Burns' Pediatric Primary Care 7th Edition Test
Bank latest updated 2023
Contraindications of BF - __100% correct answer as galactosemia, T-cell
lymphotrophic virus, TB, Ca or Ca tmt, HIV, nipple herpes
What is in colostrum - __100% correct answer as immunoglobulins/antibodies
Colostrum higher or lower fat than milk? - __100% correct answer as lower
Colostrum facilitates the passage of? - __100% correct answer as meconium
What is breastmilk low in? - __100% correct answer as vit D, iron
How long is exclusive BF recommended? - __100% correct answer as first 6 mos
How quickly should BF be initiated? - __100% correct answer as within 30 mins of birth
There are many illnesses that are less likely to occur if babe is breastfed, what are
these? - __100% correct answer as gastro, NEC, AOM, LRTIs, asthma, atopy, DM,
SIDS, leukemia
Benefits to mother from BF: - __100% correct answer as rapid return to non-preg state,
strong bond, decreased br/ovarian Ca, decreased metabolic syndrome, NIDDM, and
PPD
At what point in pregnancy is a woman capable of milk production? - __100% correct
answer as 20 wks
What hormone triggers letdown reflex? - __100% correct answer as oxytocin
What is mammogenesis? - __100% correct answer as growth and development of the
mammary gland in preparation for milk production
Frequency of feedings of newborn? - __100% correct answer as 8-12 after first 24 hrs
,Duration of feedings of newborn? - __100% correct answer as 20-45 mins after first 24
hrs
How long is breastmilk good for in fridge? - __100% correct answer as 8 days
How long if breastmilk good for in cooler? - __100% correct answer as 24 hrs
How long is breastmilk good for in freezer? - __100% correct answer as 3 mos
Recommendations for breastfeeding toddlers? - __100% correct answer as after meal,
not on demand, if tandem feed infant first, brush teeth after, tell dentist breastfeeding
Infant wt loss after birth - __100% correct answer as 5-8% of body wt normal
neonate daily average wt gain - __100% correct answer as 0.5-1 ounce (14-28g)
How long until a babe should be at birth wt? - __100% correct answer as 3 wks
At what age should birth wt be doubled? - __100% correct answer as 5-6 months
At what age should birth wt be tripled? - __100% correct answer as 1 yr
First few days, a neonate should void? - __100% correct answer as 1-3 times
By day 4 the neonate should void? - __100% correct answer as 4-6
Regular urine output of neonate is? - __100% correct answer as 4-6 times per day
Stool output of typical neonate? - __100% correct answer as 2-3
Meconium stools should be complete by day? - __100% correct answer as 3
Minimum caloric intake of BF mom? - __100% correct answer as 1800
If mom wondering about ETOH intake what is the amount considered safe? - __100%
correct answer as <0.5/kg
Malaise, breast tenderness; red, warm lumps/streaking; flu-like sys (fever, chill, aches)
in a breastfeeding mom can indicate? - __100% correct answer as mastitis
Mgmt mastitis: - __100% correct answer as empty breast, frequent nursing, analgesics,
abx if needed, rest, warm showers, increase fluids
Red flag progression of mastitis? - __100% correct answer as abscess/septicemia
,When does elevated bili peak in breast milk jaundice? - __100% correct answer as
occurs 7-10 day and peaks on 10-15th
How much water loss can be life threatening to a child? - __100% correct answer as
10%
What does sodium regulate in the body? - __100% correct answer as ECF volume,
osmolarity, acid-base balance, membrane potential of cells
How is sodium lost out of body? - __100% correct answer as vomiting, diarrhea,
perspiration
Role of potassium in the body? - __100% correct answer as helps maintain intracellular
homeostasis, muscle contractility, transmission of nerve impulses
Severe deficit of potassium can cause? - __100% correct answer as cardiac
dysrhythmias/death
What is the role of chloride in the body? - __100% correct answer as function with
sodium to maintain fluid/electrolyte balance
Proteins, enzymes, and hormones are synthesized from? - __100% correct answer as
amino acids
Monosaccharides are simple or complex carbs? - __100% correct answer as simple
Disaccharides are simple or complex carbs? - __100% correct answer as complex
Role of fat in diet? - __100% correct answer as energy, vitamin absorption, maintain
cell membrane and myelin
