Peds Grwth, Dev, Nut

Question 1

What is the number one reason for errors on results on growth charts

Answer 1

Operator error

Question 2

What is the growth chart used for birth to age 2?

Or age 2-20 ?

Answer 2

Birth to 2= WHO

Age 2-20 is CDC

Question 3

Babies lose about 10% of BW in the first few days

When does it normalize

Answer 3

Within 14 days

Question 4

What is the normal wt gain for new borns

Answer 4

Daily Wt gain:

20-30 g for 1st 3-4 months

15-20 g for the rest of the year

Question 5

When should the fontanels close

Answer 5

2!

Concerning if still open

Question 6

If a child crosses two percentile lines without a obvious cause

What should you do?

Answer 6

Follow up for further action

Question 7

What is the approach to help premies catch up in growth

Answer 7

“Catch-up” growth in the first 6 months

Comparable growth to term counterparts when >6 months

Usually on higher calorie formula to assist this growth
22-26 kcal

Question 8

What is the recommended nutrition for the 1st 6 months of life

Answer 8

Breastfeeding

Question 9

What is the normal number of diapers for a baby a day

Answer 9

6-8 diapers a day

Question 10

What are the absolute C/I to maternal breastfeeding

Answer 10

HIV
(in industrialized/developed countries only)

Active TB

Varicella

H1N1 influenza

Herpes simplex infx of the breast

Drinking alcohol

Radiopharmaceutical agents

Antineoplastic/immunosuppressive agents

PCP, cocaine, amphetamines

Question 11

If a pt has galactosemia or PKU

Can they breastfeed

Answer 11

No

Question 12

How long do iron stores last in new borns

Answer 12

Till about 4-6 months of age

Good time to start solid foods

Question 13

What is the recommended iron intake for infancy

Answer 13

1 mg/kg/day (max 15 mg) at >6 mos of age

Question 14

What is the recommended Vit D intake for new borns

Answer 14

400 a day

Question 15

At what age can chlidren have cows milk

Answer 15

12 months

Question 16

Chocking on food precautions that can obstruct lungs until what age

Answer 16

Age 4

Question 17

What are the red flags of development for Gross motor

Answer 17

Rolling prior to 3 months (increased tone)

Poor head control at 5 months (hypotonia)’

Lack of sitting at 7 months (hypotonia)

Hand dominance before 18 months
(contralateral neuro-motor abnl)

Question 18

What are the red flags of language development

Answer 18

Failure to vary voice pitch by 4 months

Lack of babbling/localizing sound by 6 months

No true words/gestures by 15 months’

No protodeclarative pointing by 18 months

Less than 50% intelligible speech by 2 years