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Certified Specialist in Pediatrics EXAM QUESTIONS
AND CORRECT DETAILED SOLUTIONS LATEST
UPDATED VERSION JUST RELEASED RECENTLY
Infant suckling stimulates production of ____, which ____ milk production and release of
_________ which is responsible for ______________
prolactin; increases; oxytocin; milk release
When breastfeeding, for separation from baby, consider:
express milk frequently to maintain supply (hand or pump)
insurance companies should cover breast pump (or WIC if qualifies)
Human milk should adequately met needs of an infant at _________ mL/kg/day
150-180mL/kg/day
_______________ milk is considered higher calorie than ___________________milk
hind milk, foremilk
Human milk can be stored at room temp for ___________; if room temp is lower & clean
expression, can be stored for _____________.
3-4 hours; 6-8 hours
, Page 2 of 107
Human milk can be stored in insulated cooler bag with ice pack for ____________
24 hours
Human milk can be stored in refrigerator for _______________; acceptable for
________________________ if using clean expression technique.
96 hours; 5-8 days
Human milk can be stored in freezer for ________________ ideally; acceptable for
____________, though quality may decrease.
6 months; 12 months
For hospitalized infants, a human milk can be stored in home unit freezer for _____________.
3 months
Acute malnutrition (undernutrition) refers to changes in weight in relation to height.
% of IBW @ 50%Wt/Ln
>90% Grade 0 (normal)
80%-89% Grade 1 (mild)
70% -79% Grade Il (moderate)
<70 rade lIl (severe)
Chronic malnutrition (stunting) refers to a reduction in the rate of linear growth -Waterlow
Criteria
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%IBW of Wt/Ln, age 1-3
>95% Grade 0 (normal)
90%-94% Grade I (mild)
85%-89% Grade II (moderate)
<85 % Grade III (severe)
Subcutaneous fat loss can be seen in:
Facial cheeks (buccal pads) -hallow, narrow, flat for moderate
Biceps and triceps - little space when skin pinched
Ribs Lower back Mid-axillary line- depressions very apparent
Buttocks- wasted, flat, baggy skin, wrinkled
Muscle Wasting can be seen in:
Clavicle Shoulder (deltoid muscles) - protruding/prominennt
Scapula - As the muscle groups around the scapula waste, bone becomes more prominent
Thigh (quadriceps muscle) (Note: lower body is less sensitive to change)
Knee - square, proninent, no muscle
Calf (gastrocnemius muscle)- definite tissue reduction
In average infant, weight doubles by:
The time they reach 6 months old
In average infant, weight triples by:
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One year of age
Premie growth velocity
<2kg = 15-20g/d
>2kg = 20-30g/d
0-4 month infant growth velocity:
23-34g/d
4 - 8 month infant growth velocity:
10 - 16g/d
Growth velocity infant 8 - 12 mo
6-11 g/d
12- 24 month infant growth velocity
4-9g/d
Infant nutritional history, assess:
1. Current method of feeding
2. Type of milk/formula per feed
3. Number of times per day, child is breastfed or takes bottle
4. Duration of feed and abnormal symptoms (including sweating, increased work of breathing,
Certified Specialist in Pediatrics EXAM QUESTIONS
AND CORRECT DETAILED SOLUTIONS LATEST
UPDATED VERSION JUST RELEASED RECENTLY
Infant suckling stimulates production of ____, which ____ milk production and release of
_________ which is responsible for ______________
prolactin; increases; oxytocin; milk release
When breastfeeding, for separation from baby, consider:
express milk frequently to maintain supply (hand or pump)
insurance companies should cover breast pump (or WIC if qualifies)
Human milk should adequately met needs of an infant at _________ mL/kg/day
150-180mL/kg/day
_______________ milk is considered higher calorie than ___________________milk
hind milk, foremilk
Human milk can be stored at room temp for ___________; if room temp is lower & clean
expression, can be stored for _____________.
3-4 hours; 6-8 hours
, Page 2 of 107
Human milk can be stored in insulated cooler bag with ice pack for ____________
24 hours
Human milk can be stored in refrigerator for _______________; acceptable for
________________________ if using clean expression technique.
96 hours; 5-8 days
Human milk can be stored in freezer for ________________ ideally; acceptable for
____________, though quality may decrease.
6 months; 12 months
For hospitalized infants, a human milk can be stored in home unit freezer for _____________.
3 months
Acute malnutrition (undernutrition) refers to changes in weight in relation to height.
% of IBW @ 50%Wt/Ln
>90% Grade 0 (normal)
80%-89% Grade 1 (mild)
70% -79% Grade Il (moderate)
<70 rade lIl (severe)
Chronic malnutrition (stunting) refers to a reduction in the rate of linear growth -Waterlow
Criteria
, Page 3 of 107
%IBW of Wt/Ln, age 1-3
>95% Grade 0 (normal)
90%-94% Grade I (mild)
85%-89% Grade II (moderate)
<85 % Grade III (severe)
Subcutaneous fat loss can be seen in:
Facial cheeks (buccal pads) -hallow, narrow, flat for moderate
Biceps and triceps - little space when skin pinched
Ribs Lower back Mid-axillary line- depressions very apparent
Buttocks- wasted, flat, baggy skin, wrinkled
Muscle Wasting can be seen in:
Clavicle Shoulder (deltoid muscles) - protruding/prominennt
Scapula - As the muscle groups around the scapula waste, bone becomes more prominent
Thigh (quadriceps muscle) (Note: lower body is less sensitive to change)
Knee - square, proninent, no muscle
Calf (gastrocnemius muscle)- definite tissue reduction
In average infant, weight doubles by:
The time they reach 6 months old
In average infant, weight triples by:
, Page 4 of 107
One year of age
Premie growth velocity
<2kg = 15-20g/d
>2kg = 20-30g/d
0-4 month infant growth velocity:
23-34g/d
4 - 8 month infant growth velocity:
10 - 16g/d
Growth velocity infant 8 - 12 mo
6-11 g/d
12- 24 month infant growth velocity
4-9g/d
Infant nutritional history, assess:
1. Current method of feeding
2. Type of milk/formula per feed
3. Number of times per day, child is breastfed or takes bottle
4. Duration of feed and abnormal symptoms (including sweating, increased work of breathing,
