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Accurate Measurement Techniques for Child Health Exams

Learn to weigh and measure children accurately using proper techniques for assessing growth and health. This resource emphasizes the importance of precise measurements in identifying potential issues. Discover tips and guidelines for conducting measurements effectively.

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Accurate Measurement Techniques for Child Health Exams

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  1. How to Accurately Weigh and Measure Children for the CHDP Well-child ExamSeptember 2007 Developed by the Statewide CHDP Nutrition Subcommittee from the on-line training module: “Accurately Weighing & Measuring Infants, Children and Adolescents: Technique” U.S. Dept. of Health and Human Services; Health Resources and Services Administration; Maternal and Child Health Bureau http://depts.washington.edu/growth/

  2. 9 Million Kids Are Overweight 2000 2005

  3. Overweight & Obese ChildrenCalifornia children ages 2 to <5 years 2005 CDC Pediatric Nutrition Surveillance System growth statistics from CHDP PM160 report

  4. Overweight & Obese ChildrenCalifornia children ages 5 to <20 years 2005 CDC Pediatric Nutrition Surveillance System growth statistics from CHDP PM160 report

  5. Agenda • Importance of accuracy • Challenges • Video: Standard technique • Practicing proper technique

  6. Measurements You Take are Important • Height, length, and weight tell providers if a child has a: • Growth problem • Feeding problem • Emotional or social problem at home • Illness

  7. Measurements You Take are Important 95% 90% 5 year old boy Weight: 43.5 lb Height: 43 in BMI= 16.5 BMI-for-age = 75-84th %tile Inaccurate height measurement: 42.5 in BMI=17 BMI-for-age = 85-94th %tile 85% 75% 50%

  8. Your Measurements Guide Providers In-depth Medical Assessment • Your • Measurements • Weight • Height • Age • Plot Obese Overweight BMI % Growth Chart + Extra tests Normal Underweight - Note in chart “No Therapeutic Action”

  9. Your Measurements Guide Many Others HeadStart WIC • Your • Measurements • Weight • Height • Age • Plot Schools BMI % Growth Chart Parents PedNSS Data

  10. It’s difficult to weigh and measure children… “What challenges do you face?”

  11. Before you begin: 1. Determine equipment needed for patient 2. Check equipment: clean; safe; good repair 3. Balance scale to zero

  12. Measure Lying or Standing? • Stature (Standing) • Able to stand without assistance • Use 2-20 years growth chart • Length (Lying) • Unable to stand without assistance • Use Birth - 36 months growth chart

  13. Measuring Length

  14. Measuring Stature (Height)

  15. Weighing Infants and Toddlers Up to 36 months if unable to stand without assistance

  16. Alternate Weighing Method 1. Weigh parent and child 2. Weigh parent alone 3. total weight - parent’s weight = child’s weight

  17. Weighing Children and Adolescents • Weigh in: • Undergarments • Gown • Lightweight outer clothing • Socks/bare feet

  18. Privacy Considerations • In a private area or exam room: • Remove clothes; offer gown • Take measurements • Discuss results

  19. Please visit:http://depts.washington.edu/growth/ • For training modules: • “Accurately Weighing & Measuring Infants, Children and Adolescents: Equipment & Technique” U.S. Dept. of Health and Human Services Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau

  20. Practice Time

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