NELSON'S ESSENTIALS OF
PAEDIATRICS QUIZ AND ANSWERS.
What could be the cause of a child increasing weight centile in the face of falling height?
- AnswersHypothyroidism
What's the definition of microcephaly - AnswersHC < 3rd centile, even if others are
proportionately reduced
What's the acceptable level of weight loss after birth? When do you expect it to return to
BW? - AnswersCan loose up to 10% of BW with return to BW in 7-10 days
What's the expected weight gain over the first year of life? - AnswersDouble BW in 4-5
months
Triple BW in 1 year
Daily weight gain: 20-30g for first 3-4 months; 15-20g for the rest of the first year
What is the most common reason for deviant measurements? - AnswersTechnical
(faulty equipment or human e
A child is born with Downs syndrome and you're about to plot their height and weight
measurements. Are there any considerations? - AnswersThere are different growth
charts for different conditions such as Achondroplasia, Prader-Willi, Down and Turner
syndromes etc.
A girl is late starting her periods, when should you consider evaluating for primary
amenorrhoea? - AnswersAn evaluation for primary amenorrhoea should be considered
for any female adolescent who has not reached menarche by 15 or within 3 years of
thelarche
What is catch-down growth? What is expected? How to manage? - AnswersStarting out
high in growth percentiles, then coming down between 6-18 months until they match
their genetic programming. Usually don't decrease more than 2 major percentiles and
are completely normal otherwise. Should be followed closely though no further
evaluation warranted
An infant is born SGA or prematurely, will they stay small? Will it affect their feeding?
Will it affect their weight in the future? - AnswersInfants born SGA or prematurely, ingest
more breast milk or formula and usually exhibit catch-up growth in the first 6 months
unless there are complications that require extra calories.
These infants should be fed on demand and provided as much as they want unless they
are vomiting (not just spitting up).
PAEDIATRICS QUIZ AND ANSWERS.
What could be the cause of a child increasing weight centile in the face of falling height?
- AnswersHypothyroidism
What's the definition of microcephaly - AnswersHC < 3rd centile, even if others are
proportionately reduced
What's the acceptable level of weight loss after birth? When do you expect it to return to
BW? - AnswersCan loose up to 10% of BW with return to BW in 7-10 days
What's the expected weight gain over the first year of life? - AnswersDouble BW in 4-5
months
Triple BW in 1 year
Daily weight gain: 20-30g for first 3-4 months; 15-20g for the rest of the first year
What is the most common reason for deviant measurements? - AnswersTechnical
(faulty equipment or human e
A child is born with Downs syndrome and you're about to plot their height and weight
measurements. Are there any considerations? - AnswersThere are different growth
charts for different conditions such as Achondroplasia, Prader-Willi, Down and Turner
syndromes etc.
A girl is late starting her periods, when should you consider evaluating for primary
amenorrhoea? - AnswersAn evaluation for primary amenorrhoea should be considered
for any female adolescent who has not reached menarche by 15 or within 3 years of
thelarche
What is catch-down growth? What is expected? How to manage? - AnswersStarting out
high in growth percentiles, then coming down between 6-18 months until they match
their genetic programming. Usually don't decrease more than 2 major percentiles and
are completely normal otherwise. Should be followed closely though no further
evaluation warranted
An infant is born SGA or prematurely, will they stay small? Will it affect their feeding?
Will it affect their weight in the future? - AnswersInfants born SGA or prematurely, ingest
more breast milk or formula and usually exhibit catch-up growth in the first 6 months
unless there are complications that require extra calories.
These infants should be fed on demand and provided as much as they want unless they
are vomiting (not just spitting up).
