Chart HCAL 2 - G & D chart 3yr to 12 yr. PDF

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Summary

Growth and Development chart from toddler to School-age...

Description

3yr. -Weight: growth rate slows; Gain 5 lb/ year. -Height: increases 2.5-3 inches/ year -Fine /Gross Motor skills: Holds crayons with fingers. Good hand-finger coordination. Copies a circle. Rides tricycle. Teeth: 20 deciduous teeth

4-5 yr old -Weight: growth rate slows; Gain 4-5 lb/ year. -Height: increases 2.5-3 inches/ year Motor development: Skip and hops on one foot. Throws and catches ball by 5 yo. Balances on alternate feet by 5 yo. Teeth: 20 deciduous teeth

6yr. -Weight: grows 4.4-8lbs/year -Height: about 2 inches/year -Head Size: increases by about 1 inch. Vision 20/20 by 6-7 years Sleep: This age need about 12 hours but require only 10.

Development (Theorists)

Cognitive Development: Preoperational: 2 to 7 years, Advancing use of language and movement. Psychosocial Development: Erikson: autonomy vs. shame and doubt (1 to 3 years) Psychosexual Development: Freud: The Anal Stage, Age (1 to 3 years)

Cognitive Development: Preoperational: 2 to 7 years, Advancing use of language and movement. Psychosocial Development: Erikson: Initiative vs. guilt (36yr), Direction and purpose. Psychosexual Development: Freud: The Phallic Stage, Age (3 to 6 years)

Immunizations (Also how would a child be caught up on late vaccines)

Influenza (Inactivated)- IM for 3 years and older.

Cognitive Development: Preoperational: 2 to 7 years, Advancing use of language and movement. Psychosocial Development: Erikson: Initiative vs. guilt (3-6yr), Direction and purpose. Psychosexual Development: Freud: The Phallic Stage, Age (3 to 6 years) Preschool/Kindergarten: DTaP #5(IM); IVP #4 (IM), Varicella #2(SQ); MMR #2(SQ); Influenza(IM)

10 yr.-12yr. -Weight: grows 4.4-8lbs/year, between age 10-12, increase weight gain. -Height: about 2 inches/year -Breast budding, pubic hair and menarche develops. -Enlargement of testicles and pubic hair for boys. -Teeth: permanent erupt Motor/sensory Development: Bone growth faster than muscle and ligament development. Movement becomes more limber, graceful, and coordinated. Vision 20/20 by 6-7 years Cognitive Development: Concrete Operations: 7 to 11 years. Psychosocial Development: Erikson: Industry vs. inferiority (6-12yr), Method and competence Psychosexual Development: Freud: The Latent Period, Age (6 to puberty)

Nutrition

-Similar to toddlers eating

Influenza (IM or spray). 5th Dtap- IM 4th IPV-IM or SQ 2nd MMR- SQ 2nd Varicella- SQ -Consume about 1200-1400

Menectra; HPV (Series of three) HPV (IM) Tdap (IM) Influenza(IM) - Up to 2800 cal/day.

Growth

-Consume half the amount

patterns. -Demonstrates food preference: likes and dislikes Nutritional requirement: 90 kcal/kg/day and protein 13 grams/day -Reinforce good dental hygiene: Regular exam, brushing, fluoride, less concentrated sugars.

of energy adults do (1800 kcal) -Need 13 to 19 g/day of protein in addition to adequate intake of Ca, Iron folate and Vitamin A and C. -Saturated fats should be less than 10% of total calorie intake. -Are willing to try different foods by age 5. -Recommend to have 5 serving of fruits and vegetables per day, 2 hrs or less pf screen time and 0 serving of sugar sweetened beverages.

Language/Speech

-Able to speak 300 words. - Says first name, age, and sex o Names a friend o Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats) - Uses 2 to 3 sentences in conversations - Imitates friends and adults

-Knows 2100 words by 5 years. - Knows some basic rules of grammar, such as correctly using “he” and “she” -Able to sing poems or children riddles.

Bowel & Bladder

Potty training; Bladder and bowel controlled

-Can use toilet by themselves. - Accidents especially at night can still happen.

cal/day. -Children should eat adult portions of food by end of school age years. -Make sure child have three meals a day and one or two nutritious snacks a day. -Adequate serving of fruits and vegetables are recommended. - Serve your child a wellbalanced diet that includes lean protein, whole grains, fruits and vegetables, and low-fat dairy. Kids this age should get 2½ cups (600 ml).

