Burns pediatric primary care complete guide
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
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
