Professional Documents
Culture Documents
Appendix
Appendix
Appendix
GROWTH CHARTS
Growth Charts
823
824
98
95
90
75
50
25
10
5
2
Published by the Centers for Disease Control and Prevention, November 1, 2009
SOURCE: WHO Child Growth Standards (http://www.who.int/childgrowth/en)
825
826
GROWTH CHARTS
Birth
in cm cm in H
E
52 52 A
D
20 20
50 98 50 C
95 I
90 R
H 19 19
48 75 48 C
E U
50
A M
D 18 46 25 46 18 F
10 E
5 R
C 44 2 44 E
I 17 17 N
R C
C 42
24 E
U 52
16 23
M 40 50
F 22 48
E
15 38 21 46
R 98
E 95 20 44
N 36 90 42
14 19
C
E 75
18 40
34
50 38
13 17
25 36
32 16
10 34
12 5 15
30 2 32
14
30 W
28 13 28 E
12 12 I
26 26 G
24 11 11 24 H
22 10 10 22 T
20 9 9 20
18 8 8 18
16 7 7
16
W
E 14 14
6 6
I 12
14 12
G 5 5
10 kg lb
H 4 LENGTH
T 8
64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 100 102 104 106 108 110 cm
6 3
26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 in
4 2
Date Age Weight Length Hea d Circ. Comment
2 1
lb kg
cm 46 48 50 52 54 56 58 60 62
in 18 19 20 21 22 23 24
Published by the Centers for Disease Control and Prevention, November 1, 2009
SOURCE: WHO Child Growth Standards (http://www.who.int/childgrowth/en)
827
829
12 13 14 15 16 17 18 19 20
Mother’s Stature Father’s Stature cm in
Date Age Weight Stature BMI*
AGE (YEARS) 76
95
190
74
90
185 S
75
72
180 T
50 70 A
175 T
25 68 U
170 R
10 66
165 E
in cm 5
CENTERS FOR DISEASE CONTROL AND
3 4 5 6 7 8 9 10 11
64
PREVENTION GROWTH CHARTS
160 160
62 62
155 155
S 60 60
T 150 150
A 58
T 145
U 56
140 105 230
R
54
E 135 100 220
52
130 95 95 210
50
125 90 200
90
48 190
120 85
46 180
115 80
75
44 170
110 75
42 160
105 50 70
150 W
40
100 65 140 E
25
38 I
95 60 130 G
10
36 90 5 H
55 120
T
34 85 50 110
32 80 45 100
30
40 90
80 35 35 80
W 70 70
30 30
E 60 60
I 25 25
G 50 50
H 20 20
40 40
T
15 15
30 30
10 10
lb kg AGE (YEARS) kg lb
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Published May 30, 2000 (modified 11/21/00).
830
SOURCE: Developed by the National Center for Health Statistics in collaboration with
the National Center for Chronic Disease Prevention and Health Promotion (2000).
http://www.cdc.gov/growthcharts
12 13 14 15 16 17 18 19 20
Mother’s Stature Father’s Stature cm in
Date Age Weight Stature BMI*
AGE (YEARS) 76
190
74
185 S
72
180 T
70 A
95
175 T
90
68 U
170 R
75 66
165 E
in cm
831
SOURCE: Developed by the National Center for Health Statistics in collaboration with
the National Center for Chronic Disease Prevention and Health Promotion (2000).
