Period the life of the child. Anthropometric dosage. Assessment of anthropometric indicators and physical development of a child

Methodology anthropometric vimiryuvan children Riznogo viku

MINISTRY OF HEALTH PROTECTION UKRAINI

NATIONAL MEDICAL UNIVERSITY

imeni O.O. BOGOMOLTSIA

METHODOLOGICAL VKAZIVKI

FOR INDEPENDENT ROBOTS OF STUDENTS

WHEN PREPARED TO PRACTICAL (seminars) EMPLOYMENT

1. Relevance by those:

rіven physical development v childishє one of the active indicators will become healthy. Physical development is a labial indicator, which is easy to change against the incessant, unfriendly bureaucrats, especially the minds of the middle class. Yak sukupnist sign, which characterize the health of the body in the new stages, the level of physical development, one of the most important indicators of the social health of the population. Therefore, the assessment of the level of physical development of a child is an unrecognizable element of control over the health of the child and the loan is an important place in the practical activity of a pediatrician.

2. Specific goals:

• Demonstrate the order in case of koristuvanna different species adjusting for vimiryuvannya masi.
• ovolodіty with cuffs and technology of carrying out somatometry: growth of mass, growth and circumference of the head and breast cancer ditini;
• klasifіkuvati attach for vimіryuvannya dozhini tila children of the Rizny Vіku
• memorize all the documentation for the image of the masi, the growth and the circumference of the head and the breast of the child;

3. Basic training course.

By starting the laws of change in proportions of body in children of a healthy lifestyle

2. Latin language Use Latin-based terminology 3. Normal Physiology

4. Zavdannya for independent robots from the hour of preparation to busy.

4.1. An organizational card for independent robots over basic literature during preparation to practical employment

- individual development of the body 2. Anthropometry- the prevalence of methods and receptions for the purpose 3. Zrostomir- an attachment for vimіryuvannya dozhini tila.

4.2. Theoretical meals before busy:

1. The designation of the understanding "physical development".

2. You will see the attachments for vimiruvannya masi tila and dozhini tila.

3. Technique of carrying out somatometry: vimiruvannya masi, growth and circumference of the head and breast tissue of the child.

4. Storing graphs for assessing the physical development of a child: masi tila to viku; Spіvvіdnoshennya dozhini tіla to masі tіla, viznachennya ІМТ (іndex masi tila).

4.3. practical robots(Zavdannya), how to get busy

1.Volodytiyu technology respected children in children up to 1 rock and older than 1 rock.

2. Ovolodіti technіkoyu vimіryuvannya dіzhiny tіla kids vіku.

3.Volodyty technology to change the circumference of the head and breast;

4. Ovolodіti technіkoyu zapovnennya graphіkіv for assessment of physical development.

Zm_st those: Physical development of children early vik as a criterion for assessing the social and economic development of the surrounding region, land. Monitoring of the physical development of early childhood children of the OOH is involved in one of the most effective visits, as a result of the reduction of the mortality rate and incapacity of early life children.

Physical development- the whole dynamic process of growth (improvement of the age and mass of children, around the limits of the age) and the biological maturation of the child in the period of development, the most important criterion for assessing the age of health and early development

Physical development of children is the process of changing the morphological and functional powers of the body, as well as those of the country in development vіkovі period This is a reserve of physical strength, vitality and quality of service. The pace of physical development on the cutaneous stage of ontogenesis is based on individual features, social factors, and the region of living is too small.

anthropometry– Sukupn_st of methods and receptions in vimіryuvannya, I will describe the human body in the whole and thіth surrounding parts. Vaughn allows you to give a complete description and assessment of the physical development of people.

Anthropometric assessment is still widely used in medicine. One of the first procedures to be seen for the folk of the new child is the whole anthropometric dosage. I best serious illness it is often diagnosed itself when negative anthropometric changes are established. Tsim is pondered with respect to anthropometry not only from medical workers, And the population of the wide verse.

