Module1 Flashcards

1
Q

What are the calorie requirements for birth to 6 months?

a) 150 kcal/kg/day
b) 130 kcal/kg/day
c) 120 kcal/kg/day
d) 100 kcal/kg/day

A

Answer: c)120 kcal/kg/day

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2
Q

What are the calorie requirements for 7 months to 1 year?

a) 150 kcal/kg/day
b) 130 kcal/kg/day
c) 120 kcal/kg/day
d) 100 kcal/kg/day

A

Answer: d)100 kcal/kg/day

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3
Q

What are the calorie requirements for 2 to 10 years of age?

a) 130 kcal/kg/day
b) 120-100 kcal/kg/day
c) 100-70 kcal/kg/day
d) 45 kcal/kg/day

A

c) 100-70 kcal/kg/day

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4
Q

What are the caloric requirements for an adolescent?

a) 130 kcal/kg/day
b) 120-100 kcal/kg/day
c) 100-70 kcal/kg/day
d) 45 kcal/kg/day

A

d)45 kcal/kg/day

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5
Q

Which is not true of breastfeeding/breastfed infants?

a) Decreases GI problems like GERD
b) Decreases allergies
c) Increases immune protection for infants
d) Provides analgesia
e) one or more of the above

A

Answer: e) one or more of the above

All are true of breastfeeding. Additionally the child is less likely to be overweight (independent of socioeconomic status).

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6
Q

What is the frequency of breastfeeding from birth-3 months of age?

a) on demand
b) Q2H-Q3H
c) Q3H-Q4H
d) None of the above

A

Answer: a) on demand

Note: infant will feed 8-10 times per day

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7
Q

What is the normal weight gain for an infant between birth and 3 months of age (excluding initial weight loss)?

a) 40 g/day
b) 30 g/day
c) 20 g/day
d) 10 g/day

A

Answer: b) 30g/day (1 oz)

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8
Q

What is the normal weight gain for an infant between 3 months of age and forward?

a) 35-40 g/day
b) 25-30 g/day
c) 15-20 g/day
d) 10 g/day

A

Answer: c) 15-20 g/day

Note: at 6 months birthweight should have doubled and weight gain will slow to ~3-4 oz/week

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9
Q

When should vitamin D supplementation be incorporated for breastfed infants?

a) 1 month
b) 2 months
c) 3 months
d) 4 months
e) none of the above

A

Answer: b)2 months of age

400 IU/day of vitamin D

Vitamin D supplementation is NOT needed for formula fed infants.

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10
Q

When should iron supplementation occur for formula fed infants?

a) 2 months
b) 4 months
c) 6 months
d) none of the above

A

Answer: d)none of the above

Iron supplementation is not needed if infant is formula fed.

Vitamin D supplementation is NOT needed for formula fed infants.

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11
Q

When should iron supplementation occur for breast fed infants?

a) 2 months
b) 4 months
c) 6 months
d) none of the above

A

Answer: c) 6 months of age

1 mg/kg/day of iron for BREAST fed infants only.

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12
Q

True or false, fluoride supplementation is for the entire first year of life?

A

False, it is for only the first 6 months if water supply is less than 0.3 ppm.

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13
Q

______ percentage of an infants weight is lost initially, but is regained within ____ to _____ days.

A

10% of an infants weight is lost initially, but is regained within 7 to 14 days.

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14
Q

Birth weight doubles by _______ and triples by ______.

A

Birth weight doubles by 6 months of age and triples by 1 year.

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15
Q

Birth weight should quadruple by _____ years of age.

a) 1
b) 2
c) 3
d) 4

A

Answer: b) 2 years of age

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16
Q

How much weight do 3-year olds through school aged children gain annually?

a) 1-3 lb
b) 2-4 lb
c) 4-6 lb
d) 5-7 lb

A

Answer: c) 4-6 lb annually

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17
Q

How much weight do school aged children gain annually?

a) 1-3 lb
b) 2-4 lb
c) 4-6 lb
d) 5-7 lb

A

Answer: d) 5-7 lbs annually

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18
Q

What is a not a red flag for 1 year?

a) is not imitating sounds
b) is not pulling to standing
c) is not indicating desires by point/gesture
d) does not feed self with spoon

A

Answer: d) does not feed self with spoon

This would be a red flag at age 18 months.