http://www.cdc.gov/growthcharts
35
34
33
32
31
CENTERS FOR DISEASE CONTROL AND
PREVENTION GROWTH CHARTS
30
95
29
BMI 28
90
27 27
26 85 26
25 25
75
24 24
23 23
50
22 22
21 21
25
20 20
10
19 19
5
18 18
17 17
16 16
15 15
14 14
13 13
12 12
2 2
kg/m AGE (YEARS) kg/m
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
832
http://www.cdc.gov/growthcharts
35
34
33
32
95
31
29
BMI 28
90
27 27
26 85 26
25 25
24 75 24
23 23
22 22
50
21 21
20 20
25
19 19
10
18 5
18
17 17
16 16
15 15
14 14
13 13
12 12
2 2
kg/m AGE (YEARS) kg/m
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
833
http://www.cdc.gov/growthcharts
NAME
Weight-for-stature percentiles: Boys RECORD #
28
97
95
PREVENTION GROWTH CHARTS
lb kg 27 60
26 26
56 56
25 25
90
24 85 24
52 52
23 75 23
48 22 22 48
50
21 21
25
44 20 20 44
10
19 3 19
40 18 18 40
17 17
36 36
16 16
15 15
32 32
14 14
13 13
28 28
12 12
24 11 11 24
10 10
20 9 9 20
8 8
lb kg STATURE kg lb
cm 80 85 90 95 100 105 110 115 120
in 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
NAME
Weight-for-stature percentiles: Girls RECORD #
26 26
56 56
25 90 25
24 85 24
52 52
23 75 23
48 22 22 48
50
21 21
44 20 25 20 44
19 10 19
3
40 18 18 40
17 17
36 36
16 16
15 15
32 32
14 14
13 13
28 28
12 12
24 11 11 24
10 10
20 9 9 20
8 8
lb kg STATURE kg lb
cm 80 85 90 95 100 105 110 115 120
in 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
835
Recommendations for
Preventive Pediatric Health Care
(Periodicity Schedule)
Available at
www.aap.org/periodicityschedule
PERIODICITY SCHEDULE
837
A
Abuse. See Family violence; Intimate partner violence; Maltreat- decision-making skills in
ment and neglect; Sexual abuse 11 through 14 Year Visits, 749
Abusive head trauma (AHT), 121–122 15 through 17 Year Visits, 781
ACE Study. See Adverse Childhood Experiences (ACE) Study 18 through 21 Year Visits, 810
Acoustic trauma deficit models for, 110t
11 through 14 Year Visits, 761–762 depression in, 138–139
15 through 17 Year Visits, 793–794 screening for, 283
18 through 21 Year Visits, 819 development/developmental surveillance in, 78–79
ADHD. See Attention-deficit/hyperactivity disorder (ADHD) 11 through 14 Year Visits, 739
Adolescence 15 through 17 Year Visits, 771
acoustic trauma in 18 through 21 Year Visits, 802–803
11 through 14 Year Visits, 761–762 cognitive deficits, 139
15 through 17 Year Visits, 793–794 cognitive development/skills, 108
18 through 21 Year Visits, 819 developmental domains, 107t, 108–109
alcohol use/exposure in developmental highlights/milestones, 110
11 through 14 Year Visits, 745–746, 760–761 growth, nutrition for, 187–189
15 through 17 Year Visits, 777–778, 792–793 healthy development, promotion of, 106–110
18 through 21 Year Visits, 808, 818 sexual development and sexuality, 221–225
anxiety disorders in, 138–139 diet and nutrition in, 187–190
asset models for, 110, 110t dietary reference intakes, 183b, 188b
attachment patterns in, 138 growth, nutrition for, 187–189
attention deficits in, 139 oral health promotion, 213–214
behavioral concerns/problems in, 140 driving safely in, 248–249
bisexual, youth who identify as, 224–225 15 through 17 Year Visits, 795–796
body image in, 189–190 18 through 21 Year Visits, 820
11 through 14 Year Visits, 751 eating disorders in, 189–190
15 through 17 Year Visits, 783 eating habits in, 189–190
18 through 21 Year Visits, 811 11 through 14 Year Visits, 751–753
brushing teeth in, 214 15 through 17 Year Visits, 784–785
bullying in 18 through 21 Year Visits, 812
11 through 14 Year Visits, 743–744 eating disorders, 189–190
15 through 17 Year Visits, 775–776 e-cigarette use/exposure in
18 through 21 Year Visits, 805–806 11 through 14 Year Visits, 745–746, 760–761
calcium in, 183b, 188b 15 through 17 Year Visits, 777–778, 792–793
cheerleading safety, 252 18 through 21 Year Visits, 808, 818
cognitive development/skills in, 108 emotional development/well-being in, 108–109, 137, 137t
cognitive deficits, 139 family dynamic/relationships in
communication skills in, 108 11 through 14 Year Visits, 746–747
community connectedness/engagement in 15 through 17 Year Visits, 778–779
11 through 14 Year Visits, 747–748 18 through 21 Year Visits, 808–809
15 through 17 Year Visits, 779–780 family support in, 60–61