Masa tila nemovlyati. From the moment of the people up to three times to spend on the cup wagons, the time of day is spent for children.

technology well-known: Spotschatku zvazhutsya pelushka. Vaughn is put so that the edge of the pellet does not hang from the tray. Ditina lay down on the wide part of the tray with her head and shoulder girdle, with slickers - on the vuzka part of the tray. Ditina can be placed either on a wide part of the tray, or on a vuzka part. The indicated weight is known from the other side of the weight, de є nuts, the lower weight needs to be changed only in the obvious on the lower scale of the nest. If you write down the weight, the weight is set to zero. To make a vagi child, it is necessary to show a vagi virahuvati vagu pelushka.

value Masi tila senior children to carry out vrantsi natchesertse on special medical cars with an accuracy of up to 50 grams. In the middle of the area, there is an extra-large vagina in front of the stretched baby. The shown vagina is so, as if well-known children of the early age.

The average weight of lads in populations becomes 3200 - 3400g, and for women less - 3100-3300 r. Masa tila premature babies become 2500 g and lower. With a stretch of the first days, the life of the new-born masa will decrease by 150-300 g (transient ( physiological) decline in mass) І to become close to 5 - 9% of the mass in the population. The change is lower by 10% (up to 300 g), to be used as a pathological second mass. The physiological decline in mass was overwhelmed by the onset factors:

- viparovannya vologue from shkіri and when dikhanna;

- mumification of the umbilical cord surplus;

- lack of food and drink in the first days of life;

- bluetongue in colloid waters, prodovtnuyu before the hour of gentle;

- tolerable hunger;

- to meconium, sich.

Renovation of cob oil in newborns has two options:

І. Ideal (or Buden's type): the consumption of mass up to 3-4 days and the renewal of the cob until 7-10 days of life (25% of the new population).

II. Common type (type of Piss): consumption of oil for 3-4 days with a minimum of 3 days and for general updates on cob up to 12-15 days (in 70-75% of children).

DOVZHINA TILA. From the bottom up to the size of the baby from nig to the head when lying in the position, horizontally. Vertical vimir ts'go zmiru, standing zvetsya zrostannya. Dovzhina was represented by the singing world of the growth of the organism.

Dovzhinu tila at the children of the first rock Life in the position of lying behind the help of a special height at the viglyadi of the board with a centimeter scale. The head of the child is guilty of lying down to the untidy level of the height. The head is fixed so that the lower edge of the ear canal and the upper edge of the last auditory canal were located on the same level. The child's legs are straightened by light onslaught on the knee. The crumbling bar of growth is scrupulously kept up to the babies. Become a rugged and unruly planks to make a child grow up. The accuracy is estimated to be ± 0.5 cm.

If a child is less than 2 years old and there is no opportunity to change a child, in the position of a child, in such a way, it is vertical position and before the result of the correction, it is necessary to add 0.7 cm.

Have older children viku zrostannya vimіryuєtsya behind the help of the vertical height with a sliding stool. Before the child's vim_ryuvannyam, it is necessary to take a swell. Ditina stand on the maidan with her back to the scale. The scale is worthy of the scale, between the patches and the little ones. Dytina is guilty of standing upright, she lives under tension, five at a time, her socks are mischievous. The head is fixed in the same rank - the lower edge of the ear canal and the upper edge of the ear canal were located at the same level. The ruchoma plank is fixed to the upper point of the head without pressure. The growth of children from 1 to 3 years is carried out by the same height meter only from the top of the wall to increase the growth of the sedentary. To carry out the indicators of the growth rate according to the scale.

Circumference of the head and chest vimіryuyut behind additional centimeter lines.

