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Whaich 2 periods do children experience growing pains?
3-5 and 8-12 years old.
What part of the day do growing pains strike most frequently?
Late afternoon or evening before bed.
Which Enfamil formula is made for frequent spit up? (>5x qd)
Which Enfamil formula is made for fussiness and gas?
Gentlease or ProSobee (soy-based)
Which Mead Johnson formula is made for babies w/ colic?
What are typical baby bottle sizes?
- Newborns: 4 ounces (~120 ml)
- Others: 8 or 9 ounces (~240-270 ml)
*though there are 5 and 10 oz ones too
When does the umbilical cord usually fall off? When should one get concerned/checked if it doesn't fall off?
- 1-3 weeks.
- Concern: 8 weeks
What happens sometimes instead of the umbilical cord drying? How to treat?
The cord will form a granuloma, (pink scar tissue.), which drains a light-yellowish fluid. This condition will usually go away in about a week, but if not, the pediatrician may need to burn off (cauterize) the granulation tissue w/ silver nitrate.
What's normal to see around the umbilical cord while healing? What are signs to see the doctor?
- Normal: crusting, dried blood
- Caution Signs: 1) red and swollen around the cord
- 2) Continues to bleed
- 3) Oozes yellowish pus
- 4) Produces a foul-smelling discharge
Should one clean the umbilical cord?
No longer recommended. Heal faster w/o touching it. Sponge baths in the meanwhile.
When does a umbilical hernia resolve?
Most (>90%) of cases self resolve by 2 years old (more for African Americans)
What cream is often used for Diaper rash?
What's the active ingredient?
What does it do?
What else is it used for?
- Zinc Oxide.
- Barrier between moisture and skin.
- Burns, cuts, scrapes.
What are similar cysts to milia in the mouth called? Where do they appear? When should they disappear?
Epstein pearls usually appear on gums/roof of the mouth.They disappear w/in a few weeks (1-2) of life.
How do Epstein's pearls appear? What are they frequently mistaken for?
Small white to yellow bumps on a baby’s gums or on the hard palate, often mistaken for teeth.
What age is the most common to have diaper rash?
9-12 months old.
What % classify over-wt? Obesity?
- obese: > 95%
When do all the sinuses develop?
- Maxillary & ethmoid at birth.
- Frontal: by age 5-6
- Sphenoid: 8-10
How much wt can a baby lose in the 1st week? When should they gain it back?
Can lose 5-10% in 1st wk, should gain back by 2nd-3rd week
In the 1st 4 months, how much wt should a baby be gaining?
5-7 oz per week
In the 1st 12 months, how much length should the baby increase by per month?
- 1 inch 1st 6 months
- 1/2 inch next 6 months
What percent of boys have fully retractable foreskin at birth? 3 yrs? Adults?
- Birth: 4 %
- 3 yrs: 90%
- adults: 99%
Neonatal Circumcision lowers risk of which diseases?
UTIs, penile cancer, genital warts (not same as adult circumcision)
Peds and derm:
- Peds and derm:
- 1-2 weeks: milia & Epstein pearls
- 1-3 weeks: umbilical cord fall off
- 3-4weeks: baby acne
- 9-12 months: diaper rash
- 2 yrs: umbilical hernia resolve
- 3 yrs: 90% foreskin retracted
- 3-5: 1st growth pains
- 4 yrs: mongolian spots resolve
- 5 yrs. 50 %Hemangioma resolve
- 8-12 yrs: 2nd growth pains
- 9 yrs: 90% hemangioma resolve