18 through 21 Year Visits, 809 fighting in
concussions from sports, 251 11 through 14 Year Visits, 743–744
conduct disturbances in, 140 15 through 17 Year Visits, 775–776
connectedness in, 138 18 through 21 Year Visits, 805–806
social connections/skills, 108–109 firearm safety in
contraception in, 222 11 through 14 Year Visits, 765
coping with stress in 15 through 17 Year Visits, 797
11 through 14 Year Visits, 749 18 through 21 Year Visits, 821
15 through 17 Year Visits, 781 fluoride in, 213–214
18 through 21 Year Visits, 810
839
840
841
842
843
844
847
848
849
Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents
850
851
852
I burns, prevention of
IEPs. See Individualized Education Programs (IEPs) First Week Visit (3 to 5 Days), 381
Illness prevention 2 Month Visit, 432
Newborn Visit guidance, 349 6 Month Visit, 480
First Week Visit (3 to 5 Days) guidance, 374–375 9 Month Visit, 498–499
Immigrant families, 24, 42, 47, 131, 395, 470 burping newborns, 375–376
Immunizations calcium in, 183b
in infancy calming the baby
Prenatal Visit, 309 Newborn Visit guidance, 350
Newborn Visit, 340 First Week Visit (3 to 5 Days) guidance, 373–374
First Week Visit (3 to 5 Days), 366 4 Month Visit guidance, 443
1 Month Visit, 389 6 Month Visit guidance, 471
2 Month Visit, 415 self-calming, 443, 471
4 Month Visit, 439 capabilities of newborns, 348
6 Month Visit, 463 care of newborns
9 Month Visit, 487 Newborn Visit, 348–349
in early childhood Prenatal Visit, 320
12 Month Visit, 509 2 Month Visit, 418
15 Month Visit, 531 4 Month Visit, 442
18 Month Visit, 549 6 Month Visit, 467
2 Year Visit, 569 cord care, 348–349
2½ Year Visit, 591 early care, 84. See also Prenatal care
3 Year Visit, 609 skin care, 348–349
4 Year Visit, 631 car safety seats, use of
in middle childhood Newborn Visit, 355–356
5 and 6 Year Visits, 659 First Week Visit (3 to 5 Days), 378–379
7 and 8 Year Visits, 683 1 Month Visit, 406
9 and 10 Year Visits, 709 2 Month Visit, 430
in adolescence 4 Month Visit, 453
11 through 14 Year Visits, 742 6 Month Visit, 478–479
15 through 17 Year Visits, 774 9 Month Visit, 496–497
18 through 21 Year Visits, 805 choking, prevention of, 480
at Bright Futures Visits, 270 cognitive development/skills in, 81–83
parental refusal of, 50–51 9 Month Visit guidance, 490
Impulsivity. See Hyperactivity/impulsivity communication skills in, 81–83
Independence, 54 6 Month Visit, 468–469
in infancy (6 Month Visit), 470 6 Month Visit guidance, 491
in middle childhood (7 and 8 Year Visits), 689–690 complementary foods in, 177–179
Individualized Education Programs (IEPs), 691–692 cord care in, 348–349
Individuals with Disabilities Education Act, 71b, 80b critical congenital heart disease, 292
Individuation in early childhood, 100 cultural influences in, 84
15 Month Visit, 532 Prenatal Visit guidance, 317
Infancy daily routines and rituals in (4 Month Visit), 444
abusive head trauma in, 121–122 development/developmental surveillance in, 78
alcohol use/exposure in Prenatal Visit, 308
Prenatal Visit, 314–315 Newborn Visit, 337
Newborn Visit, 343–344 First Week Visit (3 to 5 Days), 363–364
1 Month Visit, 393–394 1 Month Visit, 386
6 Month Visit, 465 2 Month Visit, 412
attachment/attachment patterns in, 119–120, 119t 4 Month Visit, 436
1 Month Visit guidance, 398–400 6 Month Visit, 460
bed sharing during, 244–245 9 Month Visit, 484
behavioral guidance in, 89–90 cognitive development/skills, 81–83, 490
9 Month Visit guidance, 493–494 developmental domains, 81–84
bilirubin, 291 developmental highlights/milestones, 84–90
blood, 291 growth, nutrition for, 172–173
breastfeeding in. See Breastfeeding healthy development, promotion of, 79–90
sexual development and sexuality, 217–218
853
856
structured learning M
preschool. See Preschool Maltreatment and neglect
readiness for, 638 in infancy, 120–122
school. See School in middle childhood
Lesbian, youth who identify as, 224–225 5 and 6 Year Visits, 675
Life course framework, 18–20 7 and 8 Year Visits, 700–701
in Bright Futures, 21–30 sexual abuse. See Sexual abuse
early adverse experiences Marijuana, 75, 141, 314, 343
focus on the effects of, 19–20 Marital separations, impact of, 28
moderating factors, use of, 20 Maternal alcohol use. See Alcohol use/exposure