For viznachennya head circumference impose a centimeter line backwards along the most prominent points of the line, in front - along the above-mentioned arcs. An ear of a centimeter line is maє buti in liviy rutsi. It’s not easy to pull the hour before it’s stretched.

vimiryuvannya chest circumference to spend with the nymovlyat in the position of the bed, for the older children - in the position of the standing position. Ditina is guilty of being in peace, hands down. An ear of a centimeter line is found in liviy rutsi zboku pakhvi. Behind the line is carried out along the bottom edge of the areola. Have girls with rozvinenny pectorals In the front, the line is carried out along the fourth rib above the thoracic valleys in the transition of the breast from the breast tissue to the zalose.

The circumference of the head of the newborn should be 34-36 cm. The circumference of the breast of the newborn should be 33 - 35 cm. In children up to 3 months of age, the indicators of the circumference of the head change the indicators of the circumference of the breast. In the last 3 months, the indicators are getting worse and by stretching the living life, they are overtaking the indicators of the circumference of the chest wall.

The results are entered before the latest graphs. There is also a possibility to start the trend of physical development of the child for the period of an hour and to identify the problem of physical development. In the overwhelming majority of the health of the child and in the analysis of the situation and in the coming events

Physical development graphs

The dermal child is guilty of her own graph, it’s a well-established assessment of physical development and adequate medical care.

For females and lads of the graphic design of physical development and for handiness, we can use mothers of different colors. It is important to vikoristovuvati graph of the physical development of a child for a general status, some boys and girls develop in a rational way.

On the skin graph of the seat curves. Curves, on the graph of the physical development of the child, add to the interpretation of the indicators of the physical development of the child.

The line, designated 0 on the skin graph, by the median, represents the mean value. The Іnshі lines vіdnachіyut standard vіdhіlennya, which indicate the visibility of the indicator of physical development in accordance with the standard.

Lines of standard views (CO) on the graph of physical development of the child may be positive (1, 2, 3) or negative (M1, M2, M3) values.

Graph dovzhina tila / zrist / vik

The standard indicator of growth or growth is always seen in the child's life. Dovzhina tila in the horizontal position of the child (lying) grows in children at the age of 0-2, grows at the vertical position of the child (standing) in children at the age of 2-5. The value of the indicator for a given age / growth for a given vik will show, for a given vik, I will add a child for a given vik for the moment I look around. This is an indicator of additional help to help children grow up and are very strong for their own age. A high growth rate is a problem, behind a vignette of endocrine disruptions.

On the graph, on the horizontal axis, the value of vik is displayed, and on the vertical axis - the value of increase / growth in centimeters. Vіk children viznachatsya in the main cities of the people up to 3 months; in the next months - from 3 to 12 months; і in the main rock and in the months - nadal.

In order to apply the value of a certain amount / growth for a given vik, follow:

1) On the horizontal axis of the outward direction, the values ​​of the higher tendencies, months and times and months. Place the points of value on the vertical lines (and not between the vertical lines). For example, when children are 5.5 months, the value is applied to the mark for 5 months (and not between 5 and 6 months).

2) On the vertical axis of the direction of power, the value of the body / height. Place the points of meaning along the horizontal lines. For example, if the child should become 60.5 cm, apply the value to the clinker with horizontal lines.

3) Writing points for the results of two or more glances, it is necessary to draw points in a straight line in order to create a curve and beat a dynamo.

4) Reverse the correct placement of the points on the graph, and, if necessary, repeat the anthropometric measurements. For example, the child is not guilty of being less guilty, but it is less important than the child is when looking around in front of him. In general, one of the messages was wrong. This requires a clear understanding of the methods of anthropometry.

Graph of masa tila / vik

The value of the oil for the given vik

In order to apply the value of the oil for the given slip:

On the horizontal axis of the outward direction, the value is in the upper regions, in the months and in the months. Dots and values ​​should be placed on vertical lines (but not between vertical lines).

On the vertical axis of power, the value of the body. Dots and values ​​should be placed on a horizontal line.

Pislya plotted points for the results of two or more glances, from'єdnati їkh through a straight line, sobuduvaty curve and beat the dynamo.

