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26 Cards in this Set
- Front
- Back
best tool in the prediction of obesity in kids ages 6-19 years
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BMI
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how long to take head circumference measurements in kids
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done through the first 3 years of life
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deviations on the growth charts
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kids whose plots fall below 5% or above 95%, or cross 2 major growth channels, are at nutritional risk
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**weight gain in the first couple years of life
weight gain from 2 yrs to puberty |
weight is doubled by 4-6 months, tripled by 1 year, and quadrupled by 2 years
2kg of weight per year |
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number of inches kids grow in first yr, by age 4 and per year from age 4 to puberty
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10 inches
10 inches 2 inches |
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**reasons not to breastfeed (7)
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HIV (most common)
HTLV 1 or 2 maternal drug abuse life threatening illness in the mother chemotherapy radiologic pharmaceuticals herbicide or pesticide exposure |
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caloric requirements for infants
How do they get those calories |
100 calories per kg per day (about 150 ml of breast milk per kg per day)
Breast milk or formula only |
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possible indications for the introduction of water into the diet (after 4-6 months of life and weight gain is ok)
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dry times/warmer climates
stools are hard (clay-like) |
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6 risks associated w/ early introduction of solids (before 4 months)
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aspiration/pneumonia
inadequate calorie intake renal failure DM type II celiac disease food allergies |
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4 risks associated w/ late introduction of solids (after 6 months)
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inadequte calorie intake
iron deficiency delayed oral-motor skill development solid food aversion/avoidance |
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syndromic obesity vs. exogenous obesity
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most exogenous obesity patients are tall for their age, genetic problems usually are associated w/ short stature and begin by or before 2 years of age
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common deficiencies in pre-school age childrens
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zinc and calcium
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Checking the weight of an infant
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**always check calibration
W/O diaper to nearest .01kg |
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What is the interpretation of the following measurements: Linear (length/height), Weight and Head circumferance?
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Linear - reflects bone growth
weight - Reflective fat/muscle growth Head - brain growth |
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By what age does the head circumference double?
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4-6 months
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By what age does the Head circumference triple?
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1 yr of life
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Possible the most important decision a new mother makes in the overall health of her newborn is to?
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Breatfeed
also benefits the mother |
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Basic composition of Breast Milk and formula
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Carbs - 40%
Fats - 40-50% (make sure formula has ARA/DHA for eye and brain dev.) Protien 10-12% |
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Importance of DHA/ARA (DHA - docosahexaenoic acid and ARA-Arachadonic acid)
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products of essential fatty acids that are needed for development of neural tissue and photoreceptors.
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Which formula has the rare potential risk of hypophosphatemia and rickets in long term use
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Soy version
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How often should you introduce a new food to the new born?
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Wait at least 4 days...that way you can identify problems w/ those foods
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At what age can you introduce cows milk and honey
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1yr...don't forget about botulism and honey
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Define childhood obesity?
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BMI is equal to or greater than 95% for age and gender
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Genetic obesity syndromes usually begin by or before what age?
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2
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What happens to the total number of adipose cells between 6 months and 2yrs?
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becomes constant until puberty (8 to 10)
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Pre-school aged children of lower social economic status in the USA are often deficient in...
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Zinc
calcium (if WIC is not involved...need 24ounces of milk/day) |