epigenetics and, 19, 22f Maternal health, 346
health care professionals, implications for, 30–35 Maternal nutrition, 346
lifelong health promotion. See Lifelong health Maternal oral health, 447
medical home, implications for the, 30–35 Maternal/parental depression, 52
physical determinants, 28–30 Prenatal Visit, 318
social determinants. See Social determinants of health 1 Month Visit, 396–397
Lifelong health 2 Month Visit, 419–420
definitions related to, 15b 6 Month Visit, 466
life course framework. See Life course framework as a biological determinant of health, 22
promoting, 15–17, 34f chronic, 318
in infancy, 35 perinatal, 318
in early childhood, 35 screening for, 52–53, 283
in middle childhood, 35 Maternal substance use. See Substance use/exposure
in adolescence, 35 Maternal tobacco use. See Tobacco use/exposure
Linguistic skills M-CHAT-R/F. See Modified Checklist for Autism in Toddlers
in infancy, 81–83 Revised, with Follow-up
in early childhood, 91–93 Media use/exposure
18 Month Visit, 553–555 in infancy
2 Year Visit, 577 1 Month Visit, 401
2½ Year Visit, 594 2 Month Visit, 423
in middle childhood, 104 4 Month Visit, 445
in adolescence, 108 6 Month Visit, 469
language delay, screening for, 284 9 Month Visit, 492
Literacy skills. See also Reading/reading skills social media, 231
in infancy, 83b in early childhood
6 Month Visit, 468–469 12 Month Visit, 515
in early childhood, 98–99 2 Year Visit, 576
Living situation 2½ Year Visit, 596
in infancy 4 Year Visit, 642–643
Prenatal Visit, 310–311 social media, 231
Newborn Visit, 341–342 in middle childhood
First Week Visit (3 to 5 Days), 367–368 7 and 8 Year Visits, 695–696
1 Month Visit, 390–391 social media, 232–233
2 Month Visit, 416–417 familial influences on, 55
4 Month Visit, 464–465 social. See Social media use/exposure
in early childhood Medical home
12 Month Visit, 510 Prenatal Visit guidance, 321
2 Year Visit, 571 1 Month Visit guidance, 401
3 Year Visit, 610–611 after-hours support, 401
4 Year Visit, 632–633 life course framework implications for, 30–35
in adolescence Medications
11 through 14 Year Visits, 745 in infancy
15 through 17 Year Visits, 777 Prenatal Visit, 324
18 through 21 Year Visits, 807 4 Month Visit, 451
Local community resources, 32, 33b in adolescence (18 through 21 Year Visits), 818
over-the-counter
4 Month Visit guidance, 451
Prenatal Visit guidance, 324
Menstruation, 718–719
857
860
Postpartum checkups S
1 Month Visit guidance, 396 Safety and injury prevention
2 Month Visit guidance, 419 in the prenatal period, 242
Preconception care, 56 in infancy, 242–245
nutritional health, 171–172 Prenatal Visit, 332
Prenatal Visit guidance, 319 Newborn Visit, 359
Pregnancy First Week Visit (3 to 5 Days), 381
Prenatal Visit, 305–332 1 Month Visit, 408
in adolescence, 222 2 Month Visit, 432
11 through 14 Year Visits, 759–760 in early childhood, 245–246
15 through 17 Year Visits, 791–792 in middle childhood, 246–248
18 through 21 Year Visits, 817 in adolescence, 248–252
rates of pregnancy, 222 abuse. See Family violence; Intimate partner violence;
adjustment to, 313 Maltreatment and neglect;
alcohol use in, 314–315 Sexual abuse
assistance after discharge, 346–347 burns, prevention of. See Burns, prevention of
biological determinants of health during, 21–23 car safety seats. See Car safety seats
inter-conceptional guidance, 56 child development and, 236–237
maternal depression, 283 community safety. See Neighborhood and community
Prenatal Visit guidance, 318 safety/violence
postpartum checkups Connected Kids: Safe, Strong, Secure, 241
1 Month Visit guidance, 396 counseling in health supervision visits, 239–241
2 Month Visit guidance, 419 drowning, prevention of. See Drowning, prevention of
preconception care. See Preconception care emergency preparedness suggestions for parents, 236b
prenatal care. See Prenatal care falls, prevention of. See Falls, prevention of
reducing complications in, 57–58 families and culture in, 237–238
substance use/misuse in, 314–315 firearm safety. See Firearm safety
tobacco use in, 316 fire safety. See Fire safety
Prenatal care, 56–57 health care professional’s role, 242
Prenatal Visit guidance, 320 heat-related illness. See Heat-related illness/heatstroke
nutritional health, 171–172 prevention