Two essential fatty acids are? - __100% correct answer as Linoleic acid, alpha-linolenic
acid (LA and ALA)
fat soluble vitamins - __100% correct answer as DAKE, absorbed in intestines, require
bile, store for a long time in tissue
Water soluble vits - __100% correct answer as Cs and Bs, only store small amts, if
intake too high absorption decreases, require daily intake
How much vit d should a breastfed babe have? - __100% correct answer as 400 IU
daily
When should fluoride be given to a babe? - __100% correct answer as at 6 months if
not in water
, What is an important consideration when adding food to a breastfed babe's diet? -
__100% correct answer as iron-fortified
What is advice regarding comfort feeding? - __100% correct answer as avoid
Nutritional risk with teen pregnancies? - __100% correct answer as adolescent growth
spurt competes with fetus for nutrients
Teen pregnancy risks? - __100% correct answer as prematurity, LBW, chronic
illness/disability, death
How much exercise should a child have? - __100% correct answer as 60 minutes
mod/high per day
Benefits of vegetarianism - __100% correct answer as lower obesity, heart disease,
and DM rates
What can be deficient in a vegan diet? What 2 are the highest? - __100% correct
answer as protein, B12, iron, Ca++, zinc, riboflavin, vit D; B12, zinc
What can become of fetus with B12 and zinc deficiency? - __100% correct answer as
possible permanent neuro damage
What measurements can be taken, other than ht and wt, to assess wt in children? -
__100% correct answer as Triceps skinfold measurement; mid-upper arm
circumference
triceps skinfold measurement - __100% correct answer as
mid-upper arm circumference - __100% correct answer as
What BMI percentile is considered overweight? - __100% correct answer as 85-95th
What BMI percentile is considered obese? - __100% correct answer as 95th or higher
Primary goal of pediatric wt management? - __100% correct answer as normalize, not
reduce
Complications of obesity in children? - __100% correct answer as Hypertension
obstructive sleep apnea , OSA, orthopedic issues, depression, suicide
How long should a food recall or diary be kept for assessment? - __100% correct
answer as 3 days
Bank latest updated 2023
Contraindications of BF - __100% correct answer as galactosemia, T-cell
lymphotrophic virus, TB, Ca or Ca tmt, HIV, nipple herpes
What is in colostrum - __100% correct answer as immunoglobulins/antibodies
Colostrum higher or lower fat than milk? - __100% correct answer as lower
Colostrum facilitates the passage of? - __100% correct answer as meconium
What is breastmilk low in? - __100% correct answer as vit D, iron
How long is exclusive BF recommended? - __100% correct answer as first 6 mos
How quickly should BF be initiated? - __100% correct answer as within 30 mins of birth
There are many illnesses that are less likely to occur if babe is breastfed, what are
these? - __100% correct answer as gastro, NEC, AOM, LRTIs, asthma, atopy, DM,
SIDS, leukemia
Benefits to mother from BF: - __100% correct answer as rapid return to non-preg state,
strong bond, decreased br/ovarian Ca, decreased metabolic syndrome, NIDDM, and
PPD
At what point in pregnancy is a woman capable of milk production? - __100% correct
answer as 20 wks
What hormone triggers letdown reflex? - __100% correct answer as oxytocin
What is mammogenesis? - __100% correct answer as growth and development of the
mammary gland in preparation for milk production
Frequency of feedings of newborn? - __100% correct answer as 8-12 after first 24 hrs
,Duration of feedings of newborn? - __100% correct answer as 20-45 mins after first 24
hrs
How long is breastmilk good for in fridge? - __100% correct answer as 8 days
How long if breastmilk good for in cooler? - __100% correct answer as 24 hrs
How long is breastmilk good for in freezer? - __100% correct answer as 3 mos
Recommendations for breastfeeding toddlers? - __100% correct answer as after meal,
not on demand, if tandem feed infant first, brush teeth after, tell dentist breastfeeding
Infant wt loss after birth - __100% correct answer as 5-8% of body wt normal
neonate daily average wt gain - __100% correct answer as 0.5-1 ounce (14-28g)
How long until a babe should be at birth wt? - __100% correct answer as 3 wks
At what age should birth wt be doubled? - __100% correct answer as 5-6 months
