faltering growth Flashcards

1
Q

what is the avergae weight gain for newborns between 0-12 months ?

A

6.6 kg a year

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2
Q

wgat is the avergae weight gain for children between 1-2 years ?

A

2.4 kg a year

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3
Q

what is the averga eqeight gain for children between 2-3 years ?

A

2 kga year

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4
Q

what is the definition of mild failure to thrive ?

A

a fall across two centile lines

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5
Q

what is the definition of severe failure to thrive ?

A

a fall across three centile lines

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6
Q

what are the feeding problems associated with infants ?

A

cleft lip palate
reflux
allergies

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7
Q

what are the feeding problems associated with toddlers ?

A

behavioural problems

picky eaters

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8
Q

what are the feeding problems associated with school-age children n?

A

eating disorders mainly

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9
Q

what is mid upper arm circumference a measure off ?

A

muscle mass

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10
Q

what anthropometric measure is used for measure of fat stores ?

A

tricep skin fold

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11
Q

what value in MUAC is associated with malnutritions ?

A

below 115 mm

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12
Q

how should plotting for preterm babies be done ?

A

any baby born before 37 weeks should be plotted
subtract the number of weeks away from 40 weeks
no need for adjusted age if using a preterm growth chart

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13
Q

how long is adjusted age for preterm babies used ?

A

up until 1 year

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14
Q

what are the faltering growth- abnormal patterns ?

A
falling centiles - downward deviation 
poor parallel centiles 
weight and height marked discrepancy 
retrospective rise 
saw-tooth fluctuations
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15
Q

what is poor parallel centiles ?

A

a child who has adapted to poor nutrition or any other cause affecting their growth
growing , gaining weight or height but not to their fullest potential

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16
Q

what is retrospective rise ?

A

sudden improve in centiles

17
Q

what is saw-tooth fluctuations ?

A

crossing and re-crossing centiles , as long as it is within one centile it is normal

18
Q

what diseases associated with weaning can cause FTT ?

A

gastroenteritis
celiac disease
CMPA

19
Q

what is the suggested frequency of meals ?

A

3 meals and 2 snacks

20
Q

what are the indications for extensivley hydrolyzed milk ?

A

CMPA
short bowel syndrome
malabsorption
atopic eczema

21
Q

what are the indications for soy milk formula ?

A

strictly vegan infants
galactosemia
IgE mediated CMPA

22
Q

what are the indications for Amino Acid formulas ?

A
picky eaters 
CMPA not responding to hydrolyzed formula 
GERD 
short bowel syndrome 
protracted intractable diarrhea
23
Q

what is the problem in PKU ?

A

deficiency in phenylalanine hydroxylase

24
Q

what are the methods of treatment involving PKU ?

A

large neutral amino acids
enzyme enhancement therapy (Saproptrein)
enzyme replacement therapy ( palynziq)

25
Q

what fodds should be avoided and what is their replacement for a diet for PKU pateints ?

A

avoid high protein foods and instead use protein exchange foods