E3 pediatric nutrition Flashcards

1
Q

infant weight doubles by - months

A

4-6

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2
Q

infant weight triples by __ months

A

12

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3
Q

infant length increased __% by 12 months

A

50

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4
Q

growth slow but constant:
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

A

a

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5
Q

steady growth
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

A

B

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6
Q

adipose tissue distribution begins
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

A

A

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7
Q

rate of weight gain increases
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

A

C

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8
Q

WHO growth chart ages

A

<2

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9
Q

CDC growth chart ages

A

2-20

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10
Q

T or F:
Growth is a linear process

A

false, no shit

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11
Q

3 variations on nutrition requirements slide

A

age
organ function
body comp

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12
Q

__% of a neonates basal energy expenditure is used by their brain

A

50

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13
Q

2 things listed under failure to thrive

A

fall of 2 major percentiles
weight <3-5th percentile

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14
Q

3 causes of malnutrition

A

inadequate caloric intake
inadequate absorption
excessive energy expenditure

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15
Q

Breastfeeding:
- exclusive breastfeeding for first _ months
- optimally continue for at least ____

A

6 months
1 year

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16
Q

advantages of breastfeeding for newborns (4)

A

optimal nutrients
dec risk of infection
dec risk of immune-mediated diseases
psychological advantages

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17
Q

breastfeeding advantages mother (5)

A
  • dec post-partum bleeding
  • faster time to rid of pregnancy weight
  • dec risk of breast and ovarian cancer
  • inc child spacing
  • mother-infant bond
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18
Q

caloric density of breast milk

A

20 kcal/ounce

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19
Q

3 components of breast milk

A

lipids -> 50% calorie intake
proteins
carbs -> lactose

20
Q

breastfeeding contraindications

A

any obvious infection like TB or HIV

use of drugs

21
Q

2 main categories of drugs to avoid while breastfeeding

A

drugs that harm the baby
drugs that reduce milk production

22
Q

High/Low oral bioavailability is more likely to be absorbed by infant

A

high duh

23
Q

when do you use human milk fortifiers

A

when breast milk does not adequately meet nutritional needs

24
Q

how many kcal/ounce for term formulas

A

19-20

25
Q

T or F:
Term formulas are usually not concentrated

A

true, decrease water content to increase caloric content

26
Q

specialty formulas kcal/ounce

A

22-30

27
Q

2 reasons infants may require more frequent feedings

A

improve infant coordination
stimulate milk production

28
Q

T or F:
As an infant ages you increase feeds and decrease amount

A

false, backwards

29
Q

another name for vitamin D3

A

cholecalciferol

30
Q

cholecalciferol in premature neonates:
<1.5kg = ___________
>1.5 kg= ___________

A

200 IU daily (5mcg)
200-400 IU daily (4-10mcg)

31
Q

cholecalciferol in term infants:
- partially or fully breastfed = __________
- formula fed = __________

A

400 IU
200-400 IU daily until receiving 1000 mL/formula/day

32
Q

iron supplementation in premature neonates = _______

A

2 mg/kg/day

33
Q

iron supplementation in term infants:
if deficiency -> _______

A

3mg/kg/day

34
Q

ferrous sulfate contains ~__% of elemental iron

A

20%

35
Q

Zinc is a _______ ________ absorbed in the _______ _______

A

trace element, small intestine

36
Q

normal concentration of zinc in peds

A

70-150

37
Q

4 effects of zinc deficiency

A

dermatitis
diarrhea
infections
altered wound healing

38
Q

T or F:
Dosing of oral or IV zinc is based on elemental zinc

A

true

39
Q

zinc sulfate __ mg= 10 mg of elemental zinc

A

44

40
Q

when does initiation of complementary foods typically occur (age)

A

6 months

41
Q

how often do you introduce new foods when starting complementary foods?

A

1 new food every 4-5 days

42
Q

T or F:
honey and cows milk are safe for children under a year old

A

false, idiots

43
Q

holliday-segar method is used to do what

A

calculate fluid requirements

44
Q

holliday-segar-method
Up to 10 kg: ____ mL/kg
10-20 kg: 1000 mL + __ mL/kg for every kg greater >10
>20 kg: 1500 mL + __ mL/kg for every kg greater >20

A

100
10
20

45
Q

5 information things needed for calculating feeding requirements

A
  • age
  • postconceptional age if patient was preterm
  • underlying med conditions
  • current weight
  • number of feedings a day