Growth & Devpt - During age 2-5 years

Growth

Weight increases by 3 kg per year

Height increases by 7 cm per year

At 2 years – 10-12 kg weight             85 -87 cm length

At 4 years – 18 – 20 kg                       95 -100 cm

Mid arm circumference same – 15 -16 cm

Head circumference –

2 years 48 cm

4 years 50 cm

LS – US ratio at 3 years – 1.3 : 1

All milk teeth are usually present at 2 years

Number of carpal bones = age + 2 ( at 2 years = 4 bones)

Osseous centers at lower end of Humerus from medial to lateral appears at 5, 12, 2, 12

Development at each age

30 Mo

Motor:             Goes up stairs one foot in each step

Adaptive:        Tower of 9 cubes
                        makes vertical and horizontal strokes - not join make a cross
                        imitates circular stroke,

Language:       Refers to self pronoun "I"

                        knows full name

Social:             Helps put things away
                        Imitates others(especially mother – use broom, talks to doll) in play

36 Mo

Motor:             Rides tricycle

                        stands on one foot

Adaptive:        Tower of 10 cubes

                        imitates construction of "bridge" of 3 cubes

                        copies a circle

                        imitates a cross

Language:       Knows age and sex

                        counts 3 objects

                        repeats 3 numbers or a sentence of 6 words

Social:             Plays simple games

                        helps in dressing =unbuttons clothing and puts on shoes

                        washes hands

48 Mo

Motor:             Hops on one foot

                        throws ball

                        uses scissors to cut out pictures

                        climbs well

Adaptive:        uses blocks to build models

                        copies cross and square
                        draws a man

                        names longer of 2 lines

Language:       Counts 4 coins

                        tells a story

Social:             Plays with children

                        goes to toilet alone

60 Mo

Motor:             Skips

Adaptive:        Draws triangle

                        names heavier of 2 weights

Language:       Names 4 colors

                        repeats sentence of 10 words

                        counts 10 coins

Social:             Dresses and undresses

                        asks questions about meaning of words

                        domestic role-playing (mother child game)