This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Poor indicator to response during treatment of malnutrition includes – \nSelect and explain. \nA. Presence of edema on day 10, B. Failure to gain at least 5g/kg/day by day 10, C. Failure to gain at least 5g/kg/day for 3 consecutive days during the rehabilitation phase, D. All of these', 'role': 'user'}, {'content': "Answer: D \nExplanation: Guidelines on Hospital based management of severely malnourished children\n\nThe curent guidelines recommended in-patient (hospital) management of all severely malnourished children are divided into ten essential steps:\n\n\nTreat/prevent hypoglycemia\nTreat/prevent hypothermia\nTreat/prevent dehydration\nCorrect electrolyte imbalance\nTreat/prevent infection\nCorrect micronutrient deficiencies\nStart cautious feeding\nAchieve catch-up growth\nProvide sensory stimulation and emotional support\nPrepare for follow-up after recovery.\n\nMonitoring progress\xa0 during treatment\n\nGood weight gain is >10 g/kg/day and indicates a good response. It is recommended to continue with the same treatment.\nModerate weight gain is 5-10 g/kg/day; food intake should be checked and the children should be screened for systemic infection.\nPoor weight gain is < 5g/kg/day, screening for inadequate feeding, untreated infection, tuberculosis and psycho-logical problems is recommended.\n\nIndicators of failure to respond \n\nPrimary failure to respond is indicated by:\nFailure to regain appetite by day 4.\nFailure to start losing edema by day 4.\nPresence of edema on day 10.\nFailure to gain at least 5.g/kg/day by day 10.\nSecondary failure to respond is indicated by\nfailure to gain at least 5g/kg/day for 3 consecutive days during the rehabilitation phase.\n\nCriteria for discharge\n\n\nSeverely malnourished children are ready for discharge when the following criteria have been 'Wiled:\n\n\nThe absence of infection.\nThe child is eating at least 120-130 cal/lcg/day and receiving adequate micronutrients.\nThere is consistent weight gain (or at least 5 g/kg/day for 3 consecutive days) on exclusive oral feeding.\nWFH is 90% of NCHS median; The child is still likely to have a low weight-for-age because of stunting.\nThe absence of oedema.\nCompleted immunization appropriate for age.\nCaretakers are sensitized to home care.", 'role': 'assistant'}]