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Normal Child

Rismarini

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

Age Newborn 5-6 mo 1 yr 2 yr 3 yr > 3 yr Body weight (kg) 2.5 – 4.1 kg 2 x birth weight 3 x birth weight 4 x birth weight 5 x birth weight 2n+8 .

he shows 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. he may never catch up. the greater is the eventual retardation. • The longer the illness lasts. and the more the weight is below its own growth curve . • If the cause of the delayed growth lasts for a long time.Catch-up growth • When a child has had an illness or period of starvation and is then restored to health.

5 x birth length 2 x birth length 2 x birth length + 5 cm 3 x birth length .Body length / height Age Body height / length Newborn 1 yr 4 yr 5 yr 13 yr + 50 cm 1.

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 + ½ cm / yr From 7-10 yr increases + 1/3 cm / yr .

Dentition of Primary teeth Primary teeth Central incissors Lateral incisors Canines 1 st molars 2 nd molars Age at eruption Max Mand 6-8 mo 8-11 mo 16-20 mo 10-16 mo 20-30 mo 5-7 mo 7-10 mo 16-20 mo 10-16 mo 20-30 mo Age at sheding Max Mand 7-8 yr 6-7 yr 8-9 yr 7-8 yr 11-12 yr 9-11 yr 10-11 yr 10-12 10-12 yr 11-13 yr .

Dentition of Secondary teeth Secondary teeth Central incissors Lateral incisors Canines 1 st premolar 2 nd premolar 1 st molars 2 nd molars 3 rd molars Age at eruption Max Mand 7-8 yr 8-9 yr 11-12 yr 10-11 yr 10-12 yr 6-7 yr 12-13 yr 17-22 yr 6-7 yr 7-8 yr 9-11 yr 10-12 yr 11-13 yr 6-7 yr 12-13 yr 17-22 yr .

emotional and behaviour . language and hearing Social.Areas of development • • • • Gross motoric Fine motor and vision Speech.

Gross motor development • Involves the use of muscles to gain independent control of the body movements • Dependent on adequate growth and physical development within the body • Motor dev. are not possible unless the body systems such as the brain. nervous tissue and muscles are increased in size and function .

0 3.0 6.Gross motor development (mo) Head steady in sitting Pull to sit.0 15 .0 4. no head lag Hands together in midline Asymetric tonic neck reflex gone Sits without support Rolls back to stomach Crawling Walks alone Crawl up stair 2.0 3.5 10 12.0 6.

jumps Goes up stairs alternating feet Rides tricycle Hops on one foot. walks up stairs with one hand held Runs well. walks up and down stairs one step at a time. throws ball Skips 18 24 30 36 48 60 .Gross motor development (mo) Runs stiffy. open doors.

writing.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. and playing computer games .

0 15.5 8.Fine motor developent (mo) Grasps ratle Reaches for objects Palmar grasp gone Transfer object hand to hand Thumb-finger grasp Turns pages of books Scribbles Build tower of 2 cubes Build tower of 4 cubes 3.0 12.0 4.0 13.5 4.0 18.0 5.0 .

Fine motor developent (mo) Tower of 7 cubes Makes vertical and horizontal strokes. Imitates square Draws triangle 24 30 36 48 60 . Imitates circular strokes Imitates a cross Draws a man with 2-4 parts.

sign language. facial expression. gestures  verbal : speaking • Speech is the part of language where sounds are used to convey meaning .Speech & language development • Speech is not as same as language • Language is a boarder form of communication encompassing aspects non verbal : writing.

ge. ke 6 Inhibits to “no” Follows one step command with gesture 7 Follows one step command without 10 gesture .Speech development (mo) Cooing and gurgling in response to 1-2 some one speaking Gurgling and babling and holding 3 “conversation” Monosyllabic babble. de.

6 words Identifies one or more parts of body Puts 3 words together Knows full name Knows age and sex. count 3 objects Tells a story. Counts 10 pennies 12 15 18 24 30 36 48 60 . counts 4 pennies Names 4 colors.Speech development (mo) Speaks 1st real word Speaks 4 .

Social development • Involves the process of learning the sklills and attitudes which enable individuals ti live easily with other members of the community .

Social development (mo) Watches its mother’s face when being fed and talk to Begins to smile Smiles on social contact. says “aah. listen to music.5 1 3 4 . excited at sight of food 0. ngah” Laughs out loud. shows displeasure if social contact is broken.

plays peek-a-boo or pat-a-cake. waves bye-bye Plays simple bell game. Indicates some desires or needs by pointing Feeds self (mo) 6 10 12 16 18 . enjoy mirror Responds to sound of name.Social development Prefers mother.

washes hands. helps in dressing Plays with several children. goes to toilet alone Dresses and undresses. Domestic role-playing (mo) 24 30 36 48 60 . helps put things away Plays simple games (paralel).Social development Handles spoon well Pretends in play.