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19
Q

What is a red flag for 18 months?

a) is not walking up stairs
b) does not make eye contact
c) is not using 2-3 word phrases
d) is not initiating self-stimulation behavior

A

Answer: b) does not make eye contact

Other red flag: does not feed self with spoon

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20
Q

Which of the following is a red flag at age 2 years?

a) is not initiating self-stimulation behavior
b) is not aware of external environment
c) doesn’t follow simple directions
d) does not imitate adult activities

A

Answer: a) is not initiating self-stimulation behavior

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21
Q

What is a red flag at age 3 years?

a) is not initiating self-stimulation behavior
b) is not aware of external environment
c) doesn’t follow simple directions
d) does not imitate adult activities
e) one or more of the above

A

Answer: e) one or more of the above

Answers: b,c,d

Red flags at age 3: not aware of external environment, cannot ride a tricycle, does not follow simple directions, continues baby talk, does not imitate adult activities

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22
Q

Which of these is a red flag at age 4 years?

a) is toilet trained
b) engages in magical thinking
c) has no impulse control
d) cannot draw a human figure

A

Answer: d) cannot draw a human figure

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23
Q

What is a red flag at age 5 years?

a) engages in magical thinking
b) has no impulse control
c) can draw a triangle
d) catches a ball
e) one or more of the above

A

Answer: e) one or more of the above

Red flags are engaging in magical thinking and having no impulse control

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24
Q

What age should solid food be introduced?

a) 3 months
b) 4 months
c) 5 months
d) 6 months

A

Answer: d) 6 months

Note: some infants may be ready at 4 months

Readiness demonstrated by good head control, sit upright alone, diminished tongue thrust.

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25
Q

What should be the first solid food introduced?

a) applesauce
b) pumpkin
c) rice
d) cereal

A

Answer: d) cereal

Should be fed to infant with a spoon.

26
Q

When do teeth first appear?

a) 3 months
b) 4 months
c) 5 months
d) 6 months

A

Answer: d) 6 months

27
Q

The first teeth to appear are the ________ followed by the _______.

a) lower central incisors, upper central incisors
b) upper central incisors, lower lateral incisors
c) lower central incisors, lower lateral incisors
d) lower lateral incisors, lower central incisors

A

Answer: c) lower central incisors, lower lateral incisors

Assess for tooth eruption
• Lower central incisors (6 months)
• Lower lateral incisors (7 months)
• Upper central incisors (7.5 months)

28
Q

Meconium should pass between ____ and ____ hours.

A

Answer: 24 to 48 hours

Anything beyond this is abnormal.

29
Q

The posterior fontanel should close by ____ months and the anterior fontanel should close by _____ months.

A

Answer: posterior should close at 2 months and anterior should close by 18 months

30
Q

Which components of the visual exam can be obtained from infants?

a) red reflex
b) visual acuity
c) accommodation
d) symmetric opening
e) more than one of the above

A

Answer: e) one or more of the above

Should be able to see: red reflex, and symmetric opening.

Visual acuity cannot be assessed and accommodation is not developed yet.

31
Q

Which hearing test is routinely done in the newborn nursery?

a) auditory evoked response
b) otoacoustic emissions
c) tuning fork
d) none of the above

A

Answer: b) otoacoustic emissions (OAE)
is done routinely

Note: auditory evoked response is done for newborns at high risk for neural hearing loss

32
Q

Normal heart rate for newborns:

a) 80-120
b) 100-140
c) 120-160
d) 160-180

A

Answer: c) 120-160 BPM

Murmurs are common

33
Q

Which cranial nerves cannot be assessed?

a) CN I
b) CN II
c) CN III
d) CN V

A

Answer: a) CN I (olfactory)

34
Q

When should the rooting reflex be present only during sleep?

a) 2 months
b) 3 months
c) 4 months
d) 6 months

A

Answer: c) 4 months

35
Q

Weight gain, length gain, and head circumference grow at a rate of 1 inch/month (length), 1 oz/day (weight), and 0.5 inch/month (head) up until what age?

a) 6 months
b) 5 months
c) 4 months
d) 3 months

A

Answer: a) 6 months

At 6 months length will increase only by 0.5 inch/month; weight is 3-4 oz/week; head increases by only 0.25 inch/month (basically the growth slows)

36
Q

When will the moro (startle) reflex disappear?

a) 3 months
b) 4 months
c) 5 months
d) 6 months

A

Answer: d) 6 months

37
Q

How should solid foods be introduced?

a) cereal exclusively
b) cereal+1 other food/day
c) 2-3 solids/day
d) 3-4 solids/day

A

Answer: c) 2-3 solids/day

Note: cereal should be first food

38
Q

At what age is chest circumference approximately the same as head circumference?

a) 6 months
b) 8 months
c) 10 months
d) 12 months
e) 14 months

A

Answer: d) 12 months

39
Q

Which skin condition seen in newborns can lead to basal cell carcinoma?