At what age should birth wt be tripled? - __100% correct answer as 1 yr
First few days, a neonate should void? - __100% correct answer as 1-3 times
By day 4 the neonate should void? - __100% correct answer as 4-6
Regular urine output of neonate is? - __100% correct answer as 4-6 times per day
Stool output of typical neonate? - __100% correct answer as 2-3
Meconium stools should be complete by day? - __100% correct answer as 3
Minimum caloric intake of BF mom? - __100% correct answer as 1800
If mom wondering about ETOH intake what is the amount considered safe? - __100%
correct answer as <0.5/kg
Malaise, breast tenderness; red, warm lumps/streaking; flu-like sys (fever, chill, aches)
in a breastfeeding mom can indicate? - __100% correct answer as mastitis
Mgmt mastitis: - __100% correct answer as empty breast, frequent nursing, analgesics,
abx if needed, rest, warm showers, increase fluids
Red flag progression of mastitis? - __100% correct answer as abscess/septicemia
,When does elevated bili peak in breast milk jaundice? - __100% correct answer as
occurs 7-10 day and peaks on 10-15th
How much water loss can be life threatening to a child? - __100% correct answer as
10%
What does sodium regulate in the body? - __100% correct answer as ECF volume,
osmolarity, acid-base balance, membrane potential of cells
How is sodium lost out of body? - __100% correct answer as vomiting, diarrhea,
perspiration
Role of potassium in the body? - __100% correct answer as helps maintain intracellular
homeostasis, muscle contractility, transmission of nerve impulses
Severe deficit of potassium can cause? - __100% correct answer as cardiac
dysrhythmias/death
What is the role of chloride in the body? - __100% correct answer as function with
sodium to maintain fluid/electrolyte balance
Proteins, enzymes, and hormones are synthesized from? - __100% correct answer as
amino acids
Monosaccharides are simple or complex carbs? - __100% correct answer as simple
Disaccharides are simple or complex carbs? - __100% correct answer as complex
Role of fat in diet? - __100% correct answer as energy, vitamin absorption, maintain
cell membrane and myelin
Two essential fatty acids are? - __100% correct answer as Linoleic acid, alpha-linolenic
acid (LA and ALA)
fat soluble vitamins - __100% correct answer as DAKE, absorbed in intestines, require
bile, store for a long time in tissue
Water soluble vits - __100% correct answer as Cs and Bs, only store small amts, if
intake too high absorption decreases, require daily intake
How much vit d should a breastfed babe have? - __100% correct answer as 400 IU
daily
When should fluoride be given to a babe? - __100% correct answer as at 6 months if
not in water
, What is an important consideration when adding food to a breastfed babe's diet? -
__100% correct answer as iron-fortified
What is advice regarding comfort feeding? - __100% correct answer as avoid
Nutritional risk with teen pregnancies? - __100% correct answer as adolescent growth
spurt competes with fetus for nutrients
Teen pregnancy risks? - __100% correct answer as prematurity, LBW, chronic
illness/disability, death
How much exercise should a child have? - __100% correct answer as 60 minutes
mod/high per day
Benefits of vegetarianism - __100% correct answer as lower obesity, heart disease,
and DM rates
What can be deficient in a vegan diet? What 2 are the highest? - __100% correct
answer as protein, B12, iron, Ca++, zinc, riboflavin, vit D; B12, zinc
What can become of fetus with B12 and zinc deficiency? - __100% correct answer as
possible permanent neuro damage
What measurements can be taken, other than ht and wt, to assess wt in children? -
__100% correct answer as Triceps skinfold measurement; mid-upper arm
circumference
triceps skinfold measurement - __100% correct answer as
mid-upper arm circumference - __100% correct answer as
What BMI percentile is considered overweight? - __100% correct answer as 85-95th
What BMI percentile is considered obese? - __100% correct answer as 95th or higher
Primary goal of pediatric wt management? - __100% correct answer as normalize, not
reduce
Complications of obesity in children? - __100% correct answer as Hypertension
obstructive sleep apnea , OSA, orthopedic issues, depression, suicide
How long should a food recall or diary be kept for assessment? - __100% correct
answer as 3 days
