Maternal and child care Flashcards

1
Q

Macrosomia

A

Large baby,

Women who are older than 35

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2
Q

Second trimester

A
340 calories
screened for GDM
Iron 30mg
Folic acid 600mg (200 from food, 400 from Mv) 
Al Calcium 1300 younger then 18
1,000 over 18
71 g protein
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3
Q

Third trimeser

A
450 calories
iron 30 mg
Folic acid 600 mg 
Al Calcium 1300 younger then 18. 1,000 over 18
71gm protein
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4
Q

First trimester

A

Gain 1 pound per month

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5
Q

0-6 months lactation

A

300 calories
71 protein
calcium 1300 or 1000

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6
Q

6-12 months lactation

A

400 calories
71 protein
calcium 1300 or 1000

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7
Q

Diseases that need higher sodium intake

A

Pregnancy HTN
Cystic fibrosis
Adrenal cortex

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8
Q

Healthy weight pregnancy

bmi <18.5
BMI 16.6-24.9
BMI 25-29.9
BMI 30+

A

BMI< 18.5 should gain 28-40
BMI 16.6-24.9 25-35
BMI 25 to 29.9 should gain 15-25
BMI 30+ should gain 11-20

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9
Q

Failure to gain 4 pounds per month in last half of pregnancy risk factor is

A

smaller than normal babies

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10
Q

Infancy normal birth weight

A

2500-4000 grams

2.5kg-4kg

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11
Q

LBW
VLBW
ELBW

A

<2500 gm
<1500 gm
<1000 gm

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12
Q

who is at risk for iron def

A

infants and adolescent

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13
Q

Calories 0-6 months

A

108 cals/kg

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14
Q

Calories 7-12 months

A

98 cals/kg

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15
Q

Which has less protein

A

Human milk has less protein

it has lactalbumin

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16
Q

Human milk

A
20 calories per oz
has antibodies
400 units Vit D a day 
.25 fluoride post 6 months if water supply is not enough 
4-6 months add solids if baby can sit 
Iron fortified cereal
17
Q

Formula

A

20 calories per oz
no antibodies
meets vit D needs
Flouride .25 if not in water

18
Q

Lactose intolerant

A

Casein Hydrolysate

No whole milk, increases renal solute load

19
Q

3 things non before 1

A

no cow’s milk
No honey
No juice

20
Q

Hyperbilirubinemia
Color of baby
Why is happen
Intervention

A

yellow baby
Too much bilirubin
The placenta will remove bilirubin, the babies liver takes on the job and sometimes the liver does not do it.
intervention: light
9-12 feedings per day increase mobility, increase hydration

21
Q

pku

A

Missing enzyme
No phenylalanine,
Avoid Aspartame
Avoid HIGH CHO foods

22
Q

BMI for age (+2)

underweight
normal
overweight
obese

A

> 5% = underweight
5-84% normal
85%-94th= overweight
95 above = obese

23
Q

Weight for length/ Stature

A

Short term
Detects change in nutritional status
distinguish between stunning and wasting

24
Q

1-3 years old serving size

A

2-4tT
2-4oz
about 1/2 a cup

25
Q

weight in babies

A

doubles in half
triples by first year
2 years: weight should quadrupled

26
Q

Fishes high in mercury

A

KING
SHARK
SWORDFISH
TILEFISH

27
Q

Pregnant adolescents need

A

iron, calcium and zinc

28
Q

Things to avoid while pregnant

A

vitamin A- injury to spinal cord
alcohol
seafood high in mercury

29
Q

weight for age

A

Short-term marker for growth

can be used for acute illness

30
Q

Stature/ length for age

A

Long term
defines tallness or shortness
long term chronic malnutrition