Development

Question 1

Cx of failure to thrive 5

Answer 1

• The physical development and growth of a baby

Poor feeding - maternal problems

Increased energy requirements - hyperthyroid, malignancy, infections

Difficulty feeding - poor suck due to cerebral palsy, pyloric stenosis,

Malabsorption - coeliac, cystic fibrosis, cows milk intolerance,

Inability to process - type 1

Question 2

Hypogonadism

Answer 2

• Cause for delayed puberty due to reduced sex hormones

Hypogonadatrophic hypogonadism - failure to produce LH and FSH

Hypergonadotrophic hypogonadism - failure to respond to LH and FSH

Question 3

Developmental milestones 4

Answer 3

• Gross motor - sitting up, walking, standing
• Fine motor - skilled movements and coordination such as grip
• Language - receptive and expressive
• Personal and social - interacting and playing

Question 4

Feeding volumes per day

Answer 4

Expected
60ml/Kg/day - day 1
90ml/Kg/day - day 2
… - Increasing by 30ml per day

Question 5

Expected weightloss for bottle fed

Answer 5

• Formula lose up to 5% by day 5
• Should be back to normal weight by day 10

Question 6

Expected weightloss for breast fed

Answer 6

• Breast fed lose up to 10% BW by day 5
• Should be back to normal weight by day 10

Question 7

What is plotted on growth charts

Answer 7

• Age plotted on there X axis
• Head circumference
• Height
• Weight
• All Y axis

Question 8

Female puberty sx

Answer 8

• Girls - 8-14
• development of breasts, then pubic hair, then periods
• Menstural period 2 years after starting puberty

**Girls have their growth spurt first

Question 9

Male puberty sx

Answer 9

Boys - 9-15
- Enlarged testicles, penis, darkened scrotum, pubic hair and deep voice

Question 10

What age do males and female go through puberty

Answer 10

FM - 8-14

M - 9-15

Question 11

Fine motor milestones

Answer 11

3 - Reaches for objects
6 - palmar grasp
9 - pointing
12 - pincer grip

Question 12

Gross motor milestones

Answer 12

3 - lie on abdomen, good head control
6 - rolls front to back
7 - sits alone
9 - crawls
12 - walks with one hand
13-15 - walks unsupported

Question 13

Speech milestones

Answer 13

3 - squeals
6 - x2 syllables
9 - mama and dada
12 - responds to name
15 - understands commands
3 years - short sentences

Question 14

Signs of non accidental injury

Answer 14

Delayed development, repeat returns to ED, inconsistent story, frozen appearance child

Physical

Question 15

Ambiguous genitalia sign of

Answer 15

• Congenital adrenal hyperplasia