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Front cover of a PCHR from the late 1990s. The paper based child health record as used by the UK National Health Service [1] is popularly known as the "Red Book." It is given to the parents on or just after the birth of their child, and is used by parents to record standard health details such as height and weight as well as developmental milestones such as first words and first time walking. [2]
The height, weight, and head circumference of a child can be compared to the expected parameters of children of the same age and sex to determine whether the child is growing appropriately. Growth charts can also be used to predict the expected adult height and weight of a child because, in general, children maintain a fairly constant growth curve.
By doing this, doctors can track a child's growth over time and monitor how a child is growing in relation to other children. There are different charts for boys and girls because their growth rates and patterns differ. For both boys and girls there are two sets of charts: one for infants ages 0 to 36 months and another for ages 2 and above.
Failure to thrive (FTT), also known as weight faltering or faltering growth, indicates insufficient weight gain or absence of appropriate physical growth in children. [ 2 ] [ 3 ] FTT is usually defined in terms of weight, and can be evaluated either by a low weight for the child's age, or by a low rate of increase in the weight.
Newborns typically lose 7–10% of their birth weight in the first few days, but they usually regain it within two weeks. [17] During the first month, infants grow about 1 to 1.5 inches (2.5 to 3.8 cm) and gain weight at a rate of about 1 ounce (28 g) per day. [17] Resting heart rate is generally between 70 and 190 beats per minute. [18]
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Most have a normal body temperature set point that falls within the range of 36.0 to 37.5 °C (96.8 to 99.5 °F). [13] The main reason for checking body temperature is to solicit any signs of systemic infection or inflammation in the presence of a fever. Fever is considered temperature of 37.8 °C (100.0 °F) or above. [13]
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