Schedule of spіvdnoshennya masa tila / dovzhina tila / zrist / vik

The graph of the age of maturity until the end of the day / growing up of additional help for children with a very low weight and of children from the high age of maturity until the end of life / growing up, as you can see

On the whole graph, on the horizontal axis, the value of the child is displayed, or the height in centimeters, and on the horizontal axis - the mass in kilograms.

In order to put on the graph the value of the maturity until the end of the day / growth of the slid:

On the horizontal axis of the outward direction, the value is even greater than growth. Place the points of meaning on the vertical line. It is necessary to round the value to the nearest whole centimeter.

Apply the value on the vertical axis. Place the dots of value on any of the horizontal lines.

Writing indications of spiwdnoshennya massi tila to increase til / growth in two or more glances, from'ednati points in a straight line, sobuduvaty curve and pachiti dynamiku.

Graphic index of mass tila / viku

The index of mass (IMT) is used for screening for overworld and obesity.

As a rule, the ІМТ graph for a given vik shows the results, similar to the results of the graph of the communication of masi to the level of growth / development of the child.

On the whole graph on the horizontal axis, the meanings are displayed in the upper regions, in the months, in the rocks and in the months.

IMT is placed on the vertical axis.

The index of weight is given by the formula: the value of the weight of the size for the height of the square (kg / m 2). The zrostannya indicator must be converted into metric. Round up the result to ten.

In order to put on the graph the indicator of the index of masi tila child for a given vik, next:

On the horizontal axis of the outward direction, the meaning is in the upper regions, in the months and in the months. Place the points of value on the vertical lines (and not between the vertical lines). On the vertical axis of the outward direction, the IMT value. Place the points of meaning on the horizontal line or between the lines.

Pislya plotted points for the results of two, or more, looking around from the straight line, so that the curve is curved and the dynamo is played.

Materials for self-control:

1. Food for self-control:

1. For what parameters is the assessment of physical development carried out?
2. What is the "physical development" of the child?
3. What kind of anthropometry?
4. Technique of vimiryuvannya masi tila, dovzhini tila and keel heads and breast cells.
5. Yaka middle masa tila novonarodzhenoi ditini?
6. What is the "physiological decline of the mass"?
7. Health indicators in head circumference and breast cancer
8. Graphs of physical development. Meta їkh vedennya. Zapovnennya rules.

2. Test for self-control

1.Weighing the child, when appropriate to the stationary, should be carried out using the following method:

A. At the time of the appointment of the hospital. B. In the same dose, signs of liquor.

C. Type of food. D. constitutional type of child.

E. Chi is properly organized food at home.

2. The average weight of a new-born boy to become (in grams):

A. 3000 - 3100 B. 3100-3200 C. 3200-3400 D. 3400-3600 E. 3600-3900

3. Introduce masu, yak on premature babies (in grams):

A. 3000 B. 2900 C. 2800 D. 2600 E. 2400

4. Imagine on any day of life to renew the masa tila in the new child with ideal type update:

A. 2-3 B. 3-4 C. 4-5 D. 6-7 E. 7-10

5. Provide all correct indications:

The main reasons for the physiological loss of the power of the newborn:

A. Hyperaldesteronism

B. Formation of lactation in the mother.

C. Vrata lead through the shkіra and legends with dikhanna

D. Mumification of the umbilical cord

E. Seeing Mecon and Sech.

6. Physical development - tse:

A. Dynamic process of growth

V. Biological maturity of a child in the period of childhood.

C. Dynamical process of growth (increase in age, masi tila, additional parts of tila and іn.) І biological maturity of a child in the period of childhood.

