BURNS' PEDIATRIC PRIMARY CARE BY DAWN
LEE ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS 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
LEE ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS 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
