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, 1 of 75
Term
Caregivers have been giving dextromethorphan at night to a 3 year
old with a three day history of upper respiratory illness. Which of the
following is the BEST advice?
add a decongestant during the day
discontinue the antitussive medication
add an antihistamine to improve symptoms
continue the dextromethorphan at night
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discontinue the antitussive medication
Parents and caregivers should be advised that the use of decongestants,
antihistamines, and cough medicine is not indicated for children younger
than 4 years old, and should be used with caution in children younger than
6 years old. The child should receive symptomatic relief for fever, pain,
and nasal congestion using an antipyretic and normal saline.
controls bite of soft cookie
Oral development progresses for both eating and language. Between ages
4 and 6 months children begin sucking movements in anticipation of the spoon.
Children between 10 and 12 months of age can control bites of soft cookie, and
, begin to use rotary chewing movements, but have not accomplished this task
with meat. By ages 16-18 months the mouth is able to control liquid taken from a
cup, and by 19-24 months the child can chew meat with rotary movements.
a minimum of 7 years past the age of majority.
Medical records should be kept in an office practice which has children as
patients a minimum of 7 years past age of majority. Storage of the records is an
issue especially for larger practices and those using paper charts. Optical
scanners and electronic file cabinets can help handle storage issues.
- thirty minutes of structured play each day.
Adopting an active lifestyle is as important as a healthy diet in prevention of
childhood obesity. Toddlers should be encouraged to engage in at least 30
minutes of structured play and at least 60 minutes per day of unstructured play,
preferably outside where play tends to be more physically active. The
measurement of the BMI is preferred for children over two years of age. Parents
and caregivers should avoid using candy or high fat food as rewards for
good behavior. They should instead use stickers, verbal praise, or a fun activity.
Stringent controls restricting access to high fat snacks or junk food promotes
a child's attention to and intake of restricted foods when they become
available, even if the child is not hungry.
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2 of 75
Term
Which BEST describes the meaning of sun protection factor (SPF) 6
labeled on sunscreen?
, application of the sun screen will protect the child from UVA rays for
6 hours
the sun screen prolongs the time to sun burn by a factor of 6
the sun screen will continue to work for 60 minutes in water
application of the sun screen will protect the child from UVB rays for
6 hours
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use of a car seat without a shield harness
Preterm infants eligible to ride in car safety seats should not use the shield
harness because it may be too large for a smaller infant. Breastfed infants
should be supplemented with vitamin D until they are taking at least 1 liter per
day of vitamin D fortified formula or whole milk. Immunizations are administered
at the appropriate scheduled times, on the same schedule as full term infant
counterparts. Vaccinations with DTaP, IPV, Hib and Rotavirus should occur at two
months chronological, not corrected, age. Preterm infants should have vision
tested annually beginning at six months.
symptoms are often a developmental lag and will be outgrown
Primary nocturnal enuresis is a common problem in children between the ages of
5 and 8. In most cases, the symptoms will be outgrown without treatment. Once
any medical or physical problem is ruled out, common sense approaches
include limiting fluids after dinner, encouraging urination right before sleep, and
holding the urine for longer periods during the day. These procedures do help in
many cases and should be the first counseling information given to families.
Alarm systems work well, waking the child when the first few drops of urine are
sensed, but are not always covered by health care insurance. Medications like