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L9 Common Probs Early Childhood
Creighton University School of Medicine
26
Medical
Professional
02/27/2013

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Cards

Term
Start solid foods at what age? (no honey, nut, or egg)
Definition
5-6 months
Term
Start sippy vup at what age?
Definition
9-12 months
Term
Breast milk and formula until what age?
Definition
12 months
Term
How does the rate of birth weight growth change at 6 months, 1 year, and 2 years
Definition
doubles, triples, and quadruples
Term
Why is a decrease appetite not a huge concern at about 2 years
Definition
growth rate slows and baby only eats when hungry
Term
Infant and toddler eating habbits
Definition
sweeeat 7X per day, t foods, needs 8-10 tries of come foods fro acceptace, has food jags (eats the same thing every day)
Term
Pre school feeding
Definition
3 meals per day, limeted attention span, can have low fruit and veggie intake, high fat content, stress sitting down at meals
Term
Feeding recommendations
Definition
Fruits and veggies! Low sugar, child portions, 60 mins of activity perday, offer structured sit-down meals, model behavior, limit desserts, minimize distractions
Term
Toddler feeding concerns
Definition
fluctuations in appetite, low iron and zinc, low fruit/veggie acceptance, too much tv, need routine
Term
Preschool feeding concerns
Definition
fruits/veggie acceptance, high energy snacks, high sugar, decreased milk, limit tv time, dieting
Term
Potty Training readiness signs
Definition
recognize full bowel, 18 months can understand what "potty" is for, increased attention span to sit, cooperative
Term
Tips for potty training
Definition
Let child watch you, read about potty, visit it frequently, practice
Term
Problems with potty trainging
Definition
Punishment delays it, tog of war, strong-wiled termprements
Term
Definition of Functional Constipation
Definition
pabble-hard stools more than 2X per week, no evidence of metabolic or endocrine issues (hyperthyroidism, Hirschprung's)
Term
Functional Fecal Retention
Definition
Large-diameter stools, less than 2X per week, retentive posture, rectal fissures, impaction,
Term
Methods of dis-empaction
Definition
1- enema. Hypertonic- fluid into colon, hyperphosp or hypercalcemia 2- polyethylene glycol- go-lyetely, NG drip overnight
Term
Manintenance of no constipation
Definition
1- Milk of Magnesia, polyethylene glycol (miralax) is osmotic powder taken daily, mineral oil and lactolose
Term
How to treat constipation with diet and behavior
Definition
more fiber and less then 24 oz of milk per day. More toilet training and practice with positive reinforcement and poop journal
Term
encopresis- 2 types
Definition
Leakag of stool in underware. 1- retentive (90%), functional constipation that causes fissures and leaks around mass. 2- non retentive, regular bowel movements and psych issues. Differentiate with x-ray
Term
Enuresis inheritance
Definition
77% with both parents and 44% with one
Term
Causes of enuresis
Definition
Foo sensitivities, lack of ADH surge at night so have constant levels happens in all levels of sleep, constipation reduces bladder size, school schedules and bathrooms
Term
secondary enuresis
Definition
after 6 months of dryiness, enuresis can come back because of infection. Diabetes, encopresis, or emotional issues
Term
Treatment for enuresis
Definition
DDAVP with an alarm that senses wetness in underware, treat constipation, wake in middle of night to pee (lifting), limit fluid after dinner
Term
Sleep issues in babies
Definition
now getting back to sleep, eliminate dangers of suffocatoin, swaddling, no smoke exposure or else SIDS
Term
Help with babies sleeping
Definition
teach self soothing with occational hands on back, 70% sleep through the night by 4 months, security
Term
Sleep issues in older kids- what to do
Definition
routines are key, have an attachment object, no fear in bedroom, nightlight, reassure that you are nearby
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