Professional Documents
Culture Documents
OF
ASSESSMENT
OF
GROWTH
1. WEIGHT
It is one of the best criteria for assessment of growth and a
good indicator of health and nutritional status of child.
Weight of the full term neonate at birth is 2.5 to 3.8 kg.\
There are about 10% loss of weight during first week of life,
which regains by 10 days of age.
Then, weight gain is about 25 to 30 gram per day for the first 3 months
and 400 g per month till one year of age.
After that, the weight gain follows an average pattern.
The infants doubled their birth weight by 5 months of age, trebled by
one year, four times by two years, 5 times by 3 years, six times by 5
years, 7 times by 7 years and 10 times by 10 years of age. Then weight
increases rapidly during the puberty followed by gradual maturation to
adult size.
Routine Estimate Of Weight Of A Baby
Having Birth Weight 3 Kg
At birth : 3-3.25 Kg
3 to 12 months:
Age in months + 9
2
1 to 6 Years:
(Age in years X 2 ) + 8
7 to 12 Years:
(Age in years X 7) + 5 + 5
2
Weight For Height is calculated by:
Weight of child X 100
Weight corresponding to height of child
Body Mass Index (BMR Index)
Till the child is 24 to 36 months of age, measure recumbent length. Keep the child
in fully extended position by holding the head in midline, grasping the knees
together gently, and extending the knees by gently pushing down on the knees on a
bed or a measuring board.
Measure the length by placing the child on a paper or colorless cloth – covered
surface. Mark the end points of the top of the head and heels of the feet and measure
between these points. Keep the head in midline. Position the feet with the toes
pointing upwards.
2. HEIGHT
3 months 40 cm
1 Year 45 cm
2 Years 48 cm
5 Years 50 cm
4. CHEST CIRCUMFERENCE
When both arms are spread apart, the distance between the tips of the
middle fingers is measured as arm span.
In young children, it is 1-2 cm less than the height.
It equals the height at 10 years and afterwards it is about 1-2 cm more
than the height.
Bone Age Or Skeletal Maturity
• The foundation of the child’s tooth structure are formed early in fetal life itself.
• At birth, all deciduous and the first permanent teeth (6 years) are developed in the child’s jaw and covered by a
fleshy gum.
• Individual variation is there in the ages of dentition.
• All 20 deciduous teeth appear by 2 ½ years of age.
• Prior to the eruption of permanent teeth – 6 years molars – a dormant period occurs during which all the permanent
teeth grow and mature and the roots of baby teeth gradually get absorbed and disappear.
• Permanent teeth erupts in the order of MIPCM (Molars I, Incisors, premolars, canines, molars I and II).
• Molar is the first one to erupt.
• Growth chart is designed to show the changes in the height and weight as the child grows.
Name Lower Upper(Age in years)