12802311
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
about 6 years ago
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| Question | Answer |
| 1a. Describe normal weight gain for an infant in the first year of life. | Weight – 0-3 months 150-180 g/wk (not a straight line - “Double baby’s birthweight in first 3 months.” “An ounce a day with a rest on Sundays.”) – 3-6 months 120 g/wk – 6-9 months 80 g/wk – 9-12 months 70 g/wk Use the centile chart! |
| 1b. Are there any normal variations? | Size at birth (esp weight) determined by uterine environment, size at 2yo by genes. • “Catch up” growth eg. IUGR/SGA babies <p3 at birth, on p50 at age 12m • “Catch down” growth eg. LGA babies or infants of diabetic mums >p97 at birth, on p50 at 12m • Familial variations - “He’s just like his brother/father/uncle” |
| 2. List some reasons why an otherwise normal looking infant may not be taking in sufficient calories to gain weight normally. | • Inadequate milk/food provided • Problems with breast milk supply or technique • Incorrect preparation or choice of formula • Poor feeding due to structural cause eg. cleft palate • Lack of parental knowledge about infant feeding & weight gain • Parental mental health problem • Parental non-orthodox health beliefs/practices • Poverty/socio-economic problems – can’t afford appropriate formula |
| 3. TRUE/FALSE regarding failure to thrive? a. A serial evaluation of growth is helpful when assessing for failure to thrive. | True |
| 3. TRUE/FALSE regarding failure to thrive? b. Urinary tract infection is an unlikely cause of organic failure to thrive if there is no history of fever. | False |
| 3. TRUE/FALSE regarding failure to thrive? c. Infants from 2 weeks to 3 months age need evaluation if their weight gain is less than 20 grams a day. | True |
| 3. TRUE/FALSE regarding failure to thrive? d. Infants who are preterm or small for gestational generally catch up in terms of growth by one year of age. | False, 2 years. |
| 3. TRUE/FALSE regarding failure to thrive? e. There is no role for hospital admission in the management of failure to thrive in a child. | False |
| 3. TRUE/FALSE regarding failure to thrive? f. Coeliac disease may present with failure to thrive that dates back to the time of weaning onto solid food. | True |
| 3. TRUE/FALSE regarding failure to thrive? g. Failure to thrive may be a manifestation of severe emotional neglect in a baby. | True |
| 3. TRUE/FALSE regarding failure to thrive? h. Failure to thrive in the first year of life is a benign self resolving condition. | False |
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