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Pediatric primary care burns exam testbank
Pediatric primary care burns exam testbank
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Pediatricprimary
care
burns
exam
How
long
is
exclusive
BF
recommended?
-
ANSfirst
6
mos
How
quickly
should
BF
be
initiated?
-
ANSwithin
30
mins
of
birth
There
are
many
illnesses
that
are
less
likely
to
occur
if
babe
is
breastfed,
what
are
these?
-
ANSgastro,
NEC,
AOM,
LRTIs,
asthma,
atopy,
DM,
SIDS,
leukemia
Benefits
to
mother
from
BF:
-
ANSrapid
return
to
non-preg
state,
strong
bond,
decreased
br/ovarian
Ca,
decreased
metabolic
syndrome,
NIDDM,
and
PPD
Contraindications
of
BF
-
ANSgalactosemia,
T-cell
lymphotrophic
virus,
TB,
Ca
or
Ca
tmt,
HIV,
nipple
herpes
What
is
in
colostrum
-
ANSimmunoglobulins/antibodies
Colostrum
higher
or
lower
fat
than
milk?
-
ANSlower
Colostrum
facilitates
the
passage
of?
-
ANSmeconium
What
is
breastmilk
low
in?
-
ANSvit
D,
iron
At
what
point
in
pregnancy
is
a
woman
capable
of
milk
production?
-
ANS20
wks
What
hormone
triggers
letdown
reflex?
-
ANSoxytocin
What
is
mammogenesis?
-
ANSgrowth
and
development
of
the
mammary
gland
in
preparation
for
milk
production
Frequency
of
feedings
of
newborn?
-
ANS8-12
after
first
24
hrs
Duration
of
feedings
of
newborn?
-
ANS20-45
mins
after
first
24
hrs
How
long
is
breastmilk
good
for
in
fridge?
-
ANS8
days
How
long
if
breastmilk
good
for
in
cooler?
-
ANS24
hrs
How
long
is
breastmilk
good
for
in
freezer?
-
ANS3
mos
Recommendations
for
breastfeeding
toddlers?
-
ANSafter
meal,
not
on
demand,
if
tandem
feed
infant
first,
brush
teeth
after,
tell
dentist
breastfeeding
Infant
wt
loss
after
birth
-
ANS5-8%
of
body
wt
normal neonate
daily
average
wt
gain
-
ANS0.5-1
ounce
(14-28g)
How
long
until
a
babe
should
be
at
birth
wt?
-
ANS3
wks
At
what
age
should
birth
wt
be
doubled?
-
ANS5-6
months
At
what
age
should
birth
wt
be
tripled?
-
ANS1
yr
First
few
days,
a
neonate
should
void?
-
ANS1-3
times
By
day
4
the
neonate
should
void?
-
ANS4-6
Regular
urine
output
of
neonate
is?
-
ANS4-6
times
per
day
Stool
output
of
typical
neonate?
-
ANS2-3
Meconium
stools
should
be
complete
by
day?
-
ANS3
Minimum
caloric
intake
of
BF
mom?
-
ANS1800
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?
-
ANSmastitis
Mgmt
mastitis:
-
ANSempty
breast,
frequent
nursing,
analgesics,
abx
if
needed,
rest,
warm
showers,
increase
fluids
Red
flag
progression
of
mastitis?
-
ANSabscess/septicemia
When
does
elevated
bili
peak
in
breast
milk
jaundice?
-
ANSoccurs
7-10
day
and
peaks
on
10-15th
How
much
water
loss
can
be
life
threatening
to
a
child?
-
ANS10%
What
does
sodium
regulate
in
the
body?
-
ANSECF
volume,
osmolarity,
acid-base
balance,
membrane
potential
of
cells
How
is
sodium
lost
out
of
body?
-
ANSvomiting,
diarrhea,
perspiration
Role
of
potassium
in
the
body?
-
ANShelps
maintain
intracellular
homeostasis,
muscle
contractility,
transmission
of
nerve
impulses
Severe
deficit
of
potassium
can
cause?
-
ANScardiac
dysrhythmias/death
What
is
the
role
of
chloride
in
the
body?
-
ANSfunction
with
sodium
to
maintain
fluid/electrolyte
balance Proteins,
enzymes,
and
hormones
are
synthesized
from?
-
ANSamino
acids
Monosaccharides
are
simple
or
complex
carbs?
-
ANSsimple
Disaccharides
are
simple
or
complex
carbs?
-
ANScomplex
Role
of
fat
in
diet?
-
ANSenergy,
vitamin
absorption,
maintain
cell
membrane
and
myelin
Two
essential
fatty
acids
are?
