BURNS PEDIATRIC PRIMARY CARE SEVENTH
2026 CERTIFICATION EVALUATION TEST PAPER
QUESTIONS SOLUTIONS GRADED A PLUS
◉ How quickly should BF be initiated?
Answer: within 30 mins of birth
◉ There are many illnesses that are less likely to occur if babe is
breastfed, what are these?
Answer: gastro, NEC, AOM, LRTIs, asthma, atopy, DM, SIDS, leukemia
◉ Benefits to mother from BF:
Answer: rapid return to non-preg state, strong bond, decreased
br/ovarian Ca, decreased metabolic syndrome, NIDDM, and PPD
◉ Contraindications of BF
Answer: galactosemia, T-cell lymphotrophic virus, TB, Ca or Ca tmt,
HIV, nipple herpes
◉ What is in colostrum
Answer: immunoglobulins/antibodies
,◉ Colostrum higher or lower fat than milk?
Answer: lower
◉ Colostrum facilitates the passage of?
Answer: meconium
◉ What is breastmilk low in?
Answer: vit D, iron
◉ At what point in pregnancy is a woman capable of milk
production?
Answer: 20 wks
◉ What hormone triggers letdown reflex?
Answer: oxytocin
◉ What is mammogenesis?
Answer: growth and development of the mammary gland in
preparation for milk production
◉ Frequency of feedings of newborn?
Answer: 8-12 after first 24 hrs
,◉ Duration of feedings of newborn?
Answer: 20-45 mins after first 24 hrs
◉ How long is breastmilk good for in fridge?
Answer: 8 days
◉ How long if breastmilk good for in cooler?
Answer: 24 hrs
◉ How long is breastmilk good for in freezer?
Answer: 3 mos
◉ Recommendations for breastfeeding toddlers?
Answer: after meal, not on demand, if tandem feed infant first, brush
teeth after, tell dentist breastfeeding
◉ Infant wt loss after birth
Answer: 5-8% of body wt normal
◉ neonate daily average wt gain
Answer: 0.5-1 ounce (14-28g)
, ◉ How long until a babe should be at birth wt?
Answer: 3 wks
◉ At what age should birth wt be doubled?
Answer: 5-6 months
◉ At what age should birth wt be tripled?
Answer: 1 yr
◉ First few days, a neonate should void?
Answer: 1-3 times
◉ By day 4 the neonate should void?
Answer: 4-6
◉ Regular urine output of neonate is?
Answer: 4-6 times per day
◉ Stool output of typical neonate?
Answer: 2-3
2026 CERTIFICATION EVALUATION TEST PAPER
QUESTIONS SOLUTIONS GRADED A PLUS
◉ How quickly should BF be initiated?
Answer: within 30 mins of birth
◉ There are many illnesses that are less likely to occur if babe is
breastfed, what are these?
Answer: gastro, NEC, AOM, LRTIs, asthma, atopy, DM, SIDS, leukemia
◉ Benefits to mother from BF:
Answer: rapid return to non-preg state, strong bond, decreased
br/ovarian Ca, decreased metabolic syndrome, NIDDM, and PPD
◉ Contraindications of BF
Answer: galactosemia, T-cell lymphotrophic virus, TB, Ca or Ca tmt,
HIV, nipple herpes
◉ What is in colostrum
Answer: immunoglobulins/antibodies
,◉ Colostrum higher or lower fat than milk?
Answer: lower
◉ Colostrum facilitates the passage of?
Answer: meconium
◉ What is breastmilk low in?
Answer: vit D, iron
◉ At what point in pregnancy is a woman capable of milk
production?
Answer: 20 wks
◉ What hormone triggers letdown reflex?
Answer: oxytocin
◉ What is mammogenesis?
Answer: growth and development of the mammary gland in
preparation for milk production
◉ Frequency of feedings of newborn?
Answer: 8-12 after first 24 hrs
,◉ Duration of feedings of newborn?
Answer: 20-45 mins after first 24 hrs
◉ How long is breastmilk good for in fridge?
Answer: 8 days
◉ How long if breastmilk good for in cooler?
Answer: 24 hrs
◉ How long is breastmilk good for in freezer?
Answer: 3 mos
◉ Recommendations for breastfeeding toddlers?
Answer: after meal, not on demand, if tandem feed infant first, brush
teeth after, tell dentist breastfeeding
◉ Infant wt loss after birth
Answer: 5-8% of body wt normal
◉ neonate daily average wt gain
Answer: 0.5-1 ounce (14-28g)
, ◉ How long until a babe should be at birth wt?
Answer: 3 wks
◉ At what age should birth wt be doubled?
Answer: 5-6 months
◉ At what age should birth wt be tripled?
Answer: 1 yr
◉ First few days, a neonate should void?
Answer: 1-3 times
◉ By day 4 the neonate should void?
Answer: 4-6
◉ Regular urine output of neonate is?
Answer: 4-6 times per day
◉ Stool output of typical neonate?
Answer: 2-3
