Nutrition

Question 1

Describe neonatal growth in the first two wees of life

Answer 1

lose 7-10% of body weight, should regain by 2 weeks

Question 2

Describe neonatal growth over the first year

Answer 2

7oz/week for first 3 months, 3.5oz/week for next 3 months, 2oz/week up till 12 months

double weight by 4-5 months, triple by 1 year
quadruple by 2 years

Question 3

What is the calorie concentration of breast milk?

Answer 3

20kcal/oz

Question 4

What are the major other types of formula? Supplements and indications?

Answer 4

Breast (supplement vitamin D) cow based (add arachidonic acid)… include gentle versions with partially hydrolyzed proteins, soy based (not recommended for preterm), hydrolyzed (for soy/milk allergies), amino acid formulas (for severe protein issues), preterm

Question 5

How many kcal/kg/day does an infant need in the first year of life?

Answer 5

120

Question 6

What are some of the medical causes of inadequate weight gain?

Answer 6

diabetes, RTA, malabsorption (GI disease), infections, toxins

Question 7

What is the most common cause of FTT?

Answer 7

inorganic causes

Question 8

What is the definition of microcephaly? What are the causes?

Answer 8

2-3 deviations below normal; congenital or cerebral insult

Question 9

What is craniosynostosis?

Answer 9

premature closure of sutures - usually sporadic

Question 10

What is plagiocephaly and what are associated complications?

Answer 10

asymmetry of patient’s head - associated with torticollis

Question 11

When do the primary teeth grow in? Secondary teeth?

Answer 11

primary done by 2 years, secondary by6-8

Question 12

What are the causes of delayed dental eruption? early?

Answer 12

hypothyroidism, down syndrome; hyperthyroidism, preco

Question 13

A patient presents with a rash, diarrhea, beefy red tongue and GI complaints. This is..

Answer 13

pellagra - niacin deficiency