Fenton Preterm Growth Chart for Boys

Length
Head Circumference

Weight

Gestational age (weeks)

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with the article’s original URL. http://www.ucalgary.ca/fenton/2013chart

Name Date of Birth Record #

Date
Age in Weeks
Length
Head Circumference
Weight
Size for Gestational Age SGA AGA
LGA
MATURATIONAL ASSESSMENT OF GESTATIONAL AGE (New Ballard Score)

NAME
SEX
HOSPITAL NO.
BIRTH WEIGHT
RACE
LENGTH
DATE/TIME OF BIRTH
HEAD CIRC.
DATE/TIME OF EXAM
EXAMINER
AGE WHEN EXAMINED
APGAR SCORE: 1 MINUTE 5 MINUTES 10 MINUTES

NEUROMUSCULAR MATURITY
SCORE
SCORE RECORD
NEUROMUSCULAR Neuromuscular Physical SCORE
MATURITY SIGN
Total HERE
-1 0 1 2 3 4 5
91898/SEPTEMBER 2014
LITHO IN USA

POSTURE

SQUARE WINDOW
(Wrist)
>90° 90° 60° 45° 30° 0°

ARM RECOIL
180° 140 –180° 110 –140° 90 –110° <90°

POPLITEAL
ANGLE 180° 160° 140° 120° 100° 90° <90°

SCARF SIGN

HEEL TO EAR

TOTAL NEUROMUSCULAR
PHYSICAL MATURITY MATURITY SCORE

SCORE RECORD
PHYSICAL
SCORE
MATURITY SIGN HERE
-1 0 1 2 3 4 5
sticky gelatinous superficial cracking parchment leathery
smooth pink
SKIN friable red peeling & / or pale areas deep cracking cracked
visible veins
transparent translucent rash, few veins rare veins no vessels wrinkled

LANUGO none sparse abundant thinning bald areas mostly bald

heel-toe anterior
>50 mm faint creases creases over
PLANTAR 40–50 mm: -1 transverse
no crease red marks ant. 2/3 entire sole
SURFACE < 40 mm: -2 crease only

barely flat areola stippled areola raised areola full areola

BREAST imperceptible
perceptible no bud 1–2 mm bud 3–4 mm bud 5–10 mm bud

lids fused lids open sl. curved well-curved

formed & firm thick cartilage
EYE / EAR loosely: -1 pinna flat pinna; soft; pinna; soft but
tightly: -2 instant recoil ear stiff
stays slow recoil ready recoil
folded
testes in testes testes
GENITALS scrotum flat, scrotum empty testes down
(Male) upper descending pendulous
smooth faint rugae good rugae
canal rare few rugae deep
rugae rugae
clitoris prominent prominent majora & majora
GENITALS clitoris & majora large
(Female)
prominent clitoris & small enlarging minora equally cover
minora small
& labia flat labia minora minora prominent clitoris &
minora
Reference TOTAL PHYSICAL
Ballard JL, Khoury JC, Wedig K, et al: New Ballard Score, expanded to include extremely premature infants.
J Pediatr 1991; 119:417–423. Reprinted by permission of Dr Ballard and Mosby–Year Book, Inc. MATURITY SCORE
Provided as a public service from Abbott Nutrition.
MATURITY RATING

SCORE WEEKS

-10 20

-5 22

0 24

5 26

10 28

15 30

20 32

25 34

30 36

35 38

40 40

45 42

50 44

GESTATIONAL AGE
(weeks)
By dates By ultrasound By exam