D. Results of the test anthropometric indicators.

E. The meaning of the child's biological life.

1. Respected newborn children in hospitals to spend:

A. Pislya skin year. V. Vrantsi in the evenings. S. 1 time for doba at any hour.

D. Once every 3 days. E. 1 time per day.

1. Pour into the physical development:

A. Biological factors. V. Social factors.

S. Biological and social officials. D. Political factors.

E. Everyone is outraged.

1. A full-term newborn child has a head circumference and a breast bone circumference:

A. Odnakovі. B. Approximately the same.

C. Perevazhaє head circumference. D. Perevazhaє circumference of the breast.

10. To the main parameters of physical development, include:

A. Masu tila, dovzhinu tila, frequency of movement, frequency of heart rate, circumference of the chest wall.

V. Masu tila, dovzhinu tila, circumference of the chest and head circumference.

S. Zhiznennuyu umnіst of legends, masu tila, dozhinu tila.

D. Frequency of dichannia, frequency of heart rate, circumference of breast tissue.

E. Masu tila, dozhinu tila, frequency of dichannia, frequency of heart rate

ETALONI VIDPOVIDEY:

Zavdannya for self-control:

1. At the reception of a child hospital, the child received 6 months with a diagnosis of bronchitis. medical sister it is necessary to carry out anthropometric measurements. Begin the last day of the day.

2. Near the canopy booth of the mother of the New Nation dyvchinka, who was born with masoyu tila 3150 g, on the 3rd day of life I knew that the masa tila ditini became 2950 r Mom was sturbovan. Please explain to the mother of the child

Etalonie of views:

1. Po-perche, vstanovimo masu tila ditini: on the tray you can put a pelushka on the tray; By and large, the meaning of the baby is at once with the pelush, for which the bulk of the pel is needed to be seen.

In a different way, the child's head will be smashed to the child's head: the child is viciously on the height of the child, the head of the child is scrupulously pressed to the untidy bar of the height. The head fiksuєmo so, the lower edge of the ochnytsi and the upper edge of the last auditory canal were located on the same level. We straighten the legs of the child with light pressure on the knees. The crumbling bar of growth is shilno prіzhіmaєmo until p'yat babies. Become a rugged and unruly planks to make a child grow up.

2. The decrease in the weight of the child by 200 g (6%) є physiological and increased by the advancing factors: mumіfіkatsіya umbilical cord surplus; lack of food and drink in the first days of life; blues in the midst of the waters, poured out before the hour of flatness; tolerable hunger; to mekonii, sich.

Basic literature:

1. V.G. Maidannik, V.G. Burlai. Your ditina (look that vikhovannya). - Kiev 2004.-298 p.
2. Workshop on pediatrics of propaedeutics with a watchful eye for children. - Kiev 2002. Knowledge of Ukraine. Maidannik V.G., Duka K.D., Burlai V.G.

3. T.V. Capitan Propedeutics of childish ailments with close eye to children. - Vinnytsia. - 2006.

4 A. N. Buraya, I. A. Golovko, V. S. Tikhomirova / practical to take to look after the healthy and sick child. - Moscow. - 1982.

5. Mazurin A.V., Zaprudne A.M., Grigor'ev K.I. / Looking beyond the children. - "Medicine" Moscow - 1998

6.A.V. Tokar, V.I. Jemile and ін. / Dovidnik for medical nurses - Kiev 2002

7.S.P. Vinnikova, I. M. Digalo and ін. / Practical tips for a pediatric nurse - Rostov-on-don "Fenix" 2002.

Dodatkova Literature:

1. R.V. Tonkova-Yampilska. T.Ya. Chertok, I.N. Alferova / Fundamentals of medical knowledge. - Moscow. - one thousand nine hundred and fifty-one
2. Grebeniv A.L., Sheptulin A.A., Khokhlov A.M. The basics of the out-of-the-box look for ailments. - M: Medicine, 1999 ..
3. P.G. Zhuchenko, N.S. Pushkar, I.A. Sitnik / Antenatal protection of the fetus that looks after the new population. - Kiev. 1 983
   1. Fundamentals of medical knowledge and methods of treatment according to Devidson / per. from English At 2 T. -Kiyiv: "Kobza",

