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IBCLC EXAM: Growth and Development QUESTIONS AND ANSWER 2023 UPDATE

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How many ounces would you expect a 4 month old baby to gain each week? - ANSWER 5 to 7 ounces How much would you expect a 5 month old to weigh? - ANSWER Twice their birth weight How many ounces would you expect an 8 month old to gain each week? - ANSWER 3 to 5 ounces How much would you expect a 1 year old to weigh? - ANSWER 3x their birth weight (some sources say 2x their birth weight at 12 months) What is different in the appearance of a breastfed baby vs. a formula fed baby at 12 months of age? - ANSWER They are leaner. Weighing less but having more body fat When do breastfed babies grow the quickest? - ANSWER In the first 2-3 months, slowing at 6 months of age. How old would you guess an infant that is sitting without support is? - ANSWER 6 1/2 months old on average (between 4-9 months of age this occurs) How old would you guess an infant that is standing with assistance is? - ANSWER 8 1/2 months old on average (between 5-12 months of age this occurs) How old would you guess an infant that is on their hands and knees crawling is? - ANSWER 9 months old on average (between 5-13 months of age this occurs) How old would you guess an infant is that is walking with assistance is? - ANSWER 10 months old on average (between 6-14 months of age this occurs) How old would you guess an infant is that is standing alone is? - ANSWER 12 months old on average (between 7-17 months of age this occurs) How old would you guess that an infant is that is walking alone is? - ANSWER 11 1/2 months old on average (between 8-17 months of age this occurs) How old is the infant that lifts their head while lying on their tummy? - ANSWER 1 month old How old is the infant that rolls over from tummy to back? - ANSWER 4 months old How old is the infant that has developed a "pincer grasp" using thumb and finger to pick items up? - ANSWER 10 months old How old would you guess that a child who walks and runs well is? - ANSWER 24 months old How old would you suspect a baby that expresses separation anxiety is? - ANSWER 8- 9 months old At what age do infants imitate sounds? - ANSWER 4-5 months of age At what age do infants babble/coo/squeal? - ANSWER 6 months At what age do infant's recognize vocabulary much more readily? - ANSWER 10-12 months of age At what age would you expect teething to begin? - ANSWER 9 months on average (between 4-14 months this occurs) When should complementary foods be a part of a child's diet? - ANSWER Between 6- 24 months of age At what age would you consider Iron, Vitamin A, and Vitamin D supplementation? - ANSWER Iron: 6 months of age; Vitamin A: 12 months of age; Vitamin D: during pregnancy via mother What type of food consistency is best for a 6 month old? - ANSWER Mashed or pureed What type of food consistency is best for an 8 month old? - ANSWER Finger foods

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