105. Well-baby Care (24%)

Question 1

Modifiez la routine du calendrier de vaccination pour accommoder certains besoins particuliers. Nommez des examples.

Answer 1

• les immunocompromis
• les allergiques

Question 2

À chaque rencontre, donnez aux parents vos conseils sur certains éléments importants.

Nommez des examples (6)

Answer 2

• habitudes alimentaires
• développement
• immunisation
• trucs utiles pour les parents
• posologie antipyrétique
• sécurité

Question 3

Informez-vous de l’adaptation de la famille à l’enfant. Nommez des examples. (3)

Answer 3

• interactions entre frères et soeurs
• changements au niveau des rôles des deux parents
• implication de la famille élargie

Question 4

Lorsque les parents sont réticents à faire vacciner leurs enfants, discutez des éléments suivants afin qu’ils puissent prendre une décision éclairée … (3)

Answer 4

• leur compréhension de la vaccination.
• les conséquences de ne pas faire vacciner (p. ex. rubéole congénitale, décès).
• la sécurité des enfants non vaccinés (p. ex. aucun voyage dans le Tiers Monde).

Question 5

When are routine visits ?

Answer 5

• Recommended at 1 week
• 2 months
• 4 months
• 6 months
• 12 months
• 18 months
• 4-5 years

Question 6

Describe measurements if baby born pre-maturely

Answer 6

Correct percentiles if born <37w until 2-3yo

Question 7

Describe weight fluctuations of newborn

Answer 7

• Max 10% weight loss by 4-5d, regain birthweight by 2w
• 30g/d until 3 mo, 20g/day until 6 mo, 10g/day until 12 mo
• Double BW by 4mo, triple BW by 1y

Question 8

When do fontanelles close ?

Answer 8

• Posterior closed by 2mo
• Anterior closed by 18mo

Question 9

Exclusive breastfeeding recommended until when ?

Answer 9

for first 6 months and continued into second year of life

Question 10

Describe doses of vitamin D

Answer 10

• Breastfed babies should receive Vitamin D 400 units PO daily
• Vitamin D 800 units daily if high risk (limited sun exposure, darker skin, obesity)

Question 11

Express breast milk can be stored for how long ?

Answer 11

Express breast milk can refrigerate up to 3d and freeze up to 6mo

Question 12

When to switch to milk ?

Answer 12

• Switch from formula to homogenized milk at 500-750 mL/day at 12 months
• Discontinue bottle by 18 months
• Transition to 1-2% milk (500mL/day) at 2-3 years

Question 13

Describe steps to introduce food

Answer 13

• No evidence to delay food beyond 6-12 months
• Introduce foods one at a time q3d (monitor for reactions)
• Avoid solid round smooth dry/sticky foods risk of choking
• Avoid sugary food/drinks
• No beets, carrots, spinach, turnips before 6 months (nitrates)
• No honey in first year
• Inquire about vegetarian diets
• Iron-containing foods should be encouraged when introducing solids

Question 14

Describe risk of Swaddling

Answer 14

• Avoid beyond 2 months
• Hip safe swaddling

Question 15

Use Rear-facing car seat until when ?

Answer 15

Infant must use rear-facing car seat

Use a larger seat once baby outgrows infant seat, and keep rear facing until at least 2 years of age or reaches the maximum weight or height limit of the rear-facing seat, as stated by the manufacturer

Question 16

Describe doses of acetaminophen

Answer 16

10-15mg/kg/dose q4-6h

Question 17

Describe screen use for kids

Answer 17

• No screentime <2yo
• Limit use and encourage meaningful content (educational, active , social)