Growth/Development/Nutrition Flashcards

1
Q

What growth charts do you use for children <2 years?

A

WHO growth charts

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2
Q

What growth charts do you use for children >2 years?

A

CDC growth charts

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3
Q

How fast are term infants expected to grow?

A

20g/day (birth weight doubled by 4 months)

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4
Q

How fast are children 2-10 years expected to grow?

A

2-3kg/year

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5
Q

Why do newborns have an immediate decrease in weight?

A

Contraction of extracellular fluid and significant diuresis
- Weight should be regained by the first 1-2 weeks of life

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6
Q

To what weight are infants generally expected to grow by the end of the first year of life?

A

Triple birth weight

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7
Q

What is “failure to thrive” defined as?

A
  • Weight-for-age <5th percentile on multiple occasions
    OR
  • Weight deceleration that crosses two major percentile lines on a growth chart
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8
Q

How can we treat FTT?

A
  • Proper breastfeeding
  • Formula supplementation (concentrated)
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9
Q

T/F: Medications and growth hormone should be avoided in FTT infants

A

TRUE

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10
Q

How many kcal dose breast milk contain?

A

20kcal/oz

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11
Q

How long does the AAP recommend breastfeeding for?

A

First 6 months, with support for up to 1 year and beyond

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12
Q

What is the energy requirement for a boy age 0-2 months?

A

107 kcal/kg/day

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13
Q

What is the energy requirement for a boy age 3 months?

A

95 kcal/kg/day

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14
Q

What is the energy requirement for a boy age 4-35 months?

A

82 kcal/kg/day

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15
Q

What is the energy requirement for a girl age 0-2 months?

A

104 kcal/kg/day

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16
Q

What is the energy requirement for a girl age 3 months?

A

95 kcal/kg/day

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17
Q

What is the energy requirement for a girl age 4-35 months?

A

82 kcal/kg/day

18
Q

What is the vitamin D recommendation for infants?

A

400IU/day

19
Q

When can vitamin D supplementation be waived?

A

If the infant takes >1000mL/day of Vitamin-D fortified formula

20
Q

What is the vitamin D recommendation for adolescents?

A

400IU/day if not receiving at least 600IU from fortified milk

21
Q

When is fluoride supplementation indicated?

A

Exclusively breastfed infants at least 6 months old

22
Q

When can children start using fluorinated toothpaste?

A

2 years

23
Q

What is the iron requirement for a breastfed full term infant?

A

1mg/kg/day from months 4-12

24
Q

What is the iron requirement for a breastfed pre-term infant?

A

2 mg/kg/day from months 1-12

25
Q

What is the iron requirement for a formula-fed full term infant?

A

Fortified formula containing Fe 4-12 mg/L until 12 months

26
Q

What is the iron requirement for a formula-fed pre-term infant?

A

Fortified formula containing Fe 4-12 mg/L + additional 1 mg/kg/day to bring total daily dose to 2 mg/kg/day

27
Q

T/F: Gastroesophageal reflux disease is common in infancy and usually resolves by 12-14 months

A

FALSE: this is true for gastroesophageal reflux (GER)

28
Q

Up to ________ of infants experience recurrent regurgitation and vomiting within first 4 months, but only _____% have symptoms past 1 year

A

2/3, 5%

29
Q

What s/s point towards GERD?

A
  • Heartburn
  • Excessive regurgitation
  • Food refusal
  • Abdominal pain
30
Q

What are possible complications of GERD?

A
  • Reflux esophagitis
  • Hemorrhage
  • Barrett esophagus
31
Q

What is treatment for GER?

A

Assuring parents it’s normal and will go away***
- Sleep in supine position
- Change volume/frequency of feeding
- Anti-reflux or hypoallergenic formula
- Thicken formula to increase calories

32
Q

What is a risk factor for GERD?

A

Bottle-fed (as opposed to breastfed)

33
Q

T/F: A trial of acid suppression may be completed to diagnose GERD

A

FALSE!!! NOT recommended!!

34
Q

How can mild GERD be treated?

A

First line: PRN H2RAs

35
Q

How can moderate-severe GERD be treated?

A

First line: PPIs

36
Q

How can erosive esophagitis be treated?

A

First line: PPIs

37
Q

When should prokinetic agents be used in pediatrics?

A

Can be considered in delayed gastric emptying but usually not recommended

38
Q

When do pediatrics have LOW CYP activity?

A

6-12 months

39
Q

When do pediatrics have HIGHER CYP activity than adults?

A

1-4 years

40
Q

T/F: Children ages 1-10 required a higher dose of PPIs

A

TRUE: higher CYP3A4, CYP2C19 activity

41
Q

How long should PPIs be used for GERD?

A

12 weeks, then reassess
Taper off over 4 weeks