Pedia 2016 Hope Flashcards
Which of the statements below include the General Data and Chief Complaint of the patient?
A. She received Hepatitis B at birth, BCG at 2 weeks, DPT and OPV at 9 and 18 weeks. She hasn’t received any HiB, pneumococcal, rotavirus and measles vaccines.
B. She has poor appetite and was less playful. On the 4th day of fever, the mother noted maculopapular rashes on the cheeks and forehead of the baby, spreading to the neck and chest.
C. The mother brought her to the local health center where she was given paracetamol (8 mkdose) every 8 hours for her fever and benadryl syrup (1 mkdose) for itchiness.
D. PM, 11-month old baby girl, Catholic, brought by her mother for the first time at the PGH Pediatric Emergency Room for “hindi nawawala ang lagnat”
E. Five days prior to consult, the baby developed fever (Tmax 39.3C) which persisted the whole day, temporarily relieved by paracetamol 100 mg/ml drops (9mkdose) given every 5-6 hours.
D.
Which statements below should be included in the HPI?
A. She received Hepatitis B at birth, BCG at 2 weeks, DPT and OPV at 9 and 18 weeks. She hasn’t received any HiB, pneumococcal, rotavirus and measles vaccines.
B. She has poor appetite and was less playful. On the 4th day of fever, the mother noted maculopapular rashes on the cheeks and forehead of the baby, spreading to the neck and chest.
C. The mother brought her to the local health center where she was given paracetamol (8 mkdose) every 8 hours for her fever and benadryl syrup (1 mkdose) for itchiness.
D. PM, 11-month old baby girl, Catholic, brought by her mother for the first time at the PGH Pediatric Emergency Room for “hindi nawawala ang lagnat”
E. Five days prior to consult, the baby developed fever (Tmax 39.3C) which persisted the whole day, temporarily relieved by paracetamol 100 mg/ml drops (9mkdose) given every 5-6 hours.
B, C, E
A newborn is typically ready to breastfeed
A. Within a few seconds after birth
B. Within 5-15 mins after birth
C. Within 15-90 mins after birth
D. Within 4 hours after birth
C. Within 15-90 mins after birth
The definitive symptom of incorrect positioning of a baby at the breast is
A. Nipple pain
B. Irritated, inflamed nipple epithelium
C. A compression stripe across the nipple
D. Blanching of the whole nipple after feeding
A? Nipple soreness
Proper position of baby (I think? nawala yung line sa samplex)
A. (missing line)
B. Support the breast using the first and second fingers on either side of the areola.
C. Prevent the nipple from coming in contact with the infant’s soft palate to decrease the incidence of tongue thrusting.
D. Position the infant so that his entire body faces the mother, and much of the areolar tissues is in the infant’s mouth.
D. Position the infant so that his entire body faces the mother, and much of the areolar tissues is in the infant’s mouth.
A mother is ready to be discharged from the hospital. She will be returning to work when her baby is 8 weeks old. She wants to express milk at work and have her milk fed to her baby by her childcare provider. She asks you what she can do during those first few weeks to promote a smooth transition back to work. Which of the following suggestions is LEAST likely to help?
A. Introduce bottle feeding expressed milk during the first week in order to accustom the baby to it.
B. Arrange for a childcare provider who supports breastfeeding.
C. Freeze some extra breast milk for the first few days when her return to wrok will likely cause her milk supply to diminish.
D. Try to arrange to come in on a Wednesday instead of a Monday when returning to work (for women with a 5-day work week)
A. Introduce bottle feeding expressed milk during the first week in order to accustom the baby to it.
An exclusively breastfed term newborn developed jaundice on the 3rd day of life. What is the best advice for the mother?
A. Stop breastfeeding temporarily and give formula milk for 3 days then resume breastfeeding. B. Assure her that it’s just physiologic jaundice.
