Pre/Postnatal growth

Question 1

When is the embryonic period?

Answer 1

0-10 weeks

Question 2

When is the foetal growth period?

Answer 2

10-40 weeks

Question 3

What should foetal weight be at 28 weeks?

Answer 3

1kg

Question 4

What should foetal weight be at term?

Answer 4

3.5kg

Question 5

When is organ differentiation complete by?

Answer 5

10 weeks

Question 6

What factors affect foetal growth

Answer 6

multiple pregnancies
diabetes
placenta failing
genetic syndromes
intra-uterine infections

Question 7

What is IUGR?

Answer 7

Intrauterine Growth restriction

Question 8

What are the consequences of IUGR?

Answer 8

long term growth, brain, organ and metabolic development, nutritional programming

Question 9

When are the quickest growth states?

Answer 9

infancy and puberty

Question 10

Brain growth mirrors weight gain- true/false?

Answer 10

true

Question 11

Why is extreme prematurity different to IUGR?

Answer 11

prem baby is appropriately grown for gestational age

Question 12

What are the post natal growth retardation challenges for prem babies?

Answer 12

Respiratory
Heart
Feeding intolerance
infections
neurological insults

Question 13

What is a poor prognosis for birth size variation?

Answer 13

short but normal weight or short and light weight

Question 14

How should you assess growth development in child?

Answer 14

Child under 2- measure height laying down

Child +2- measure standing up

Question 15

Parents height can be used to predict chid height- true/false?

Answer 15

true

Question 16

Height should be checked every 3-6 months- true/false?

Answer 16

true

Question 17

Weight should be checked less frequently- true/false?

Answer 17

false

Question 18

3 factors influence growth

Answer 18

parental height, hormonal disturbances, chronic diseases

Question 19

4 poor nutrition causes

Answer 19

inability to absorb/metabolise food, increased metabolism, inadequate calorie intake, congenital abnormalities and IUGR

Question 20

4 reasons for decreased intake of food

Answer 20

behavioural challenges, pyloric stenosis, GORD, Neurological abnormalities

Question 21

What is malabsorption?

Answer 21

inability to break down, digest and absorb nutriets from normal diet

Question 22

Common conditions with malabsorption?

Answer 22

CF, Coeliacs, Chron’s, Cerebral Palsy, Liver disease

Question 23

What is the implication of measuring obesity in girls?

Answer 23

Puberty starts earlier

Question 24

Short stature can be caused by…

Answer 24

Nurture, short parents, delayed puberty, IUGR, chronic illness, chromosome abnormality, syndromes, body dysplasias, endrocrine difficulties

Question 25

Where is the growth hormone produced?

Answer 25

hypothalamus

Question 26

What does the growth hormone do?

Answer 26

acts on pituitary to produce GH

Question 27

How does GH (growth hormone) circulate?

Answer 27

In the blood stream

Question 28

What is GH converted into when it reaches the liver?

Answer 28

IGF.1

Question 29

What does IGF.1 bind to?

Answer 29

IGFBP.3

Question 30

GH reaches skeletal bones and causes growth- true/false?

Answer 30

true

Question 31

GH is most often released in the day- true/false?

Answer 31

false- it is released at night