Pediatrics

Question 1

What should be done for Dacryostenosis?

Answer 1

• Massage with a warm, damp towel or Q-tip, out to in

- if occurs for months and doesn’t regress at 9mon, refer to ENT

Question 2

Recommendations for Superficial sunburn

Answer 2

Wear a hat, sun screen, emollients over irritated areas

Question 3

How many grams should an infant gain in the first 6 months?

Answer 3

15-30g per d

Question 4

Average weight at birth. Average weight at 6 months

Answer 4

3. 5kg.

7. 5kg

Question 5

After 1 week of life, an infant should have at least how many wet diapers? Average of how many bowel movements?

Answer 5

At least 6 wet diapers.

On average, 4 BMs per day.

Question 6

How many kcal / oz in formula?

Answer 6

20!

Question 7

When should a baby start Tummy Time?

Answer 7

2 months

Question 8

How do you encourage weight gain after 6 months?

Answer 8

Provide lots of healthy options around the infant - avocados, shredded meats, cheeses, fruits and veggies.

Question 9

What is the treatment of Eczema in Infants? Specifically cream?

Answer 9

Half Desitin Creamy + half Aquafor

Minimize baths

Question 10

Non-fixed strabismus is normal until how many months?

Answer 10

6 months

Question 11

Good Rule of Thumb for Counseling about Diet and Exercise.

5-2-1-0

Answer 11

5 - Serving of Vegetables and Fruits
2 - No more than 2 hours straight of being sedentary
1 - Hour of exercise per day
0 - Juices / sodas / sugary beverages

Question 12

What age can kids start being seen in clinic without parents?

Answer 12

12-13 yo

Question 13

If a child is not meeting milestones on ASQ, who do you refer to?

Answer 13

Audiology
PHN - help with ASQ
First Five, Help Me Grow
If < 5 yo, concern for Autism or ADHD, ABCD clinic
If < 3 yo, Regional Center
Head Start
If > 5yo, ask the school to evaluate

Question 14

When are ASQ completed in clinic?

Answer 14

10 months and 18 months

Question 15

How should I store breastmilk?

Answer 15

In a refrigerator. Insulated bag with ice packs can be used for 24hrs.

Question 16

What should be done for undescended testes?

Answer 16

If < 8 months, check US to see if testes are in the canal. If they are, can wait. If > 1 year, should refer to Urology to perform orchiopexy.

Question 17

What are the SE of stimulants?

Concerta - methylphenidate; Ritalin - same

Answer 17

Not want to eat
Insomnia
Headache
Heart palpitation
Other behavioral change: moody, irritable, not as active, depressed