Peds Growth & Development Flashcards

1
Q

How does brain compare to TBW & BEE in an infant?

A

10% of TBW

44% of BEE

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2
Q

Since when have growth charts been around? When was the last update?

A

1977, updated in 2000

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3
Q

How many total growth charts are there?

A

16

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4
Q

When is head circumference used as an anthropometric measure?

A

< 36 months

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5
Q

What charts are age-based?

A

1) stature
2) weight
3) BMI

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6
Q

What anthropometric measurements are used in growth charts?

A

1) height
2) weight
3) length
4) head-circumference

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7
Q

When does the anterior fontanelle close?

A

6 months

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8
Q

When does the posterior fontanelle close?

A

12 months

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9
Q

What are the cranial sutures?

A

1) metopic
2) coronal
3) lambdoid
4) sagittal

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10
Q

How many bones make up the normal skull?

A

5

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11
Q

What is craniosynostosis?

A

congenital defect when the occipital fontanelle prematurely closes

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12
Q

What percentile ranks signal overweight?

A

> 95th% in..

1) BMI-for-age
2) weight-for-length

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13
Q

What percentile rank signals “at risk for overweight?”

A

85-95% in…

1) BMI for age
2) weight for length

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14
Q

What percentile rank signals underweight?

A

< 5% in…

1) BMI for age
2) weight for length

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15
Q

What percentile rank in what chart signals short stature?

A

<5% in stature-for-age

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16
Q

What percentile rank signals developmental problems?

A

upper/lower 5% in head circumference-for-age

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17
Q

What percentile rank in what charts signals FTT?

A

<5% in…

1) primarily weight-for-age
2) weight-for-height
3) height-for-age

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18
Q

What are the complications of FTT?

A

1) decreased development & cognitive function

- - brain development in 1st year = rest of life

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19
Q

Caloric requirement if 0-6 months.

A

108 kcal/kg

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20
Q

Caloric requirement if 6-12 months?

A

98 kcal/kg

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21
Q

Caloric requirement if 11-3 years?

A

102 kcal/kg

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22
Q

Caloric requirement if 4-6 years?

A

90 kcal/kg

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23
Q

Caloric requirement if 7-10 years?

A

70 kcal/kg

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24
Q

Caloric requirement if 11-14 years?

A

55 (47) kcal/kg

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25
Q

Caloric requirement if 15-18 years?

A

45 (40) kcal/kg

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26
Q

Protein requirement if 0-6 months?

A

2.2 g/kg

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27
Q

Protein requirement if 6-12 months?

A

1.6 g/kg

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28
Q

Protein requirement if 1-3 years?

A

1.2 g/kg

29
Q

Protein requirement if 4-6 years?

A

1.1 g/kg

30
Q

Protein requirement if 7-10 years?

A

1.0 g/kg

31
Q

Protein requirement if 11-14 years?

A

1 (1) g/kg

32
Q

Protein requirement if 15-18 years?

A

0.9 (0.8) g/kg

33
Q

What are the advantages of breastfeeding for the mom?

A

1) decreased uterus size
2) better calorie utilization
3) decreased risk of breast cancer
4) convenient
5) cheap
6) maternal-infant bonding
UCCCCB (U foresee a Boob)

34
Q

What are the advantages of breastfeeding for the infant?

A

1) faster GI emptying
2) fewer GI diseases
3) immunoprotective
4) fewer allergies
5) bonding
BIG-A

35
Q

What immunoprotective compounds are passed by the mother via milk?

A

1) lactoferrin

2) immunoglobulins

36
Q

What are the disadvantages of breastfeeding?

A

1) increased risk of unconjugated hyperbilirubinemia (jaundice)
2) time
3) local tenderness

37
Q

If no fluoride in the water, and infant is breasfeed, what is the appropriate supplement?

A

10 mcg/day F for 6 months

38
Q

If not enough sunshine is being obtained and the infant is breastfed, what is the appropriate supplement?

A

Vit. D 10 mcg/day

39
Q

If the baby is premature and breastfed, what is the appropriate supplement?

A

Fe

40
Q

When is breastfeeding contraindicated?

A

1) infant/maternal dz
2) cosmetic breast surgery
3) galactosemia of the infant

41
Q

What is the usual standard formula for breastfeeding replacement?

A

Cow’s Milk formula

42
Q

How is cow’s milk formula supplied?

A

1) concentrated (40 kcal/(oz or tbsp))

2) ready to use

43
Q

How do cow’s milk formulations vary?

A

1) CHO from lactose
2) protein content
3) whey:casein ratio
4) Fe supplementation

44
Q

What is notable about Enfamil premium & Similac Advance?

A

Contain FAs DHA & ARA for potential visual/neuro benefit

45
Q

Which cow’s milk formula is 100% whey?

A

Carnation goodstart

46
Q

Which cow’s milk formulas are low-lactose?

A

Lactofree

Similac sensitive

47
Q

What population is a candidate for protein-modified formula?

A

1) cow or soy- sensitive
2) lactose intolerant/galactosemic
3) hi-risk for atopic dz
4) severe/chronic malabsorption

48
Q

How do protein-modified formulas vary?

A

1) hydrolyzed
2) phenylketonuria
3) AA-based
4) Soy-based

49
Q

What population is a candidate for fat-modified formula?

A

1) difficult fat digestion
2) CF or pancreatic insufficiency
3) bile acid deficiency

50
Q

What type of fat is supplied by fat-modified formula?

A

MCTs (passive diffusion)

51
Q

What population is a candidate for CHO-modified formula?

A

suspected/confirmed CHO intolerance

52
Q

What formulas are CHO-modified?

A

323A

Ross CHO Free (RCF)

53
Q

What population is a candidate for Preterm Infant Formula?

A

pre-term/VLBW infants

54
Q

What is different about preterm infant formulas?

A

1) 24 kcal/oz
2) 40-50% MCT
3) more minerals, vitamins

55
Q

What formulas are pre-term (but not transitional)?

A

1) Enfamil Premature

2) Similac Special Care

56
Q

What formulas are pre-term transitional?

A

Similac Neosure

EnfaCare

57
Q

When should cow’s milk be introduced?

A

1 year

58
Q

When should iron-fortified rice cereal be introduced?

A

4-6 mos

59
Q

When should strained veggies & fruits be introduced?

A

5 months

60
Q

When should finely minced foods & meats be introduced?

A

8 months

61
Q

What are the various types of infant formulas?

A

1) cow’s milk
2) protein-modified
3) fat-modified
4) CHO-modified
5) pre-term infant

62
Q

When should infant formulas be used?

A

1) if not breasfed

2) if inadequate weight

63
Q

What is the normal feed volume for 0-1 wk?

A

30 - 90 mL

64
Q

What is the normal feed volume for <1 month?

A

60 - 120 mL

65
Q

What is the normal feed volume for 1-3 mos?

A

120 - 180 mL

66
Q

What is the normal feed volume for 3-6 months?

A

180 - 210 mL

67
Q

What is the normal feed volume for 5-9 months?

A

210 - 240 mL

68
Q

What is the normal feed volume for 9-12 months?

A

210 - 240 mL

69
Q

What is the general rule for feed volume?

A

6 oz/kg/day