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Infant Growth and Health Risks Quiz

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40 Questions

Newborns with a greater birth weight than older siblings, at 10 pounds or greater, are at risk for __________.

hypoglycemia

A more rapid weight gain than expected during early infancy is associated with increased cardiovascular disease risk and __________ as an adult.

hypertension

Recumbent Length Measurement is done for infants between birth and 24 months of age in the ________ position on a measuring device.

supine

The infant’s length should be plotted on the World Health Organization (WHO) growth curve for age and ________ to identify the infant’s percentile placement.

gender

At birth, healthy term newborns have length variations between 45 and 55 cm (18 and ________ inches).

22

Most term newborns vary in weight between 2500 and 4000 g (5 lb 8 oz to 8 lb 13 oz). After losing up to 10% of their birth weight, newborns regain that weight within 2 weeks and then gain weight at a rate of approximately 30 g (1 oz) per day. This rate of weight gain decreases starting at about 3 months of age.

infants

In general, _______ double their birth weight by 4 to 5 months of age and triple their birth weight by 12 months of age.

infants

After obtaining the length and weight, plot the infant’s weight for length on the WHO growth curve. This provides information about whether the infant’s weight is proportional to length.

infants

Beginning at 2 years of age, convert to the CDC growth curve for the child’s gender. Use conversion tables available online to give parents the infant’s weight in pounds and ounces.

infants

Assess the infant’s weight on the WHO growth curve for age and gender, comparing the infant’s weight to the population standard. Identify the infant’s percentile placement.

infants

Despite the toddler’s ability to stand, continue measuring ______ until 24 months of age

length

Measurements of length are 0.7 to 0.8 cm greater than height or ______

stature

At 24 months of age, begin measuring the child’s ______ and plotting the child’s measurements on the CDC growth curves

height

Most electronic health record systems have embedded the WHO and CDC growth ______

charts

Obtaining a reliable length measurement in newborns is difficult due to the natural ______ of the infant

flexion

The waist-height ratio greater than 0.5 is associated with increased ______.

risk

Monitoring changes in a person’s waist circumference over time may aid in predicting relative disease risk in terms of cardiovascular risk factors and ______-related diseases.

obesity

The care of children is exciting because of the continuous change that accompanies growth and ______.

development

Most babies born at term to the same parents weigh within 6 ounces of their siblings at ______.

birth

Pay close attention to an unexpected birth weight difference in infants to assess for congenital abnormality or factors that may have contributed to ______ growth restriction.

intrauterine

Risk factors for eating disorders include weight preoccupation, poor self-esteem, perfectionist personality, self-image perceptual disturbances, and chronic medical illness like insulin-dependent ______

diabetes

Cultural pressure for thinness may contribute to eating disorders, especially in athletes driven to excel like gymnasts, ice-skaters, dancers, boxers, and ______

wrestlers

Pregnant patients should be monitored for weight gain during pregnancy, nutrient intake (especially protein, calories, iron, folate, calcium), and eligibility for the ______ program

WIC

Pregnant patients may experience cravings for and eating of nonnutritive substances, a condition known as ______

Pica

Older adults should be assessed for nutrition, weight gain or loss, energy level, chronic illnesses like diabetes, renal disease, cancer, and difficulty feeding or swallowing, including swallowing dysfunction after ______

stroke

The prevalence of obesity among adults 20 years of age and older in 2017 to 2018 was ______%.

42.4

The prevalence of obesity varies by age group: 40% in adults 20 to 39 years old, ______% in adults 40 to 59 years old, and 42.8% in adults 60 years and older.

44.8

Body Mass Index (BMI) is an anthropometric index of weight and height used to assess nutritional status and total body _____.

fat

Although most electronic health records automatically calculate BMI, Box 8.4 presents the _____.

formula

For adults, the following are classifications of weight for height by BMI values (in kg/m2): Underweight—under _____, Healthy weight—18.5 to 24.9, Overweight—25 to 29.9, Obesity—30 or greater.

