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    Adapted by the State of California CHDP NutritionSubcommittee

    from the online training module:

    Accurately Weighing & Measuring Infants,Children and Adolescents: Technique

    U.S. Department of Health and Human ServicesHealth esources and Services Administration

    !aternal and Child Health "ureau

    http:##depts.$ashington.edu#gro$th#

    Ho$ to Accurately%eigh and !easureChildren

    for the CHDP Well-Child

    Exam

    http://depts.washington.edu/growth/http://depts.washington.edu/growth/
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    If you would like a shorterpresentation, slides withextra detail can be hidden:

    1)Select Slide Show!

    2)Select "ide Slide!for each slide youwish to hide

    #)Slides to hide:2, 1$%1&, 22%2#, 2', #0

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    "y the end of thispresentation

    you $ill be able to:

    Accurately weigh a child Accurately +easure a

    child

    anage co++onproble+s encountered

    &b'ectives

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    C Pediatric Nutrition Surveillance System gro$th statistics from CHDP P! *+)

    &ver$eight , &bese

    ChildrenCalifornia children ages ( to - years

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    C Pediatric Nutrition Surveillance System gro$th statistics from CHDP P! *+)

    &ver$eight , &bese

    ChildrenCalifornia children ages to - ()years

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    Height/ length/ and$eight alert

    providers to:

    -rowth proble+s

    .eeding proble+s /+otional or socialproble+s

    Illness

    !easurements 0ou1a2e

    Are 3mportant

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    "!3 67ro$thChart

    &bese

    &ver$eight

    Normal8

    Under$eight

    9ab 1estscholesterol ,

    glucose;

    3nollo$urther tests maybe $arranted

    depending onfamil histor

    Normal

    Abnormal

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    0our !easurements

    7uide !any &thers

    "!3 67ro$thChart

    %3C

    Schools

    Parents

    PedNSSData

    0our!easurements

    %eight

    HeightAge"!3

    HeadStart

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    %hat challengesdo you face@

    Ho$ do you handle them@

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    Use a private area or eamroom for the follo$ing:

    6e+o7al of clothing and donning gown

    aking +easure+ents

    8iscussing results

    espect Privacy

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    "efore you

    begin:1*8eter+ine e9uip+ent

    needed for infant and child

    2*ake sure e9uip+ent isclean, safe, and in goodcondition

    #*sing a balance scale;Set to

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    !easure 9ying or

    Standing@

    9ength 9ying;

    se irth > 2(+onths

    "? growth chart

    nable to stand

    without assistance@

    StatureStanding;

    Able to standwithout

    assistance

    se 2 > 20 years

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    !easuring 3nfantBs

    9engthuipmentNeeded:

    easuring board

    o7able foot piece

    6igid headboard

    arked to 1B&!

    Need assistant

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    !easuring 3nfantBs

    9ength

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    easuring tape or yardstick attached to

    table tops

    easuring between 2 pencil +arks onexa+ table

    3nappropriate

    !ethods of !easuring

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    !easuring 3nfantBs

    9ength1* easure infant wearing only clean,dry diaper* Co shoes*2* Day infant on back*

    #* Assistant or parent holdshead Er+ly against

    the headboard*

    (* ith one hand, hold infant kneesdown, straightening the hips and

    knees*

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    !easuring 3nfantBs

    9ength* ith the other hand,+o7e the footboard

    until it is resting Er+lyagainst infant heels*oes point directly up*

    '* easure length to nearest 1B&!*$* ?n "8= = 1'0,

    record +easure+ent to nearest

    1B(!*

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    !easuring Height

    Stature;uipment Needed:Fertical stadio+eter Gheightrod):

    o7able hori

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    !easuring Height

    Stature;

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    easuring tapes

    Hardstick or poster attached to wall

    "eight rod attached to scale

    3nappropriate

    !ethods of !easuring

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    !easuring Height

    Stature;1* 6e+o7e shoes and outer clothingGackets, hats)*2* hild stands on a bare, Jat surface with

    heels slightly apartK back as straight aspossible*

    #* "eels, buttocks, head and

    shoulders blades touch thewall or +easuring surface*

    (* /yes should be straightahead, ar+s at side,and shoulders relaxed*

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    !easuring Height

    Stature;* Ask child to stand as tall aspossible, keeping heels on theground*

    '* Slowly lower headboard

    until it touches the crownof the head Er+ly*

    $* heck the childLs position*

    easurerLs eyes are parallelwith the headpiece*

    &* easure height to the nearest

    1B&!*

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    uipment needed:

    ea+ balance or electronic scale

    At least # lb capacity

    eigh in 10 g or M o