growth and development.txtx

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summerecon
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35525
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growth and development.txtx
Updated:
2010-09-18 12:08:39
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growth txt
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laughing chapter 8
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  1. newborn birthweight ____ by 5 months and __ by 1yr
    doubles, triples
  2. average newborn length
    50cm=50%ile
  3. how does length increase after birth?
    • increases by 50% by age 1
    • doubles by age 4
    • triples by age 13
  4. nml head circumference and growth
    35cm

    • 1 cm per motn (0-6 months)
    • 1/2 cm per month for (6-12 months
  5. degrees of MR by iq:
    -mild
    -mod
    -severe
    -profound
    • -mild: 50-69
    • -moderate: 35-49
    • -severe: -20-34
    • -profound: below 20
  6. At what ages should the folowing deficiencies prompt worry:

    1. Lack of visual attention
    2. Lack of tracking
    3. Lack of steady head control
    4. Failure to turn to sound
    5. Inability to sit
    6. Lack of babling
    7. Inability to walk independently
    8. Failure to use single words
    9. Failure to speak in 3-word sentences
    10. Unintelligible speech
    • 1. Lack of visual attention: 2 ms
    • 2. Lack of tracking 4ms
    • 3. Lack of steady head control 4 ms
    • 4. Failure to turn to sound 6 ms
    • 5. Inability to sit 9 ms
    • 6. Lack of babbling 9ms
    • 7. Inability to walk independently 18ms
    • 8. Failure to use single words 24ms
    • 9. Failure to speak in 3-word sentences 36ms
    • 10. Unintelligible speech >36 ms
  7. Dx of autisim
    • 1. social skills
    • 2. langauge
    • 3. compuslive behaviors
    • 4. <36 months
  8. Rett syndrome dvlpmt is normal until
    1 yr
  9. when can a child

    1. hold a rattle?
    2. track across midline
    3. draw 4 body parts
    4. walk up stairs alternating feet
    5. be perfectly intelligible to a stranger?
    6. walk backwards
    7. sit up
    8. walk with one hand held
    9. identify one part of their bodies
    10. say mama and dada
    • 1. hold a rattle? 4 mos
    • 2. track across midline 2 mos
    • 3. draw 4 body parts 4 yrs
    • 4. walk up stairs alternating feet 3yrs
    • 5. be perfectly intelligible to a stranger? 4 yrs
    • 6. walk backwards 5 yr
    • 7. sit up 6 mos
    • 8. walk with one hand held 1 yr old
    • 9. identify one part of their bodies 18 months
    • 10. say mama and dada 1 yr
  10. Deficiency and toxicity of
    1. vit A (retinol)
    2. Vit B1 (thiamine)
    3. B2 (riboflavin)
    4. B3 (niacin)
    5. B6 (pyridoxine)
    6. B9 (folate)
    7. B12 (cyanocobalamin)
    8. Vit C (ascorbic acid)
    9. Vit E
    • 1.Def: blindness; Tox: pseudotumor cerebri
    • 2. Def: Beriberi (confusion, paralysis, tachycardia, cardiomegaly), tox: n/a
    • 3. Def: anemia, angular stomatitis, seb derm (esp preemies on phototherapy because it depletes riboflavin)

    4. Def: Pellegra: dermatitis, diarrha, dementia. Tox: vasodilation

    5. Tox: neuropathy

    • 6. Def: macroglossia, anemia. Tox: irritability
    • 7. anemia
    • 8. Def: bleeding gums, scurvy, poor wound healing
    • 9. Def: hemolytic anemia in premies, neuro deficits in older children
  11. toddler is yellow, but anicteric
    too much b-carotene (carrots)
  12. vit D toxicity
    hper ca, hyper pho, n/v/ wkness, renal failure
  13. why does liver failure cause rickets?
    decrease bile salts in gut and decreased absorption of vit D
  14. zin def
    copper def
    acrodermatitis enteropathica

    mekes kiny hair syndrome
  15. caloric requirements for
    20kg child
    • -100 cal/kg (for 1st 10kg)
    • -50 cal/kg (next 10kg)
    • -20 cal/kg (any more kgs)

    1500 cal for first 20kg, then 20ca/kg for each additional
  16. term and preterm infants require how mnay calories
    120 kcal/kg/day
  17. protein requirements for
    -preterm
    -full term
    • -preterm 3.5 g/kg/d
    • -term 2.5
  18. recommended concentration of iron in iron-fortified formula
    12 mg/L
  19. who needs iron supplementation?
    • -high risk babies (LBW, preterm) even if breast fed
    • -all babies after 6 months
  20. FPIES
    • food protein-induced enterocolitis syndrome (non igE mediated milk protein intolerance)
    • -first 3 months
    • -heme+
    • -can affect breast fed if mom drinks lots of milk
    • -switch to hydrolysate formula
  21. What deficiency?
    -scaly dermatitis with alopecia and thrombocytopenia
    -fatty acid. rx iv lipids, focus on linoleic acid
  22. why can premies have fat -soluble vit deficiences?
    lack of bile acids.
  23. when does the app suggest exclusive breast feeding?
    exclusive until 6 months, and continue until 1 yr
  24. how does freezing breast milk work?
    can freeze, but use after 48h thawing and don't microwave
  25. do bottles need to be sterilized?
    not anymore
  26. what are the differences nutritionally between colustrum and mature breast milk?
    • -Arachidonic acid and DHA decreases in mture milk
    • -Zinc
    • -Ergo-cholecalciferol (low levels in colustrum)
  27. which is higher in whey breast or cow's milk. why does that matter?
    breast. easier to digest
  28. caloric content of breast milk/standard formula
    20kcal/oz=.67kcal/cc
  29. full term neuborn will gain how many grams per day
    20-30
  30. obese:
    BMI>95%ile
  31. s/sz of kwashiorkor
    • -pitting edemia
    • -frai reddish hair
    • -deaquamating rash
    • -belly
  32. -ssx of rickets
    • -frontal bossing
    • -bad tooth enamel
    • -widening physes
    • -bowing of long bones
    • -pigeon chest
    • -rachitic rosary (enlargement of costochondral joints)

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