The assessment of anthropometric indicators is based on ANTHROPOSCOPY (somatoscopy), as the transfer of the degree of variation of descriptive signs (racial, constitutional, specific features, ridge shape, breast tissue, fatty tissue, ) і, in a large world, on anthropometry (anthropos - lyudina, metreo - vimіryuvati) - by the same method and taking into account the morphological features of human body All anthropometric indicators of the breast can be divided into two groups: head) and additional (these are anthropometric indicators, for example, even legs, head height, etc.). The analysis of the main anthropometric indicators at the time of the improvement gives the ability to assess the physical standard of a child, in dynamism - the pace of physical development. Additional anthropometric indicators can be vicious as indicators of biological maturity (indexes of proportions), for example, indicators will become a child's grub (for example, Chulitskaya's index). A number of anthroposcopic indicators (assessment of the range of the ridge, breast tissue, etc.) In a whole lot of reports, the methodology of anthropometric information and methods of assessing the physical shape and development of a child is presented.

anthropometric dosage

Anthropometric dosage generally includes the vimir of the main anthropometric indicators (height, body mass, chest cell circumference and head). In a number of vypadkiv (more accurate assessment of the age of the child, the value of biological maturity for anthropometric data), vikorystvuyutsya vimir and additional anthropometric indicators. Naybils often appear in the circumference of the shoulder, quilting, homosexual, even legs, hanging of the head and upper individual. Likewise, it is important to carry out the "philippines test" and the value of the middle point of the body.

Vimіryuvannya dozhini tila for children of the first fate of life is carried out with the help of a special height at the viglyadі of a board with a size of 80 cm and a width of 40 cm.

A centimeter scale is applied on the yogo boat, the cross bar is loose.

The child is laid on the height on his back so that the top of the child will lie down to the untidy transverse bar of the height. The motherfucker ficks the head of the child in the position, at which the end of the head and the tragus of the whale is located in the same vertical area. Light onslaught on the knees straighten the legs and gradually push up the height bar.

Build between rugged and untidy planks to show the child's life.

Vimiryuvannya dozhini tila children older than 3 years play for an additional height with a folding stool

for a rudimentary anthropometry. On the vertical style of the height, 2 scales are applied: one (right-handed) - for the growth of standing, іnsha (zlіva) - to the body (dozhini tila sedentary). Ditin put his feet on the maidan of the height with his back to the scale. He was guilty of being straightened, his arms were lowered, his legs were straightened in the knees, and he was completely ruined. With the correct setting, the child of five, sidnitsa, the interscapular region, and due to the fact that the vertical stays of the height are due to stasis. The head stands in position, at which the last edge of the eye and the upper edge of the tragus of the whale is located in the same horizontal area. The ruchoma plank is brought up to the head without pressure:

Vimiryuvannya dozhini tila standing

Vimіryuvannya upzhini tіla children from vіtsі from 1 rock to 3 rocks is carried out by the same height meter, according to the same rules, only the child is placed not on the lower platform, but on the ledge bench, and when seen from the beginning to lead the scale of evil.

One hour, from the front of the body, it is possible to change the height of the head, the height of the upper part of the body (the upper person), the weight of the leg, the position of the middle point of the body, the reduction of the upper and lower segments of the body.

The height of the head starts at the top of the head, and perpendicular to the scale of the height from the most visible part of the board:

Raising points for vimiruvannya hanging of the head and the upper part of the face

The upper part of the denunciation starts with a tumbling bar, as it reaches the top of the head, and perpendicular, we draw up to the scale of the height from the nasal point (front of the nose). The position of the head when the head hangs up and the upper part is guilty of being the same as when the growth is reduced.

For the purpose of making your legs look like a centimeter line, you see from the great spindle the stegna of the foot. The method of vimіryuvannya dozhini legs is given to the offensive little one:

Raising the points for vimiruvannya until the leg of the lower segment

When twisting the palpation point of the trochanteric point of the child in front of the vimir, the spine should bend the leg in the tazostegnous joint.