18.5

Track the change of a patient’s BMI over _____.

time

Newborns with a greater birth weight than older siblings, at 10 pounds or greater, are at risk for _____.

hypoglycemia

The infant’s length should be plotted on the World Health Organization (WHO) growth curve for age and ____ to identify the infant’s percentile placement.

gender

A more rapid weight gain than expected during early infancy is associated with increased cardiovascular disease risk and _____ as an adult.

obesity

Recumbent Length Measurement is done for infants between birth and 24 months of age in the _____ position on a measuring device.

lying

Growth charts are designed to plot and track anthropometric data to screen for atypical size and growth patterns and to make an overall clinical assessment. For example, growth charts for children between birth and 24 months of age make it possible to identify excessive weight gain for ______.

length

A separate growth curve for very-low-birth-weight ______ compares the growth of these ______ with the growth of other low-birth-weight ______, although the WHO growth charts may also be used to evaluate the growth of these ______. Head Circumference Measure the infant’s head circumference at every health visit until 2 to 3 years of age. Wrap a paper measuring tape snugly around the child’s head at the occipital protuberance and the supraorbital prominence to find the point of the largest circumference. Make the reading to the nearest 0.5 cm or 0.25 inch. Confirm the accuracy of the head circumference measurement at least once. Plot the measurement on the appropriate growth curve and identify the child’s percentile in comparison with the population standard. Compare measurements over time to monitor the head circumference growth pattern using the WHO growth curve. Expected head circumferences for term newborns range between 32.5 and 37.5 cm (12.5 to 14.5 inches) with a mean of 33 to 35 cm (13 to 14 inches). At 2 years of age, the child’s head circumference is two-thirds its adult size.

infants

Wrap a paper measuring tape snugly around the child’s head at the occipital protuberance and the supraorbital prominence to find the point of the largest circumference. Make the reading to the nearest 0.5 cm or 0.25 inch. Confirm the accuracy of the head circumference measurement at least once. Plot the measurement on the appropriate growth curve and identify the child’s percentile in comparison with the population standard. Compare measurements over time to monitor the head circumference growth pattern using the WHO growth curve. Expected head circumferences for term newborns range between 32.5 and 37.5 cm (12.5 to 14.5 inches) with a mean of 33 to 35 cm (13 to 14 inches). At 2 years of age, the child’s head circumference is two-thirds its adult ______.

size

A separate growth curve for very-low-birth-weight infants compares the growth of these infants with the growth of other low-birth-weight infants, although the WHO growth charts may also be used to evaluate the growth of these infants. Head Circumference Measure the infant’s head circumference at every health visit until 2 to 3 years of age. Wrap a paper measuring tape snugly around the child’s head at the occipital protuberance and the supraorbital prominence to find the point of the largest circumference. Make the reading to the nearest 0.5 cm or 0.25 inch. Confirm the accuracy of the head circumference measurement at least once. Plot the measurement on the appropriate growth curve and identify the child’s percentile in comparison with the population standard. Compare measurements over time to monitor the head circumference growth pattern using the WHO growth curve. Expected head circumferences for term newborns range between 32.5 and 37.5 cm (12.5 to 14.5 inches) with a mean of 33 to 35 cm (13 to 14 inches). At 2 years of age, the child’s head circumference is ______ its adult size.

two-thirds

Plot the measurement on the appropriate growth curve and identify the child’s percentile in comparison with the population standard. Compare measurements over time to monitor the head circumference growth pattern using the WHO growth curve. Expected head circumferences for term newborns range between 32.5 and 37.5 cm (12.5 to 14.5 inches) with a mean of 33 to 35 cm (13 to 14 inches). At 2 years of age, the child’s head circumference is two-thirds its adult size. Recumbent length measurement for ______ range between 32.5 and 37.5 cm.

infants

Test your knowledge on infant growth patterns, birth weight risks, and long-term health implications related to rapid weight gain. Topics include hypoglycemia risks for newborns with high birth weight and increased cardiovascular disease risk for infants with faster than expected weight gain.

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