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Flashcards in Pediatric Nutrition Deck (22):
1

What is the most clinically useful way to look at FTT

Percentage of child’s median weight for age

2

Mild undernutrition

76-90%. Children are in no immediate danger and may be safely observed over time

3

Moderate undernutrition

61-75%. Warrant immediate evaluation and intervention with close follow-up in an outpatient setting

4

Severe undernutrition

<61%. May require hospitalization for evaluation and nutritional support

5

nonorganic causes of malnutrition resulting in FTT

inadequate nutrition from an environmental issue such as poverty, inexperienced parents, abuse or neglect, or poor bonding between infant and parent

6

Causes of organic malnutrition resulting in FTT

causes include malabsorption, metabolic disease, cardiac or pulmonary disease, malignancy, chronic or acute infection, endocrine disturbances

7

How many ounces of formula should a baby be getting per day?

6 oz/kg

8

During the first year of life, how many calories does an infant need?

120 kcal/kg/day

9

When should solid foods and be added to diet?

solid foods around 4-6 months beginning w/rice cereal (requires proper head control/swallowing).

10

When should vegetable baby foods be introduced to diet?

around 6 months

11

What is the most common cause of infantile hyponatremia?

water intoxication

12

When can an infant be switched to cow’s milk?

1 yr

13

Why is adding rice cereal to formula or breast milk contraindicated in FTT patient?

actually decreases its nutritional value

14

One of the most common diagnoses in early childhood

FTT- 30% of children presenting to ED for unrelated complaints

15

Absolute CI to breastfeeding

Maternal HIV/Hep B/TB/CMV, chemo, infant w/galactosemia

16

Medications that are CI for breastfeeding

neuroleptics, antidepressants, some abx, hyper/hypothroid meds

17

What suggest inadequate milk intake and supply in the first weeks of life?

failure to pass several stools a day

18

Prime indicator for true milk intolerance

bloody stool. nearly always associated with eczema

19

Maximum amount of cow's milk per day after one year of age

16-24 oz

20

Characterized by severe and paroxysmal crying that occurs mainly in the late afternoon for more than 3 hours a day, for more than 3 days a week, and for more than 3 weeks

Colic

21

Timing of colic

begins in first few weeks of life, then peaks at about 2-3 months and then goes away by 4-5 months

22

Tx for colic

zantac/prevacid, simethicone drops, eliminate cow's milk from mother's diet