a) nevus sebaceous
b) cutis marmorata
c) Harlequin color
d) sebaceous hyperpplasia
e) erythema toxicum

A

Answer: a) nevus sebaceous

40
Q

When should 100% of language be intelligible to a stranger?

a) 3 years
b) 4 years
c) 5 years
d) 6 years

A

Answer: b) 4 years

41
Q

When should visual acuity screening begin?

a) birth
b) 1 year
c) 2 years
d) 3 years

A

Answer: d) 3 years of age

42
Q

When do most children toilet train?

a) 1-2 years
b) 2-3 years
c) 2.5-3.5 years
d) none of the above

A

Answer: c) 2.5-3.5 years

Most are trained by 4 years.

Most not ready to attempt before 24 months

43
Q

Place the following bowel and bladder control items in the sequence in which they are typically achieved.

1) nighttime bowel control
2) nighttime bladder control
3) daytime bowel control
4) daytime bladder control

A

Answer: 3,1,4,2

Usually: nighttime bowel control then daytime bowel; then day bladder control; then night bladder

44
Q

True or false, the first dose of a vaccine must be monovalent.

A

True

45
Q

Vaccine intervals are ____ weeks.

a) 3
b) 4
c) 5
d) 6

A

Answer: d) 6 weeks

46
Q

If the last rotavirus vaccine is delayed, it can be administered up until what week?

a) 14 weeks
b) 24 weeks
c) 32 weeks
d) 36 weeks

A

Answer: c) 32 weeks

DO NOT administer a dose after the 32 week of age mark

47
Q

How many doses of Hep B are administered?

A

Two

48
Q

When is the second dose of Hep B administered?

a) 6 weeks after the first
b) 12 months later
c) 1-2 months of age
d) 4 months of age

A

Answer: c) 1-2 months of age

First dose given at hospital before discharge

49
Q

When should an infant born to a hepB antigen+ mother receive their Hep B vaccination?

a) 4 weeks after delivery
b) never
c) 12 hours after delivery
d) before discharge

A

Answer: c) 12 hours after delivery

Test for HBsAG should be done after 3 or more doses of Hep B series at 9-18 months

50
Q

How many vaccines are required for full Rotavirus immunization?

A

Three

51
Q

When is the first dose of Rotavirus immunization administered?

a) at delivery
b) 2-4 weeks of age
c) 4-8 weeks of age
d) 6-14 weeks of age

A

Answer: d) 6-14 weeks of age

Each subsequent dose given at 4 week intervals

52
Q

How many vaccines are in the complete PRIMARY set of DTaP?

A

Three

Note: two boosters are required at 15 months and 6 years

53
Q

Which patient should not receive DTaP?

a) 20 year-old who never received the primary series
b) 6 year old
c) 4 month old who missed the 2 month dose
d) someone with an anaphylactic reaction to eggs

A

Answer: a) 20 year old-who never received the primary series

Rationale: DTaP is not indicated for anyone 7 or older (regardless of primary series)

54
Q

Which is not a scheduled age for DTaP dose?

a) 2 months
b) 4 months
c) 8 months
d) 15 months
e) 6 years

A

Answer: c) 8 months

The appropriate doses are primary (2,4,6 months) and boosters at age 15 months and 6 years

55
Q

When should Tdap immunization begin?

a) age 7
b) age 11
c) age 15
d) age 18

A

Answer: b) age 11

Subsequent injections every 10 years

56
Q

Which patient should not receive an MMR vaccine?

a) pregnant woman
b) streptomycin allergy
c) elderly
d) immunocompromised
e) one or more of the above

A

Answer: e) one or more of the above

Pregnant women and immunosuppressed should not receive MMR

57
Q

A patient who received which vaccine should wait 4-6 weeks to receive routine PPD testing to avoid possible suppressive response to PPD?

a) varicella
b) Hep B
c) meningococcal
d) MMR

A

Answer: d) MMR

Note: can be given simultaneously with TB testing (PPD) but can sjuppress response to PPD

58
Q

Which age range is at increased risk for meningococcal disease?

a) 8-11 years
b) 12-15 years
c) 16-21 years
d) 21-24 years
e) 75-80 years

A

Answer: c) 16-21 years

59
Q

When should first dental exam be performed?

a) 6 months
b) 8 months
c) 12 months
d) 14 months

A

Answer: c) 12 months

Note: 12 months to 36 months is fine

60
Q

When is head circumference no longer measured?

a) 18 months
b) 2 years
c) 3 years
d) 3 years

A

Answer: b) 2 years