Test 5

Question 1

Obese

Answer 1

BMI > or = 30
OR
> 95th percentile

Question 2

Overweight

Answer 2

BMI between 85th-95th percentile

Question 3

Nutrient deficit with vegan diets

Answer 3

• Protein
• Vitamin B12
• Iron
• Calcium
• Zinc
• Riboflavin
• Vitamin D.
• Essential fatty acids.

Question 4

how much vitamin D should be supplemented

Answer 4

400 IUs daily once discharged from hospital

Question 5

Orlistat

Answer 5

OTC or prescribed medication that decreases fat absorption

Question 6

Orlistat age requirements

Answer 6

For children 12 years and older.

OTC prep for >18 years

Question 7

Orlistat contraindications

Answer 7

gallbladder disease, malabsorption syndromes, pregnancy, and sensitivity to the drug

Question 8

Bariatric surgery only for children with these requirements

Answer 8

• Extreme obesity persists despite participation in a formal weight management program
• Have attained a Sexual Maturity Rating or Tanner 4 or 5 pubertal development and final or near-final adult height
• Have a BMI of greater than 40 or a BMI greater than 35 with significant comorbidities
• Have no underlying untreated psychiatric disorder
• Demonstrate ability to adhere to lifestyle changes such as healthy dietary and physical activity habits
• Have access to a Pediatric Bariatric Surgery Center that provides long-term follow-up

Question 9

calcium supplements

Answer 9

Breastfed infants/formula fed infants receive sufficient calcium and should not be given a supplement

Question 10

iron supplements

Answer 10

Iron supplementation is recommended at 1mg/kg/day starting at 4 months for breastfed infants

Question 11

infant benefits from breastfeeding

Answer 11

decreased risk of:

• asthma
• obesity
• DM2
• ear and respiratory infections
• SIDS
• GI infections (diarrhea, vom)
• NEC for preterm infants

Question 12

mother benefits from breastfeeding

Answer 12

decrease risk of:

• hypertension
• DM2
• ovarian cancer
• breast cancer
• mother loses weight
• delays menstrual cycle

Question 13

Most benefits if breastfeeding lasts at least ____ months

Answer 13

6 months

Question 14

breastmilk jaundice

Answer 14

elevated serum indirect bilirubin concentration

Question 15

breastfeeding frequency

Answer 15

infant should be going to the breast 8 to 12 times (or every 2 to 3 hours) in 24 hours for approximately 20 to 45 minutes at each feeding.

Question 16

switching to solids

Answer 16

exclusive breastfeeding until approximately 6 months old and continued breastfeeding, supplemented with appropriate foods for infants for the first year or longer as mutually desired for mother and infant

Question 17

storage of breast milk

Answer 17

• Unfinished bottle good for 1-2 hours at room temp
• Fresh pumped breast milk can be immediately stored in the fridge for up to 8
• Breast milk can be in refrigerator freezer for 3 months
• Breast milk in a freezer which maintains a temp of 0 degrees for 12 months.

Question 18

Thelarche

Answer 18

breast budding

Question 19

Thelarche timing

Answer 19

8 and 13 years old, with the average onset at 10.3 years.

Most girls (85%) experience the development of breast buds approximately 6 months before the appearance of pubic hair.

Question 20

Adrenache

Answer 20

pubic hair development

due to adrenal development

Question 21

Adrenache timing

Answer 21

Starts at about 11.5 years old

Question 22

Menarche

Answer 22

First menstrual period

Question 23

Menarche timing

Answer 23

Occurs, on average, at 12.5 years but age of onset ranges from 9 to 15 years.

Menarche occurs approximately 2.5 years after thelarche

Question 24

HEADSS assessment

Answer 24

H—home and environment 
E—education and employment 
A—activities 
D—drugs 
S—sexuality 
S—suicide/depression