Aquifer Pediatric: Case 2 - Infant Well Child 2, 6, 9 Mo
Questions & Answers
Of the following, which best reflects the caloric requirement of most healthy term
babies in the first 1 to 2 months of life? Choose the single best answer.
A. 50 kcal/kg/day
B. 100 kcal/kg/day
C. 150 kcal/kg/day
D. 200 kcal/kg/day
Answer Comment
> The correct answer is B.
TEACHING POINT
Caloric Requirements of 1- to 2-Month-Olds
Term infants
Infants born at >37 weeks gestational age require 100 to 120 kcal/kg/day. Average daily
weight gain for term infants is 20 to 30 grams.
Preterm infants
Infants born at < 37 weeks gestational age require 115 to 130 kcal/kg/day.
Very preterm infants
Infants born at < 32 weeks gestational age require up to 150 kcal/kg/day.
Which of the following positions is most appropriate for Asia at this age (2 mo)?
Choose the single best answer.
The best option is indicated below. Your selections are indicated by the shaded
boxes.
A. Front seat, facing the rear
B. Front seat, facing the front
C. Back seat, facing the rear
D. Back seat, facing the front
The correct answer is C.
TEACHING POINT
Car Seat Safety
Children under age 13 years old should not sit in the front seat.
Until age 2 years, children should face rearward.
The National Safety Transportation Board and the AAP stress that the back seat is the
safest place in a vehicle for children.
The middle of the back is the most protected part of the automobile.
Car seats for children are required by law in all 50 states. Proper use is essential for
optimum performance.
The most effective car seat restraint is a five-point harness, consisting of two shoulder
straps, a lap belt and a crotch strap.
Which of the following vaccines will you give Asia today at her 2-month visit?
Select all that apply.
Resources
Link to the CDC's webpage for current immunization schedules for children and
, adolescents.
CDC Vaccine Schedules app
Information on how to talk with parents about immunizations.
A. DTaP (diphtheria/tetanus/acellular pertussis)
B. MMR (measles/mumps/rubella)
C. HepB (hepatitis B)
D. Hib (Haemophilus influenzae)
E. IPV (inactivated polio vaccine)
F. PCV13 (pneumococcal conjugate vaccine - 13 serotypes)
G. RotaV (pentavalent rotavirus vaccine)
H. HepA (hepatitis A vaccine)
The correct answers are A, C, D, E, F, G.
The appropriate immunizations for Asia today are her first doses of:
DTaP (A)
Hib (D)
IPV (E)
PCV13 (F) and
RotaV (G)
She should also receive her second HepB (C); her first was given in the nursery before
discharge. (If a child has not received a HepB in the nursery, HepB #1 should be
administered at the first office visit.)
The MMR (B) and HepA (H) vaccines are not given until 12 months of age.
By what ages should an infant double and triple his or her birth weight? Choose
the single best answer.
A. Double by 3 months, triple by 6 months
B. Double by 4 months, triple by 6 months
C. Double by 5 months, triple by 12 months
D. Double by 9 months, triple by 15 months
C; Double by 5 months, then triple by 12 months (1 yr)
They will double birth length by 4 yrs
Developmental Observations About Asia
Pulls to a seated position without a head lag.
Able to sit well without additional support.
Grabs block with her nearest hand and transfers it to the other hand and places it
in her mouth.
Uses raking grasp to try to pick up a small toy on the table.
Frequently babbles, but not saying any specific words.
Question
Has Asia performed the expected developmental milestones for a 6-month-old
infant?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
A. Yes
B. No
Questions & Answers
Of the following, which best reflects the caloric requirement of most healthy term
babies in the first 1 to 2 months of life? Choose the single best answer.
A. 50 kcal/kg/day
B. 100 kcal/kg/day
C. 150 kcal/kg/day
D. 200 kcal/kg/day
Answer Comment
> The correct answer is B.
TEACHING POINT
Caloric Requirements of 1- to 2-Month-Olds
Term infants
Infants born at >37 weeks gestational age require 100 to 120 kcal/kg/day. Average daily
weight gain for term infants is 20 to 30 grams.
Preterm infants
Infants born at < 37 weeks gestational age require 115 to 130 kcal/kg/day.
Very preterm infants
Infants born at < 32 weeks gestational age require up to 150 kcal/kg/day.
Which of the following positions is most appropriate for Asia at this age (2 mo)?
Choose the single best answer.
The best option is indicated below. Your selections are indicated by the shaded
boxes.
A. Front seat, facing the rear
B. Front seat, facing the front
C. Back seat, facing the rear
D. Back seat, facing the front
The correct answer is C.
TEACHING POINT
Car Seat Safety
Children under age 13 years old should not sit in the front seat.
Until age 2 years, children should face rearward.
The National Safety Transportation Board and the AAP stress that the back seat is the
safest place in a vehicle for children.
The middle of the back is the most protected part of the automobile.
Car seats for children are required by law in all 50 states. Proper use is essential for
optimum performance.
The most effective car seat restraint is a five-point harness, consisting of two shoulder
straps, a lap belt and a crotch strap.
Which of the following vaccines will you give Asia today at her 2-month visit?
Select all that apply.
Resources
Link to the CDC's webpage for current immunization schedules for children and
, adolescents.
CDC Vaccine Schedules app
Information on how to talk with parents about immunizations.
A. DTaP (diphtheria/tetanus/acellular pertussis)
B. MMR (measles/mumps/rubella)
C. HepB (hepatitis B)
D. Hib (Haemophilus influenzae)
E. IPV (inactivated polio vaccine)
F. PCV13 (pneumococcal conjugate vaccine - 13 serotypes)
G. RotaV (pentavalent rotavirus vaccine)
H. HepA (hepatitis A vaccine)
The correct answers are A, C, D, E, F, G.
The appropriate immunizations for Asia today are her first doses of:
DTaP (A)
Hib (D)
IPV (E)
PCV13 (F) and
RotaV (G)
She should also receive her second HepB (C); her first was given in the nursery before
discharge. (If a child has not received a HepB in the nursery, HepB #1 should be
administered at the first office visit.)
The MMR (B) and HepA (H) vaccines are not given until 12 months of age.
By what ages should an infant double and triple his or her birth weight? Choose
the single best answer.
A. Double by 3 months, triple by 6 months
B. Double by 4 months, triple by 6 months
C. Double by 5 months, triple by 12 months
D. Double by 9 months, triple by 15 months
C; Double by 5 months, then triple by 12 months (1 yr)
They will double birth length by 4 yrs
Developmental Observations About Asia
Pulls to a seated position without a head lag.
Able to sit well without additional support.
Grabs block with her nearest hand and transfers it to the other hand and places it
in her mouth.
Uses raking grasp to try to pick up a small toy on the table.
Frequently babbles, but not saying any specific words.
Question
Has Asia performed the expected developmental milestones for a 6-month-old
infant?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
A. Yes
B. No
