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1、Normal or Abnormal? 1. 8 month, boy, head circumference 43.1cm，microcephaly？2. 9 month, girl， no first tooth3. 15 month, girl，weight 13.2kg，obesity？4. 12 month, boy ，can not sit alone 5. 9 month baby shows no interests and attention in playing beads. Why?How Old?REGULAR PATTERN OF GROWTH AND DEVELOP
2、MENTA continuous processDifferent rate of development in various systemsGeneral patternIndividual varianceDifferent rate of development in various systemsFACTORS OF GROWTH AND DEVELOPMENTGeneticsGenderEndocrinePregnant conditionNutritionLiving environmentDiseasesenvironmentgenetics+PHYSICAL GROWTH b
3、irth weight 3kg W(kg)= birth weight(kg)+month0.7 (kg) W(kg)=6 (kg)+month0.25 （kg） W(kg)=yrs 2 (kg)+7 or 8 （kg）weightnewborn1 to 6 mon7 to 12 mon2 to 12 yrsPHYSICAL GROWTHHeightnewborn0-1yr2-12yrs50cm75cmH (cm)= yrs7+70 (cm）1-2yr85cmPHYSICAL GROWTH1yrnewborn5yr2yrHead circumference (HC)34cm46cm48cm50
4、cmPHYSICAL GROWTHChest circumference (CC)Newborn32cm1yr46cmCC=HCAnterior fontannelPHYSICAL GROWTHSkeleton developmentVertebral column11.5 yr closureOssification centerBone agePHYSICAL GROWTHFirst toothDeciduous teeth2030mon6-10monTeeth developmentASSESSMENT OF GROWTHMean (X)Standard (SD)Normal distr
5、ibution X X 2SD2SD1SD+2SD+3SD68.3%95.4%99.7%ASSESSMENT OF GROWTHPercentileP3-P97Growth chartMultiple indicatorsHeight for ageWeight for ageWeight for heightZscore2Growth CurveNEURO-PSYCHOLOGICAL DEVELOPMENTSensation and perceptionvision3-4yr1yrNewborn6yr3mon20cm180level3m0.71.0NEURO-PSYCHOLOGICAL DE
6、VELOPMENTSensation and perceptionhearingNewborn3mon1yr2yr4yrHearingTurning head to soundKnowing his/her nameFollowing simple directionHearing matureNEURO-PSYCHOLOGICAL DEVELOPMENTMotorGross motor3mon6mon9mon15monLift headSittingCreep Standing with supportWalk aloneLift headLift headSittingCrawingSta
7、ndingWalkJumpRunNEURO-PSYCHOLOGICAL DEVELOPMENTFine motor3mon6mon12mon10monGrasp objectTransfer objectThumb-finger graspRelease cubeMotorNEURO-PSYCHOLOGICAL DEVELOPMENTLanguage agereceptiveexpressive6mNameBabble12mFamiliar object namePharasesSimple needsRepeat sound“ba ba” /“ma ma”15m18mBody partFol
8、lowing simple directionPointing1520 words24mPeople/objectPicturesName/object/pictures300 words36m23directionssex identitySentencesMore words48mDifferenciate colorsFollowing 23 directionsTelling storiesDescribing thingsNEURO-PSYCHOLOGICAL DEVELOPMENTvThinkingvImaginationvWillvEmotionvPersonalityvPers
9、onal-social behaviorASSESSMENT AND BEHAVIORAL DEVELOPMENTvIntelligence Abilities of recognizing the world and dealing with the environmental changevIntelligent quotient (IQ)vDevelopment quotient (DQ)ASSESSMENT AND BEHAVIORAL DEVELOPMENTPsychometryVisual-space orientationTempory-orderMemorySpeechlang
10、uageSingle developmental screening testsASSESSMENT AND BEHAVIORAL DEVELOPMENTDenver Developmental Screening Test,DDSTDrawing-a-man testPeabody Picture Vocabulary Test,PPVTAbilities testsScreening testsPsychometryASSESSMENT AND BEHAVIORAL DEVELOPMENTPsychometry Bayley Infant Development Test Gesell D
11、evelopment TestWPPSIWISC-RSMAbilities testDiagnostic testsDIVIATION OF GROWTHWeightHeightHead circumferenceOverweight 2SD or 97 PercentileUnderweight 2SD or 3 PercentileTall statusStuntPSYCHOLOGICAL DISORDERDevelopmental-behavioral problemsLearning disordersSpeech and language disordersMental retard
12、ationBreath holdingBiting thumbEnuresisDefianceLyingTemper tantrumsSleep disordersSummaryRegular pattern of growth and developmentPhysical growth and assessmentNeuor-psychological development and assessmentNormal or Abnormal? 1. 8 month, boy, head circumference 43.1cm，microcephaly？2. 9 month, girl， no first tooth3. 15 month, girl，weight 13.2kg，obesity？4. 12 month, boy ，can not sit alone 5. 9 month baby shows no interests and attention in playing beads. Why?
