COMPLETE STUDY GUIDE: Pediatric Primary Care Burns |100% Correct| #Latest Version

COMPLETE STUDY GUIDE: Pediatric Primary Care Burns |100% Correct| #Latest Version How long is exclusive BF recommended? *Ans* first 6 mos How quickly should BF be initiated? *Ans* within 30 mins of birth There are many illnesses that are less likely to occur if babe is breastfed, what are these? *Ans* gastro, NEC, AOM, LRTIs, asthma, atopy, DM, SIDS, leukemia Benefits to mother from BF: *Ans* rapid return to non-preg state, strong bond, decreased br/ovarian Ca, decreased metabolic syndrome, NIDDM, and PPD Contraindications of BF *Ans* galactosemia, T-cell lymphotrophic virus, TB, Ca or Ca tmt, HIV, nipple herpes What is in colostrum *Ans* immunoglobulins/antibodies Colostrum higher or lower fat than milk? *Ans* lower Colostrum facilitates the passage of? *Ans* meconium What is breastmilk low in? *Ans* vit D, iron At what point in pregnancy is a woman capable of milk production? *Ans* 20 wks What hormone triggers letdown reflex? *Ans* oxytocin What is mammogenesis? *Ans* growth and development of the mammary gland in preparation for milk production Frequency of feedings of newborn? *Ans* 8-12 after first 24 hrs Duration of feedings of newborn? *Ans* 20-45 mins after first 24 hrs How long is breastmilk good for in fridge? *Ans* 8 days How long if breastmilk good for in cooler? *Ans* 24 hrs How long is breastmilk good for in freezer? *Ans* 3 mos Recommendations for breastfeeding toddlers? *Ans* after meal, not on demand, if tandem feed infant first, brush teeth after, tell dentist breastfeeding Infant wt loss after birth *Ans* 5-8% of body wt normal neonate daily average wt gain *Ans* 0.5-1 ounce (14-28g) How long until a babe should be at birth wt? *Ans* 3 wks At what age should birth wt be doubled? *Ans* 5-6 months At what age should birth wt be tripled? *Ans* 1 yr First few days, a neonate should void? *Ans* 1-3 times By day 4 the neonate should void? *Ans* 4-6 Regular urine output of neonate is? *Ans* 4-6 times per day Stool output of typical neonate? *Ans* 2-3 Meconium stools should be complete by day? *Ans* 3 Minimum caloric intake of BF mom? *Ans* 1800 If mom wondering about ETOH intake what is the amount considered safe? *Ans* 0.5/kg Malaise, breast tenderness; red, warm lumps/streaking; flu-like sys (fever, chill, aches) in a breastfeeding mom can indicate? *Ans* mastitis Mgmt mastitis: *Ans* empty breast, frequent nursing, analgesics, abx if needed, rest, warm showers, increase fluids Red flag progression of mastitis? *Ans* abscess/septicemia When does elevated bili peak in breast milk jaundice? *Ans* occurs 7-10 day and peaks on 10-15th How much water loss can be life threatening to a child? *Ans* 10% What does sodium regulate in the body? *Ans* ECF volume, osmolarity, acid-base balance, membrane potential of cells How is sodium lost out of body? *Ans* vomiting, diarrhea, perspiration