safety and injury prevention, 242 home safety. See Home safety
social media use and, 231 intentional injury, 235–236
Prenatal Visit, 305–332 Internet use and, 241–242
Preschool maltreatment. See Maltreatment and neglect
4 Year Visit, 638 outdoor safety. See Outdoor safety
as a social determinant of health, 23 pedestrian safety in early childhood, 622
Prescription medications. See Medications pet safety. See Pets/pet safety
Privacy of health supervision visits, 268b during physical activity. See Physical activity
Puberty/pubertal development as a physical determinant of health, 28–30
7 and 8 Year Visits, 690 promotion of, 235–252
9 and 10 Year Visits, 718–721 safe sleep. See Sleep behaviors, patterns, and safety
school safety, 246–247
Q sexual. See Sexual safety
Quality of care, using Bright Futures to improve, 9 sexual abuse. See Sexual abuse
social media, use of, 229–233, 241–242. See also Social media
R use/exposure
Radon exposure, 392 special health care needs, children with, 238–239
Reading/reading skills. See also Literacy skills during sports. See Sports
18 Month Visit, 553–555 sun exposure. See Sun exposure/protection
2 Year Visit, 578 texting and, 241–242
2½ Year Visit, 594 unintentional injury, 235
3 Year Visit, 616 water safety. See Water safety
linguistic skills. See Linguistic skills Same-sex parents, families with, 44
Regurgitation in infancy, 179–180 Saturated fats, 723–724
Respect for others, 664–665
Role modeling and social media, 231
863
864
865
867
Toilet training, 95 W
18 Month Visit, 551 Waking behaviors/patterns. See Sleep behaviors, patterns, and
2 Year Visit, 579 safety
readiness, signs of, 551 Water in early childhood, 557, 618, 639
resistance to, 126t Water safety. See also Drowning, prevention of
Toothbrushes in early childhood
6 Month Visit guidance, 472 12 Month Visit, 521
brushing teeth. See Brushing teeth 2½ Year Visit, 600
Toothpaste 3 Year Visit, 623
fluoridated, 207, 209, 211, 212, 214 4 Year Visit, 645
guidance, 208, 208f in middle childhood
Transgender, youth who identify as, 219b, 224–225 5 and 6 Year Visits, 674
Transition home 7 and 8 Year Visits, 698–699
Newborn Visit guidance, 346–347 9 and 10 Year Visits, 728
First Week Visit (3 to 5 Days) guidance, 370 Weaning infants, 495
Traumatic injury Weight
abusive head trauma in infancy, 121–122 in infancy
acoustic trauma. See Acoustic trauma healthy weight, 162
to mouth, 214 low-birth-weight babies, 22
Tuberculosis, screening for, 299 overweight, infants with, 152–153, 162
weight gain, 375–376
U in early childhood
Underweight, children with, 151 healthy weight, 163
interpreting BMI, 269t overweight and obesity, children with, 152–153, 163
low-birth-weight babies, 22 in middle childhood
5 and 6 Year Visits, 669–670
V 7 and 8 Year Visits, 694–695
Vegetables 9 and 10 Year Visits, 723–724
in middle childhood, 669–670 healthy weight, 163–164
pesticides in. See Pesticide exposure overweight and obesity, children with, 163–164
Violence. See also Maltreatment and neglect in adolescence
in adolescence, 249–250. See also Bullying; Fighting healthy weight, 164
in the community. See Neighborhood and community overweight and obesity, adolescents with, 153, 164
safety/violence as a biological determinant of health, 22
domestic. See Family violence; Intimate partner violence body mass index, 151, 152t
interpersonal. See Bullying/cyberbullying; Fighting interpreting, 269t
sexual abuse. See Sexual abuse weight-change targets based on, 161, 162t
Vision problems, screening for, 300–301 cultural attitudes about, 169
Vitamin D definitions and terminology, 151
in infancy, 183b healthy weight, promotion of, 151–164
in early childhood, 183b low-birth-weight babies, 22
in middle childhood, 186 overweight, children with. See Overweight and obesity
5 and 6 Year Visits, 669–670 underweight, children with, 151
7 and 8 Year Visits, 694–695 interpreting BMI, 269t
dietary reference intakes, 183b low-birth-weight babies, 22
in adolescence, 183b Whole-grain consumption, 669–670
dietary reference intakes, 183b Windows, prevention of falls from, 622
Vitamin supplements Work-life balance, 613
in infancy, 173–174
vitamin D. See Vitamin D Y
Youth Risk Behavior Surveillance System, 141, 142b
868