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.
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.
