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Exam (elaborations)

Certified Specialist in Pediatrics Exam Study Guide – Practice Questions with Solutions & Answers

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Prepare for the Certified Specialist in Pediatrics exam with this comprehensive study guide. Includes practice questions, detailed solutions, and answers to help healthcare professionals master pediatric concepts, reinforce knowledge, and pass the certification with confidence.

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Uploaded on
December 31, 2025
Number of pages
38
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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How long is exclusive breastfeeding 6 months
is recommended for?

human milk expressed from the infant's mother (first choice) or banked
When direct breastfeeding is not
donor human milk (second choice). Using infant formula is considered
possible, what is the best option?
last alternative according to the World Health Organization.

Increased incidence of infections, sudden infant death syndrome,
What is a formula-fed infant at higher necrotizing enterocolitis, and post-neonatal deaths and hospitalization
risk for compared to a breast fed Formula-fed infants also have increased risk of atopic dermatitis, leuke
infant? lymphoma, Hodgkin's disease, asthma, diabetes, obesity, and lower IQ
scores.

Why is it import to empty breast each Fat content of human milk increases during a feeding, so it is importan
feeding? the breast to be emptied at each feeding.

Composition of human milk 50% fat, 40% to 45% carbohydrate (lactose), and 6% protein.

, Poor intake (poor suck, infrequent feeds, structural abnormality)


Low net intake (vomiting and diarrhea, malabsorption, infection)
When evaluating the infant for failure
to thrive, look for the following: High energy requirement (neurologic disorders, congestive heart failu


Low output (<1 wet diaper/day of life if less than 6 days old; <6 wet diap
and 3 soiled thereafter)

Poor production (anatomic, hormonal, nutritional, pharmacologic, stre
When evaluating the mother for illness, fatigue)
failure to thrive, look for the following:
Poor let-down (psychologic, pain, hormonal, pharmacologic, smoking

, Initiating breastfeeding early, in the first hour of life


Breastfeeding every 2 to 3 hours


Waking infant if still sleeping 3 hours from start of previous feed

Recommendations to minimize
Exclusive breastfeeding with supplements of expressed breast milk,
hyperbilirubinemia include the
pasteurized donor human milk, or formula only when medically neces
following:

Optimal breastfeeding management


Educating mothers on early feeding cues


Identifying at-risk mothers and infants

, Galactosemia (infant)


Maternal active untreated tuberculosis


Maternal human-T lymphotropic virus type I or II positive


Maternal human immunodeficiency virus
Contraindications to breast feeding
Mothers receiving diagnostic or therapeutic radioactive isotopes


Mothers receiving antimetabolites or chemotherapeutic agents


Mothers using drugs of abuse


Mothers with herpes simplex lesion on the breast, near or on the nippl

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