BURNS PEDIATRIC PRIMARY CARE 8TH
EDITION BY GARZON DIRKS DRIESSNACK
DUDERSTADT AND GAYLORD ACTUAL
EXAMINATION PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ 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
, ⩥ Meconium stools should be complete by day? Answer: 3
⩥ Minimum caloric intake of BF mom? Answer: 1800
⩥ If mom wondering about ETOH intake what is the amount considered
safe? Answer: <0.5/kg
⩥ Malaise, breast tenderness; red, warm lumps/streaking; flu-like sys
(fever, chill, aches) in a breastfeeding mom can indicate? Answer:
mastitis
⩥ Mgmt mastitis: Answer: empty breast, frequent nursing, analgesics,
abx if needed, rest, warm showers, increase fluids
⩥ Red flag progression of mastitis? Answer: abscess/septicemia
⩥ When does elevated bili peak in breast milk jaundice? Answer: occurs
7-10 day and peaks on 10-15th
⩥ How much water loss can be life threatening to a child? Answer: 10%
⩥ What does sodium regulate in the body? Answer: ECF volume,
osmolarity, acid-base balance, membrane potential of cells
EDITION BY GARZON DIRKS DRIESSNACK
DUDERSTADT AND GAYLORD ACTUAL
EXAMINATION PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ 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
, ⩥ Meconium stools should be complete by day? Answer: 3
⩥ Minimum caloric intake of BF mom? Answer: 1800
⩥ If mom wondering about ETOH intake what is the amount considered
safe? Answer: <0.5/kg
⩥ Malaise, breast tenderness; red, warm lumps/streaking; flu-like sys
(fever, chill, aches) in a breastfeeding mom can indicate? Answer:
mastitis
⩥ Mgmt mastitis: Answer: empty breast, frequent nursing, analgesics,
abx if needed, rest, warm showers, increase fluids
⩥ Red flag progression of mastitis? Answer: abscess/septicemia
⩥ When does elevated bili peak in breast milk jaundice? Answer: occurs
7-10 day and peaks on 10-15th
⩥ How much water loss can be life threatening to a child? Answer: 10%
⩥ What does sodium regulate in the body? Answer: ECF volume,
osmolarity, acid-base balance, membrane potential of cells
