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Exam (elaborations)

Burns Pediatric Primary Care

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Burns Pediatric Primary Care

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  • September 13, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
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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

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

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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