To mark the middle point of the child's mind, the child will continue to work, and the result should be designed for the middle line of the child. The middle point of the body (on the navel, between the navel and the symphysis, on the symphysis, below the symphysis) and go up to the navel. The lower segment changes from the upper edge of the symphysis (pubic point) until the foot falls asleep along the middle line. The upper segment appears as a difference between the two segments and the lower segment.

For children up to 3 rockets, it is carried out on cup wagons with a maximum weight of up to 25 kg (accuracy of measurement - 10 g), which are stored from a tray and rocker arms with two depth scales: the lower one - in kilograms,. Before the cob zvazhuvannya vr_vnovazhuyut. Then, with the yoke closed, on the wagy and earlier, the pelush was tied up with the stretched child in such a rank, so that his head and shoulder girdle were put on the widest part of the tray, and the legs - on the university. If the lower weight is well-known, it is the name of the mass in kilograms, it is guilty of revenge only on the scale of the virizka (tips). When the weight is displayed, the child is curved, the children know the result and read the result (for the display of the weight, it is necessary to take the bread of the pellet).

We will stay for an hour to broadly play the electronic wagons, as a sign of goodbye to the respected.

When children are older than 3 years of age, they spend their time at the heart of the disease, but also for the occasional loss and defecation. In most medical patients, it is established that vagi are important in the Fairbanks type (the accuracy is 50 g). While the child is in the middle of the maidan vag with the rocker closed, she is guilty of standing in the middle of the maidan vag. For more tactics, keeping records of the results in the description of the food.

Vimіryuvannya kіl to carry out centimeter lines on the victorian line. It is necessary to stitch, but the stitching is nestled up to soft fabrics, And the result is zchituvannya before ochima doslіdzhu.

for head circumference put a centimeter line behind the backward humps:

In the front of the centimeter, the line is moved along the edge arcs:

at in the circumference of the breasts Apply a vimiryuvalnuyu line to the back of the lower kutami of the shoulder blades when bringing the hands to the side. Then lower your hands and hold the line forward to the point of attaching the IV rib to the sternum:

For girls of puberty with good milky vines, a line is placed over the zalose at the point of transition of the shkiri from the breast to the zalose.

The circumference of the quilted in the supine position with the weakened muscles of the leg "under the sidnichnoy fold, perpendicular to the stigma brush:

The surroundings of the homily also in the supine position when the muscles of the leg are relaxed in the area of ​​the greatest development of the cast meat:

To keep an eye on the proportions of wood that are changing in the process of growth, and for the growth of dough, for the first time the most clear quilting in the period of the first vitiago For yogo vikonannya you need the child's hand with the vertical position of the head, transversely applied through the middle of the time. The hand and the hand lie down to the head. positive test(If the fingers of the fingers reach the protolezhny vuh), the end of the period of the first vityaguvannya (6-7 years old).

Zliva test is positive, right-handed person is negative.

and infants.

Including vimiryuvannya:

Masi tila (on medical cups and electronic wagons).

Dovzhini tila (on horizontal height and centimeter line).

Head circumference (centimeter line).

Circumference of the breasts (centimeter line). Shown: For assessment of physical development.

Vimiryuvannya masi tila on cups of medical wagons.

Technical training:

Medical wagons (stored in the body, tray, bolt, collapsible rocker with weights and two scales: the lower one in kilograms, the upper one in grams).

1. Department of Dis. by striking.

Victory of Manipulation:

cross over to the father of the child (anyway, otochennya) about the maybutny of the manipulation, explain the direction of the vimiryuvannya.

Place the vagi on a non-tough surface.

Lotkovu part of the rubble is disinfected. roschinom (from a working day). Wimiti and hang your hands.

Time for terezi:

change the offense of weight to "zero";

open the shutter;

I wrap it up to the zbig of the arms of the yoke and the body of the wag.

Close the shutter.

Place the pelush on the vagi (for the skin child - its own).

Place the child on the vagi, head to the widest part of the terez, and legs to the university.

Open the shutter.

put the weight on the lower pannier until the moment it falls down;

if you want to, turn it one sideways left;

smoothly oversupply the weight on the upper pantry to the position of the equalizer;

the result will start behind the scales of evil from the edge of the weights.

