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what is failure to thrive defined as? - Answer- weight for age that falls below 3rd-5th
percentile for gestation-corrected age and gender
infants whose weight change decreases over 2 or more major percentile lines
what are causes of FTT? - Answer- inadequate dietary intake
diarrhea
malabsorption
poor maternal bonding
frequent infections
what is trisomy 21? - Answer- Down's syndrome
what syndrome is characterized by round, flat face, upward-slanting eyes, low-set ears,
enlarged tongue, shorter neck, short broad hands with transverse palmar crease
(simian crease).? - Answer- Down's syndrome
what syndrome is characterized by small head (microcephaly), shortened palpebral
fissures (narrow eyes, epicentral folds, flat nasal bridge, thin upper lip with no vertical
groove above the upper lip (smooth piltrum)? - Answer- fetal alcohol syndrome
what is cryptorchidism? - Answer- undescended testicle (empty scrotal sac)
the testes do not descend with massage of the inguinal area
when should surgical correction be considered with cryptorchidism? - Answer- if they do
not descend within the 1st year of life
when does an ophthalmic gonococcal infection of a newborn present after birth? what
can it lead to? - Answer- 2-5 days after birth
- can lead to blindness
what is the prophylactic treatment of gonococcal ophthalmic neonatorum and
chlamydial ophthalmia neonatorum (Trachoma)? - Answer- otic erythromycin ointment
immediately after birth
how much weight do newborns lose after they are born? - Answer- 5-7% of their birth
weight
, when should a newborn return back to original birth weight? - Answer- by 2 weeks of life
what is the trend for weight gain of a infant after birth? - Answer- birth weight doubles by
6 months and triples by 12 months
how much should an infant's head circumference grow in the first 12 months? - Answer-
12 cm
which condition, caput succedaneum or cephalohematoma, crosses the midline? -
Answer- caput succedaneum
- cephalohematoma is unilateral
How long should a child avoid cow's milk? - Answer- for the first 12 months of life
- causes GI bleeding
- iron deficiency anemia
what supplement should the infant have during the first few days of life? - Answer-
vitamin D
- infants at high risk of rickets when exclusively breastfed
what are Epstein's pearls? - Answer- white papule found on gum line resembles an
erupting tooth
when do the first teeth erupt? - Answer- - lower central incisors at 6-10 months
- both the left and right teeth erupt bilaterally at the same time
- patient has complete set of teeth by 2.5 years of age
what are sx of teething? - Answer- drooling
chewing on objects
irritability
crying
fever
when do the first permanent teeth begin to grow in? - Answer- - age 6
if the NP finds a patient who has hypo/epispadias, what should they do? - Answer- refer
to pedi urologist
if a NP diagnoses crythorchidism, what should her treatment plan be? - Answer- -refer
the child to a pedi urologist for evaluation between 4 and 12 months of age
What might a NP use transillumination to evaluate for? - Answer- - Hydrocele