeth 30mon
ASSESSMENT OF GROWTH Standard (SD) Mean (X) & Normal distribution 68.3% ±1SD 95.4% +2SD 99.7% +3SD
ASSESSMENT OF GROWTH 95% P3-P97 Percentile Growth chart Weight for age Height for age Multiple indicators Weight for height
NEURO-PSYCHOLOGICAL DEVELOPMENT Sensation and perception 6yr 1.0 3-4yr vision 0.7 1yr 3m 3mon 180°level Newborn 20cm
NEURO-PSYCHOLOGICAL DEVELOPMENT Sensation and perception Hearing mature 4yr Audition 2yr Following simple direction 1yr Knowing his/her name 3mon Turning head to sound Newborn Hearing
NEURO-PSYCHOLOGICAL DEVELOPMENT G Motor Walk alone 15mon Gross motor 9mon Creep& Standing with support 6mon Sitting 3mon Lift head
Lift head Lift head Sitting Crawing
Standing Walk Run Jump
NEURO-PSYCHOLOGICAL DEVELOPMENT Motor 9mon Scribble 3mon Fine motor Thumb-finger grasp 6mon Transfer object 3mon Grasp object
age receptive expressive 6m Name Babble 12m Familiar object name Pharases Simple needs Repeat sound “ba ba” /“ma ma” 15m ~18m Body part Following simple direction Pointing 15~20 words 24m People/object Pictures Name/object/pictures 300 words 36m 2~3directions sex identity Sentences More words 48m Differenciate colors Following 2~3 directions Telling stories Describing things NEURO-PSYCHOLOGICAL DEVELOPMENT Language
NEURO-PSYCHOLOGICAL DEVELOPMENT • Thinking • Imagination • Will • Emotion • Personality • Personal-social behavior
ASSESSMENT AND BEHAVIORAL DEVELOPMENT • Intelligence Abilities of recognizing the world and dealing with the environmental change • Intelligent quotient (IQ) • Development quotient (DQ)
ASSESSMENT AND BEHAVIORAL DEVELOPMENT Visual-space orientation Tempory-order Memory Speech language Psychometry Single developmental screening tests
ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Denver Developmental Screening Test,DDST Drawing-a-man test Peabody Picture Vocabulary Test,PPVT Abilities tests Screening tests
ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Bayley Infant Development Test Gesell Development Test WPPSI WISC-R SM Abilities test Diagnostic tests
DIVIATION OF GROWTH Overweight >2SD or 97 Percentile Underweight <2SD or 3 Percentile Weight Height Tall status Stunt Head circumference
PSYCHOLOGICAL DISORDER Mental retardation Developmental-behavioral problems Breath holding Learning disorders Enuresis Biting thumb Defiance Speech and language disorders Lying Temper tantrums Sleep disorders
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