BURNS' PEDIATRIC PRIMARY CARE BY DAWN
LEE ASSESSMENT TEST 2026 TESTED
QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ What does the female athlete triad consist of? Answer: 1.
Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
◉ Why is co-sleeping discouraged? Answer: Risk of SIDS
◉ What is the best sleeping position for infants? Answer: Supine
◉ At 6 months, infants are able to go how long with out eating over
the night? Answer: 6 to 12 hours
◉ at Ages 2 to 4 months, what should parents try doing with night
time sleeping? Answer: Try to delay and then discontinue middle-of-
the-night feedings.
Encourage self-soothing
,◉ How should parents manage Sleep-onset association disorders?
Answer: Extinction and Graduated extinction.
When the child awakens and cries in the night, *the parent should go
to them briefly comfort and reassure them, but DO NOT hold, rock,
or feed them*
◉ How should sleep refusal be managed? Answer: Positive routines.
Set limits on the child's demands for attention.
◉ What are the 3 recommendations for sleep-cycle problems?
Answer: 1. keep nighttime routine, but awaken child earlier in 15
minute increments
2. Older child or Adolescent - better to go forward in time, have child
remain awake until the next evening & then go to bed at the desired
hour, beginning the desired routine from that point.
3. Keep a sleep log to document gradual change.
◉ Normal newborn infants weight will do what in the first few days
of life? Answer: they'll lose 5-8% of their birthweight
◉ One criterion for failure to thrive is? Answer: Lack of return
◉ What should happen to infant weight by 6 months and 12
months? Answer: Double and Triple in weight
,◉ What age should you introduce solid foods? Answer: 6 months
◉ The mother who is breastfeeding should be discouraged from?
Answer: Large amounts of Caffeine from coffee, sodas, or chocolate
b/c it is transmitted thru breast milk and can be associated with
jitteriness
◉ Which drugs should be avoided for breastfeeding that Inhibit
Prolactin release? (3) Answer: Antihistamines
Estrogen
Ergot compounds (headache drugs)
◉ What can be done to reduce nipple tenderness? Answer: Rub a
few drops of colostrum or hind milk onto nipple and areola after
every feeding and let air-dry
◉ Which three organisms are most commonly associated with
Mastitis? Answer: Staph. Aureus
Streptococci
Corynebacteria
◉ Which antibiotics are used for mastitis? Answer: Augmentin
Dicloxacillin (penicillinase-resistant penicillin)
, Cefuroxime (Cephalosporin)
◉ What is Breast milk (late onset) jaundice? (VERY UNCOMMON)
Answer: elevated serum indirect bilirubin w/ peak level occurring
on or after the 7th-10th day of life in an infant drinking adequate
breast milk
*No other signs of live abnormality*
◉ Can mothers with HIV breastfeed? Answer: no, it should be
discouraged
◉ What is *Colostrum*? Why is it important? Answer: it is the breast
milk that appears yellowish
*important* b/c it is rich in immunoglobulins, especially IgA
◉ What is the difference (elimination) between breast milk fed
infants versus formula? Answer: Breast fed have *many* small stools
per day in the first weeks of life
*Frequent Stooling in the neonate is an indicator of adequate breast
milk intake*
◉ What happens with stools from 1st month to 2nd month of life?
Answer: Goes from (median) 6 stools per day to --> one stool per
day
LEE ASSESSMENT TEST 2026 TESTED
QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ What does the female athlete triad consist of? Answer: 1.
Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
◉ Why is co-sleeping discouraged? Answer: Risk of SIDS
◉ What is the best sleeping position for infants? Answer: Supine
◉ At 6 months, infants are able to go how long with out eating over
the night? Answer: 6 to 12 hours
◉ at Ages 2 to 4 months, what should parents try doing with night
time sleeping? Answer: Try to delay and then discontinue middle-of-
the-night feedings.
Encourage self-soothing
,◉ How should parents manage Sleep-onset association disorders?
Answer: Extinction and Graduated extinction.
When the child awakens and cries in the night, *the parent should go
to them briefly comfort and reassure them, but DO NOT hold, rock,
or feed them*
◉ How should sleep refusal be managed? Answer: Positive routines.
Set limits on the child's demands for attention.
◉ What are the 3 recommendations for sleep-cycle problems?
Answer: 1. keep nighttime routine, but awaken child earlier in 15
minute increments
2. Older child or Adolescent - better to go forward in time, have child
remain awake until the next evening & then go to bed at the desired
hour, beginning the desired routine from that point.
3. Keep a sleep log to document gradual change.
◉ Normal newborn infants weight will do what in the first few days
of life? Answer: they'll lose 5-8% of their birthweight
◉ One criterion for failure to thrive is? Answer: Lack of return
◉ What should happen to infant weight by 6 months and 12
months? Answer: Double and Triple in weight
,◉ What age should you introduce solid foods? Answer: 6 months
◉ The mother who is breastfeeding should be discouraged from?
Answer: Large amounts of Caffeine from coffee, sodas, or chocolate
b/c it is transmitted thru breast milk and can be associated with
jitteriness
◉ Which drugs should be avoided for breastfeeding that Inhibit
Prolactin release? (3) Answer: Antihistamines
Estrogen
Ergot compounds (headache drugs)
◉ What can be done to reduce nipple tenderness? Answer: Rub a
few drops of colostrum or hind milk onto nipple and areola after
every feeding and let air-dry
◉ Which three organisms are most commonly associated with
Mastitis? Answer: Staph. Aureus
Streptococci
Corynebacteria
◉ Which antibiotics are used for mastitis? Answer: Augmentin
Dicloxacillin (penicillinase-resistant penicillin)
, Cefuroxime (Cephalosporin)
◉ What is Breast milk (late onset) jaundice? (VERY UNCOMMON)
Answer: elevated serum indirect bilirubin w/ peak level occurring
on or after the 7th-10th day of life in an infant drinking adequate
breast milk
*No other signs of live abnormality*
◉ Can mothers with HIV breastfeed? Answer: no, it should be
discouraged
◉ What is *Colostrum*? Why is it important? Answer: it is the breast
milk that appears yellowish
*important* b/c it is rich in immunoglobulins, especially IgA
◉ What is the difference (elimination) between breast milk fed
infants versus formula? Answer: Breast fed have *many* small stools
per day in the first weeks of life
*Frequent Stooling in the neonate is an indicator of adequate breast
milk intake*
◉ What happens with stools from 1st month to 2nd month of life?
Answer: Goes from (median) 6 stools per day to --> one stool per
day