-Avoid skipping meals, eating fast food frequently and promote healthy meals. -Knows up to 2200 words. -Speaks clearly -Can use a vowels sounds. -Can tell stories using full sentences. -Can use present and future tense. -Enjoys to sing.

Bladder and bowel control fully master by this age. Bed wetting can still occur. However, if it happens more often than before consult your physician.

-Risk for obesity in this age group. Obesity can lead to low-self-esteem, diabetes, heart disease and HTN. -Boys require about 2,6002,800 cal/day -Girls require 2,100-2,200 cal/day. -Nutritional requirements: 85kcal/kg/day; protein 19-35 grams/day. -Tendency to eat junk food -Emphasize physical activity. - Avoid fast foods frequently. -Model healthy behaviors -Teach children to make healthy food selections for meals and snacks. -Writes and speaks well. -Knows up to 4000 words. -Reads well. -Writes stories and sentences well. -Enjoys talking to others and mostly friends. -

-Uses toilet on his/her own. - Modesty and privacy is important.

Physical Exam

3Yo: Rides tricycle. Jumps off bottom step. Stands on one foot for seconds. Measure for BMI. Compare to adequate growth chart Vitals signs

4Yo: Skips and hops on one foot. Throws ball overhead. Catches ball reliably. 5Yo: Jumps rope. Walks backwards with heel to toe. Throws and catches a ball with ease. Measure for BMI. Compare to adequate growth chart Vitals signs

Safety

Aspiration foreign objects -Burns: Check temp of bath water. -Drowning: Do not leave toddler in bathtub unattended. -Falls: Keep doors and windows locked. Keep the crib mattress in the lowest position with the rails all the way up. Use restraints in infant seats -Poisoning: have poison control number.

-Keep firearms locked in cabinets. -Taught stranger danger. -Wear protective equipment such as helmets and pads. -Hot water should be set at or below 120f. -Should not be left alone in bathtubs. -Should be taught to swim. -Should use federally approved car restraint. -Back seat is safest area.

Anticipatory Guidance

-To reduce the risk of your child choking, post a list for family, friends, and sitters of foods that are choking risks and are not to be given to your child.

-Teach safety rules for pedestrian -Avoid balloons -Avoid items with high lead

6Yo: Can draw a person with at least 6 body parts. Can print some letters or numbers. Knows about things used every day, like money and food. Stands on one foot for 10 seconds or longer Hops; may be able to skip. Uses a fork and spoon and sometimes a table knife Measure for BMI. Compare to adequate growth chart Vitals signs -Keep firearms locked in cabinets. -Taught stranger danger. -Wear protective equipment such as helmets and pads. -Hot water should be set at or below 120f. -Should not be left alone in bathtubs. -Should be taught to swim. -Should use federally approved car restraint. -Back seat is safest area. -Teach pedestrian safety rules.

Measure for BMI. Compare to adequate growth chart Vitals signs. Vision examination. Hearing examination. Updated vaccinations. Can build models, crafts. Collect things for a hobbie. Play board and card games. Joins sports.

-Praise your child's accomplishments and provide support in areas

-Teach sport safety -Teach child to avoid strange animals -Have a plan for returning

-Keep firearms locked in cabinets. -Teach fire safety and potential burn hazards. -Should use approved car restraint systems until 145cm tall. -Cleaners and chemicals should be keep in locked cabinets. -Children should be taught to say no to substance abuse and peer pressure. -Should be taught to swim.

Screenings

References:

-Prepare a first aid kit -Don’t allow your child to eat while watching television or playing. If your child eats while “vegging out” in front of the TV or while “surfing the Net,” then eating will become a habit and not a response to hunger. Your child can take on extra calories, which add extra weight and can start a child on the “slippery slope” to obesity.

-Put child in swimming lessons -Train child on how to use playground equipment

Blood pressure Obesity Lead Vision

Blood pressure Obesity Lead Vision Height/Weight Physical for school

where he or she is struggling. -Set rules and set appropriate limits. -At this age, it's normal for kids to test the boundaries of established rules. Decide which rules can be eased and which must remain in place. Cancers-leukemia leading cancer in children Obesity Asthma Scoliosis Dental Vision exam Lead

home -Teach child phone number in case of emergency. -Teach children about drugs and how to say no to substance abuse or peer pressure. -Teach about body image alternations.

Scoliosis Obesity Phyisical for sports/school Dental check every 6 months Cholesterol Hearing Vision...