C. Do early morning sunlight exposure fully unclothed daily. D. Continue to nurse her infant at least 8-12 times a day.
B. Assure her that it’s just physiologic jaundice.
Physiologic jaundice appears after the first 24 hours and expected to resolve up before the 2nd week of life. Usually peaks at 5-6 mg/dL on 3rd-4th day of life.
The following are observed when an infant is ready to consume complementary foods, EXCEPT:
A. Holds his head steady and straight
B. Looks and examines at the food
C. Opens his mouth when he sees food coming
D. Keeps his tongue low and flat
D. Tongue should already “hold” some semi-solid/solid foods (See Developmental readiness in feeding in Complementary Feeding LU5 Trans)
Not observed among infants who are introduced to complementary foods on time:
A. Reject food when they are introduced at a later age
B. Become comfortable with bottle feeding
C. Develop more skills to eat independently
D. Consume inadequate variety and amount of food
D. Consume inadequate variety and amount of food
Due to the higher renal solute of comercially prepared infant foods, caregivers must pay particular attention to infant’s intake of:
A. Sugars
B. Artificial coloring
C. Food freshness
D. Water
A. Sugars
Which of the following is a live attenuated vaccine?
A. DPT vaccine
B. Hemophilus influenza b
C. Pneumococcal vaccine
D. Measles vaccine
D. Measles vaccine
BOMVARY
BCG, OPV, Mumps, Varicella, Attenuated Measles Vaccine, Rubella, Yellow Fever
Which of the following is the correct dose for BCG vaccination in the newborn? A. 0.01 mL B. 0.05 mL C. 0.10 mL D. 0.5 mL
B. 0.05mL
Younger than 1 year: 0.05mL
Older than 1 year: 0.1mL
Which of the following vaccines are administered through the specified route? A. BCG, intradermal B. Hepatitis B, subcutaneous C. MMR, intramuscular D. Pneumococcal, oral
A. BCG, intradermal
Hep B IM, MMR SQ, Pneumococcal IM
A 1 1⁄2 year old child brought to the OPD clinic has been given the following vaccines before 1 year of age; 1 dose of BCG (birth), 2 doses of hepatitis B, 1 dose of measles vaccine, and 3 doses of DPT and OPV.
The following vaccine can be given during the consult:
A. Booster dose of BCG
B. Booster dose of measles vaccine
C. Third dose of Hepatitis B vaccine
D. Rotavirus vaccine
C. Third dose of Hepatitis B vaccine
RV1 given at 6 weeks of age for 1st dose, 2nd dose after 4 weeks. RV5 as 3-dose series. Do not give later than 32 weeks of age (http://www.philvaccine.org/vaccination- schedules/childhood-immunization-schedule)
Which of the following is true about intramuscular (IM) injections?
A. For infants and young children, the anterolateral thigh is the preferred site
B. For older children, recommended site is the buttocks area
C. Needle length of at most 1⁄2 inch is preferred
D. Fever and local reactions are uncommon side effects
A. For infants and young children, the anterolateral thigh is the preferred site.
Anterolateral thigh preferred site for infant (0-1yr) and toddler (1-2yrs)
Deltoid for children aged 3-18 years
C is incorrect because needle length varies from 1-2 inches depending on the site and amount of muscle in the preferred site. (Clinical Skills Trans)
D is incorrect because fever and local reactions are COMMON. Uncommon side effects are anaphylaxis, allergic reactions, seizures (Lecture Handbook).
Which of the following statements on immunization is correct?
A. Immunization is synonymous to vaccination
B. Increasing intervals between doses of the same vaccine will necessitate restarting the whole series
C. Appropriate vaccination is a must for effective immunization
D. Changing needles after reconstitution is needed to assure sterility prior to vaccination
C. Appropriate vaccination is a must for effective immunization
ata.
This developmental milestone should be monitored when a patient reaches 1 y.o A. Social smile B. Cooperative play C. Indicating wet diapers D. Playing peek a boo
D. Playing peek a boo
Social Smile - 6 weeks
Cooperative Play - 4 weeks
Indicating wants/needs - …
