p322

Question 1

how much weight a normal neonate is supposed to be adding on each week if fed appropriately?

Answer 1

150 grams to 200 grams
or
20-30 grams per day

Question 2

The average birth weight for a term infant is:

Answer 2

3.3 kg.

Question 3

Weight drops as much as __% in the first few days of life, probably as a result of loss of excess fluid; however, birth weight should be regained ____ days after birth in majority of children.

Answer 3

10

7- 14

Question 4

T/F
Breast milk does not contain enough vitamin D and vitamin D supplementation is
recommended for exclusively breast fed infants

Answer 4

T

Breast milk lacks vitamin D (choice C) and cows milk lacks iron. Babies who don’t get
enough vitamin D are at risk of getting rickets, a disease that affects the way bones grow
and develop.

Question 5

Physicians don’t worry about insufficient (or
excessive) growth until a child’s growth velocity has crossed at least:______________________________.
Additionally, if a child’s weight, height, or head size is below the __percentile, they might
also call them________. In that case, what’s most important is to see if the growth points
_____the ___th percentile line (meaning growth velocity is normal) or if the child is falling
further behind (which is more concerning).

Answer 5

two percentile lines (e.g., from above the 90th to below the 50th percentile).

50th
small for age

parallel the 50

Question 6

If you suspect premature adrenarche, which test would you want to order:

Answer 6

Testosterone
DHEA and DHEA-S
Bone age X-ray
Urinary 17-ketosteroids

Question 7

If you suspect premature adrenarche, and on top of that …
Moderately elevated levels of serum androgen other than DHEAS, bone age advancement,
or signs of atypical premature pubarche such as cystic acne or signs of systemic virilization
which test would you want to order:

Answer 7

ACTH test to rule out congenital adrenal hyperplasia

Question 8

Regarding congenital heart block in neonatal lupus
erythematosus. T/F
The majority of patients will require a pacemaker

Answer 8

T

Question 9

Regarding congenital heart block in neonatal lupus
erythematosus. T/F
The risk of mortality is small

Answer 9

F

Question 10

Regarding congenital heart block in neonatal lupus
erythematosus. T/F
Neonatal lupus is a much more common cause of heart block presenting after the
neonatal period

Answer 10

F
. NLE is
responsible for 80 to 95 % of all cases of congenital complete heart block diagnosed in utero
or in the neonatal period. NLE is a much less common cause of heart block presenting after
the neonatal period.

Question 11

Regarding iron deficiency anemia. Choose a word:

iron stores are low
as shown by high / low serum ferritin and high / low serum iron with high / low serum transferrin.

Answer 11

low serum ferritin and low serum iron with high serum transferrin.