-
ANSLinoleic
acid,
alpha-linolenic
acid
(LA
and
ALA)
fat
soluble
vitamins
-
ANSDAKE,
absorbed
in
intestines,
require
bile,
store
for
a
long
time
in
tissue
Water
soluble
vits
-
ANSCs
and
Bs,
only
store
small
amts,
if
intake
too
high
absorption
decreases,
require
daily
intake
How
much
vit
d
should
a
breastfed
babe
have?
-
ANS400
IU
daily
When
should
fluoride
be
given
to
a
babe?
-
ANSat
6
months
if
not
in
water
What
is
an
important
consideration
when
adding
food
to
a
breastfed
babe's
diet?
-
ANSiron-fortified
What
is
advice
regarding
comfort
feeding?
-
ANSavoid
Nutritional
risk
with
teen
pregnancies?
-
ANSadolescent
growth
spurt
competes
with
fetus
for
nutrients
Teen
pregnancy
risks?
-
ANSprematurity,
LBW,
chronic
illness/disability,
death
How
much
exercise
should
a
child
have?
-
ANS60
minutes
mod/high
per
day
Benefits
of
vegetarianism
-
ANSlower
obesity,
heart
disease,
and
DM
rates
What
can
be
deficient
in
a
vegan
diet?
What
2
are
the
highest?
-
ANSprotein,
B12,
iron,
Ca++,
zinc,
riboflavin,
vit
D;
B12,
zinc
What
can
become
of
fetus
with
B12
and
zinc
deficiency?
-
ANSpossible
permanent
neuro
damage
What
measurements
can
be
taken,
other
than
ht
and
wt,
to
assess
wt
in
children?
-
ANSTriceps
skinfold
measurement;
mid-upper
arm
circumference
triceps
skinfold
measurement
-
ANS
mid-upper
arm
circumference
-
ANS
What
BMI
percentile
is
considered
overweight?
-
ANS85-95th What
BMI
percentile
is
considered
obese?
-
ANS95th
or
higher
Primary
goal
of
pediatric
wt
management?
-
ANSnormalize,
not
reduce
Complications
of
obesity
in
children?
-
ANSHypertension
obstructive
sleep
apnea
,
OSA,
orthopedic
issues,
depression,
suicide
How
long
should
a
food
recall
or
diary
be
kept
for
assessment?
-
ANS3
days
Children
aged
5
to
9
who
have
contact
with
same
or
opposite
sexes,
play
sex
games,
or
idea
about
sex
-
parents
should
be?
-
ANSparents
should
avoid
being
overly
alarmed
if
they
witness
this
play.
*parents
can
redirect
play*
At
around
what
AGE
do
children
giggle
and
learn
more
about
SEX
and
sexuality?
-
ANSAge
8
At
what
age
does
self-stimulation
as
a
result
of
sexual
reflexes
due
to
sexual
fantasies,
behavior
and
relationships?
-
ANS10-12
year
olds
The
biggest
reason
adolescents
do
not
seek
healthcare
for
sexual
education
is
due
to?
-
ANSConfidentiality
How
should
you
ask
an
adolescent
with
concrete
cognitive
abilities
about
sexual
history?
-
ANS"Have
you
ever
had
a
romantic
relationship
with
a
boy
or
a
girl"
"Define
Sex"
Early
Adolescents
(age
12
to
14)
are
concrete
thinkers
and
cannot
get
to
the
abstract
thought
of
"what
if".
How
should
sexual
education
be
given
to
them?
-
ANSUse
pictures
and
direct
questions
and
statements
Use
simple
concert
terms
when
counseling
Mid-adolescents
(age
15
to
17)
are
starting
to
understand
abstract
concepts,
but
will
often
refresh
to
concrete
thinking
in
stressful
situations.
How
should
the
provider
speak
to
them?
-
ANSThey
need
to
adjust
the
approach
to
mid-adolescents
accordingly,
help
them
to
identify
the
inconsistencies
in
their
thought
processes
and
guide
them
through
to
the
logical
consequences.
how
often
should
a
helmet
be
replaced?
-
ANSevery
5
years
or
sooner
For
athletes,
which
carbohydrates
are
preferred?
-
ANS*complex
carbs*
-
fruits,
nuts,
cereals,
grains,
pasta,
dried
beans.
Refrain
from
*Simple
carbs*
-
sugars
Why
are
complex
carbs
better
than
simple
carbs?
-
ANScomplex
carbs
do
*not*
cause
the
rapid
rise
in
blood
glucose
levels
with
resultant
insulin
rebound
like
simple
carbs
do.
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