E3 pediatric nutrition

Question 1

infant weight doubles by - months

Answer 1

4-6

Question 2

infant weight triples by __ months

Answer 2

12

Question 3

infant length increased __% by 12 months

Answer 3

50

Question 4

growth slow but constant:
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

Answer 4

a

Question 5

steady growth
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

Answer 5

B

Question 6

adipose tissue distribution begins
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

Answer 6

A

Question 7

rate of weight gain increases
A. Preschool (2-6)
B. Middle (7-10)
C. Adolescence (11-18)

Answer 7

C

Question 8

WHO growth chart ages

Answer 8

<2

Question 9

CDC growth chart ages

Answer 9

2-20

Question 10

T or F:
Growth is a linear process

Answer 10

false, no shit

Question 11

3 variations on nutrition requirements slide

Answer 11

age
organ function
body comp

Question 12

__% of a neonates basal energy expenditure is used by their brain

Answer 12

50

Question 13

2 things listed under failure to thrive

Answer 13

fall of 2 major percentiles
weight <3-5th percentile

Question 14

3 causes of malnutrition

Answer 14

inadequate caloric intake
inadequate absorption
excessive energy expenditure

Question 15

Breastfeeding:
- exclusive breastfeeding for first _ months
- optimally continue for at least ____

Answer 15

6 months
1 year

Question 16

advantages of breastfeeding for newborns (4)

Answer 16

optimal nutrients
dec risk of infection
dec risk of immune-mediated diseases
psychological advantages

Question 17

breastfeeding advantages mother (5)

Answer 17

• dec post-partum bleeding
• faster time to rid of pregnancy weight
• dec risk of breast and ovarian cancer
• inc child spacing
• mother-infant bond

Question 18

caloric density of breast milk

Answer 18

20 kcal/ounce

Question 19

3 components of breast milk

Answer 19

lipids -> 50% calorie intake
proteins
carbs -> lactose

Question 20

breastfeeding contraindications

Answer 20

any obvious infection like TB or HIV

use of drugs

Question 21

2 main categories of drugs to avoid while breastfeeding

Answer 21

drugs that harm the baby
drugs that reduce milk production

Question 22

High/Low oral bioavailability is more likely to be absorbed by infant

Answer 22

high duh

Question 23

when do you use human milk fortifiers

Answer 23

when breast milk does not adequately meet nutritional needs

Question 24

how many kcal/ounce for term formulas

Answer 24

19-20

Question 25

T or F: Term formulas are usually not concentrated

Answer 25

true, decrease water content to increase caloric content

Question 26

specialty formulas kcal/ounce

Answer 26

22-30

Question 27

2 reasons infants may require more frequent feedings

Answer 27

improve infant coordination stimulate milk production

Question 28

T or F: As an infant ages you increase feeds and decrease amount

Answer 28

false, backwards

Question 29

another name for vitamin D3

Answer 29

cholecalciferol

Question 30

cholecalciferol in premature neonates: <1.5kg = ___________ >1.5 kg= ___________

Answer 30

200 IU daily (5mcg) 200-400 IU daily (4-10mcg)

Question 31

cholecalciferol in term infants: - partially or fully breastfed = __________ - formula fed = __________

Answer 31

400 IU 200-400 IU daily until receiving 1000 mL/formula/day

Question 32

iron supplementation in premature neonates = _______

Answer 32

2 mg/kg/day

Question 33

iron supplementation in term infants: if deficiency -> _______

Answer 33

3mg/kg/day

Question 34

ferrous sulfate contains ~__% of elemental iron

Answer 34

20%

Question 35

Zinc is a _______ ________ absorbed in the _______ _______

Answer 35

trace element, small intestine

Question 36

normal concentration of zinc in peds

Answer 36

70-150

Question 37

4 effects of zinc deficiency

Answer 37

dermatitis diarrhea infections altered wound healing

Question 38

T or F: Dosing of oral or IV zinc is based on elemental zinc

Answer 38

true

Question 39

zinc sulfate __ mg= 10 mg of elemental zinc

Answer 39

44

Question 40

when does initiation of complementary foods typically occur (age)

Answer 40

6 months

Question 41

how often do you introduce new foods when starting complementary foods?

Answer 41

1 new food every 4-5 days

Question 42

T or F: honey and cows milk are safe for children under a year old

Answer 42

false, idiots

Question 43

holliday-segar method is used to do what

Answer 43

calculate fluid requirements

Question 44

holliday-segar-method Up to 10 kg: ____ mL/kg 10-20 kg: 1000 mL + __ mL/kg for every kg greater >10 >20 kg: 1500 mL + __ mL/kg for every kg greater >20

Answer 44

100 10 20

Question 45

5 information things needed for calculating feeding requirements

Answer 45

- age - postconceptional age if patient was preterm - underlying med conditions - current weight - number of feedings a day