Close the shutter and take the baby out of the vag.

Zvazhiti okremo pelushka (odyag, yaksho ditina bula odyagnena). Take the masu.

Record the tribute to the name in the medical documentation and for the occasion of the daddy's daddy (or whatever).

Stage conclusions:

Disease the surface of the vag.

Wimiti and hang your hands.

Vimiryuvannya dozhini tila, head circumference and breast cancer for children up to two years. Vimiryuvannya dozhini tila at children of the early age

It is necessary to prepare:

1.Gorizontal zrostomir.

2.The diaper.

3.1% solutions to chloramine.

4.Clean ganchir'ya.

Algorithm for diy:

1. To hang hands.

2. Cover the growth with a pelush.

3. Swaddle or stretch the baby.

4. Put the child on the height-size so that the child's head stays on the untidy bar of the height.

5. Straighten the child's legs, pressing on the knee.

6.Push up the collapsing bar of the height to the bottom.

7. Measure every child's gin in centimeters off the scale.

8.Treat zrostomir 1% with chloramine solution.

Vimіryuvannya head circumference and breast cancer for children up to two years.

Vimіryuyut centimeter line in the camp of calm.

Technical training:

Centimeter line.

Department of Dis. by striking.

Victory of Manipulation:

Place (plant) the child.

When the circumference of the head is centimeter-wide, the line passes through the hillock to the back, above the sides and along the edge arcs in front.

When the circumference of the breasts is varied, a centimeter line should be applied backward along the lower kuta of the shoulder blades, under the groin, in front - along the nipples.

For a striking result.

Record the data in the medical documentation and for the fathers.

Compare the results with the data of the centile table.

Conclusions stage.

1. Opratsyuvati centimeter line des. shake, rinse with running water, dry.

2. Hang and hang your hands.

Features of the anthropometry of newborns in the canopy hall.

Respect sterile pelus.

Dovzhinu tila, the circumference of the head, the circumference of the breasts begin with a sterile centimeter line, or sterile, according to a specific method

Assessment of physical development includes an assessment by central tables dozhina tila, masi tila and harmony development, with which the basis for the assessment of physical development is taken as a basis for the assessment of physical development, dozhina tila child Central tables are tables that are stored on the display of large scale groups of children, which are referred to in the headings of the tables. In the middle zones of the table (25-75 cents), the middle indicators of pre-sentient signs are growing, in the zone of 3 centers the indicators are even lower, in the zone of 10 cents - indicators of the lower average; in zone 90 - indicators of middle vishche, in zone 97 - even higher; behind the boundaries of 3 and 97 centiles there are zones of pathology. For the assessment of indicators in physical development, it is necessary to conduct anthropometric measurements; Significance and date assessment of signs by their position in one of 7 central zones (Table 2.1 - 2.4); the value of the harmony of physical development according to the tabular form of the assessment (table 2.5); zrobiti pidsumkova write down anthropometric dosage, indicating: the date of the date; vіk child (speeding up the data of tables (1.1); the result of vimіryuvannya in cm і kg (the number of central zones will appear in the arches); visnovok about physical development (middle, middle, high, even high, low, lower, disharmonic sharply disharmonious). Table 2.1.

Table 2.2 - Newborn and breastfeeding babies

(Дівчата)

Table 2.3 - Newborn and infants

(Pops)

Table 2.4 - Rozpodil masi tila for newborns and infants

(Дівчата)

Butt. After an hour of prophylactic reception of a girl in 7 months of boule, the offensive results of anthropometric measurements are taken: dovzhina tila - 67 cm, weight tila - 8.5 kg.

According to table 2.3, the initial position of the indicator of increased energy in the centile zone. Vona vidpovidaє 25th cent. According to table 2.4, the statutory position of the indicator of mass. Vona is located in the 75 cent zone. In such a rank, in the given vipad, the physical development leads to the middle harmonic level.