Burns pediatric primary care QUESTIONS WITH WELL
VERIFIED ANSWERS
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
, Role of potassium in the body? - ANS ✔---helps maintain intracellular homeostasis, muscle
contractility, transmission of nerve impulses
Severe deficit of potassium can cause? - ANS ✔---cardiac dysrhythmias/death
What is the role of chloride in the body? - ANS ✔---function with sodium to maintain
fluid/electrolyte balance
Proteins, enzymes, and hormones are synthesized from? - ANS ✔---amino acids
Monosaccharides are simple or complex carbs? - ANS ✔---simple
Disaccharides are simple or complex carbs? - ANS ✔---complex
Role of fat in diet? - ANS ✔---energy, vitamin absorption, maintain cell membrane and myelin
Two essential fatty acids are? - ANS ✔---Linoleic acid, alpha-linolenic acid (LA and ALA)
fat soluble vitamins - ANS ✔---DAKE, absorbed in intestines, require bile, store for a long time in
tissue
Water soluble vits - ANS ✔---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? - ANS ✔---400 IU daily
When should fluoride be given to a babe? - ANS ✔---at 6 months if not in water
What is an important consideration when adding food to a breastfed babe's diet? - ANS ✔---iron-
fortified
VERIFIED ANSWERS
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
, Role of potassium in the body? - ANS ✔---helps maintain intracellular homeostasis, muscle
contractility, transmission of nerve impulses
Severe deficit of potassium can cause? - ANS ✔---cardiac dysrhythmias/death
What is the role of chloride in the body? - ANS ✔---function with sodium to maintain
fluid/electrolyte balance
Proteins, enzymes, and hormones are synthesized from? - ANS ✔---amino acids
Monosaccharides are simple or complex carbs? - ANS ✔---simple
Disaccharides are simple or complex carbs? - ANS ✔---complex
Role of fat in diet? - ANS ✔---energy, vitamin absorption, maintain cell membrane and myelin
Two essential fatty acids are? - ANS ✔---Linoleic acid, alpha-linolenic acid (LA and ALA)
fat soluble vitamins - ANS ✔---DAKE, absorbed in intestines, require bile, store for a long time in
tissue
Water soluble vits - ANS ✔---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? - ANS ✔---400 IU daily
When should fluoride be given to a babe? - ANS ✔---at 6 months if not in water
What is an important consideration when adding food to a breastfed babe's diet? - ANS ✔---iron-
fortified
