Test Bank Complete_ Burns' Pediatric Primary Care 7th Edition, Dawn Lee Garzon (Author), Nancy Barber Starr (Author), Margaret A. Brady (Author), Nan M. Gaylord (Author), Martha Driessnack (Author), ...
Test Bank For Burns' Pediatric Primary Care 7th Edition by Dawn Lee Garzon||ISBN NO:10,0323597165||ISBN NO:13,978-0323597166||All Chapters||Complete Guide A+
Test Bank For Burns' Pediatric Primary Care 7th Edition by Dawn Lee Garzon||ISBN NO:10,0323597165||ISBN NO:13,978-0323597166||All Chapters||Complete Guide A+
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Test Bank For Burns Pediatric Primary Care 7th Edition By
Dawn Lee Garzon; Nancy Barber Starr; Margaret A. Brady;
Nan M. Gaylord; Martha Driessnack; Karen Dud
How long is exclusive BF recommended? - ANSWER:first 6 mos
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
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
How is sodium lost out of body? - ANSWER:vomiting, diarrhea, perspiration
Role of potassium in the body? - ANSWER:helps maintain intracellular homeostasis,
muscle contractility, transmission of nerve impulses
,Severe deficit of potassium can cause? - ANSWER:cardiac dysrhythmias/death
What is the role of chloride in the body? - ANSWER:function with sodium to maintain
fluid/electrolyte balance
Proteins, enzymes, and hormones are synthesized from? - ANSWER:amino acids
Monosaccharides are simple or complex carbs? - ANSWER:simple
Disaccharides are simple or complex carbs? - ANSWER:complex
Role of fat in diet? - ANSWER:energy, vitamin absorption, maintain cell membrane
and myelin
Two essential fatty acids are? - ANSWER:Linoleic acid, alpha-linolenic acid (LA and
ALA)
fat soluble vitamins - ANSWER:DAKE, absorbed in intestines, require bile, store for a
long time in tissue
Water soluble vits - ANSWER: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? - ANSWER:400 IU daily
When should fluoride be given to a babe? - ANSWER:at 6 months if not in water
What is an important consideration when adding food to a breastfed babe's diet? -
ANSWER:iron-fortified
What is advice regarding comfort feeding? - ANSWER:avoid
Nutritional risk with teen pregnancies? - ANSWER:adolescent growth spurt competes
with fetus for nutrients
Teen pregnancy risks? - ANSWER:prematurity, LBW, chronic illness/disability, death
How much exercise should a child have? - ANSWER:60 minutes mod/high per day
Benefits of vegetarianism - ANSWER:lower obesity, heart disease, and DM rates
What can be deficient in a vegan diet? What 2 are the highest? - ANSWER:protein,
B12, iron, Ca++, zinc, riboflavin, vit D; B12, zinc
What can become of fetus with B12 and zinc deficiency? - ANSWER:possible
permanent neuro damage
, What measurements can be taken, other than ht and wt, to assess wt in children? -
ANSWER:Triceps skinfold measurement; mid-upper arm circumference
triceps skinfold measurement - ANSWER:
mid-upper arm circumference - ANSWER:
What BMI percentile is considered overweight? - ANSWER:85-95th
What BMI percentile is considered obese? - ANSWER:95th or higher
Primary goal of pediatric wt management? - ANSWER:normalize, not reduce
Complications of obesity in children? - ANSWER:Hypertension obstructive sleep
apnea , OSA, orthopedic issues, depression, suicide
How long should a food recall or diary be kept for assessment? - ANSWER:3 days
Children aged 5 to 9 who have contact with same or opposite sexes, play sex games,
or idea about sex - parents should be? - ANSWER:parents 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? -
ANSWER:Age 8
At what age does self-stimulation as a result of sexual reflexes due to sexual
fantasies, behavior and relationships? - ANSWER:10-12 year olds
The biggest reason adolescents do not seek healthcare for sexual education is due
to? - ANSWER:Confidentiality
How should you ask an adolescent with concrete cognitive abilities about sexual
history? - ANSWER:"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? - ANSWER:Use
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? - ANSWER:They 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.
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