Community Risk Situations

Question 1

Julia, a mother of a fullterm newborn baby asks you for advice about protecting her baby from Sudden Unexplained Death in Infancy (SUDI). Her sister had a baby who died of SUDI (based on the coroner’s report) at 1 month of age. Julia says she is sleeping the baby on her back, and the baby sleeps in Julia’s room but in the baby’s own cot.

What other major risk factor for SUDI do you need to enquire and counsel about?

Question 5Select one:

a.
Timing of vaccination

b.
Damp and mouldy housing

c.
Tobacco smoke exposure

d.
Use of a pacifier/dummy

Answer 1

Tobacco Smoke Exposure

Question 2

Mary and John are seeking medical advice about having their first child. They are both smokers and want to know about the risks in pregnancy and after birth. What is the earliest potential period in which maternal or paternal tobacco use may affect the health of a baby?

Question 4Select one:

a.
Neonatal period

b.
Preconception

c.
First trimester

d.
Third trimester

Answer 2

Preconception

Question 3

A 5-year old boy, recently immigrated with his family from central Africa, is found to have a positive Mantoux test and enlarged hilar lymph nodes on his chest x-ray. A diagnosis of primary TB is made, and treatment is commenced.

The parents are concerned that this boy poses a risk of passing on TB to his 6 month old baby sister, and query whether he should be sent to live with friends until his treatment is completed. What is the risk to the baby?

Question 3Select one:

a.
At risk if not given BCG

b.
At risk after weaning

c.
Not at any risk at all

d.
At risk from adult exposure

Answer 3

At risk from adult exposure

Children with primary TB generally not infectious

Question 4

A 34 year old man is diagnosed with pulmonary tuberculosis, after a 2 month coughing illness. He lives with his wife and his 3-month-old daughter, who had a BCG at birth, and is fully breast-fed. Mother and baby are both well. What is the risk of the baby contracting TB?

Question 2Select one:

a.
Not at risk of tuberculosis, because of BCG at birth

b.
Not at risk of tuberculosis, because of breastfeeding

c.
At risk only if her mother develops TB as well

d.
At risk of developing tuberculosis from exposure

Answer 4

At risk of developing tuberculosis from exposure

BGG prevents severe forms of TB like meningitis, miliary TB. not primary

Question 5

A 2-month-old baby in your practice is found unexpectedly dead at home. The coroner’s diagnosis is Sudden Unexplained Death of Infancy. The parents are planning to have another baby and ask you how they can help prevent this happening again. What is the most important advice you can give them to prevent SUDI?

Question 1Select one:

a.
Keep baby in parents’ room

b.
Put baby to sleep on back

c.
Vape instead of smoking

d.
Use a heat pump over winter

Answer 5

Put baby to sleep on back