Pediatric Problem Solving-Case19

Pediatric Problem Solving – Case 19
A 2 week old infant has had no immunization, sleeps 18 h a day, weight 3.5 kg, and takes 60 ml of standard infant formula four times a day, but no solid food and no iron or vitamin supplements.
What should be of most concern about this infant?
A.Immunization state

B.Caloric intake

C.Iron levels

D.Circadian rhythm
Explanation of the case:
2 week infant has no immunization history, average weight (3.5 kg)
2 week old infant needs no iron or vitamin supplements at this age
Average feeding of an infant is 8 – 10 times per day.
 Choice (A): point against: infant of 2 weeks has no immunization history yet.
 Choice (B) : the right choice (average feeding is 8-10 times per day, this infant has low caloric intake)

 Choice (C): point against: 2 weeks infant doesn't need iron at this age.
 Choice (D): point against: unrelated.