Pediatric primary care burns exam 1

Pediatric primary care burns exam 1 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