Preventive Pediatrics Flashcards
how many prenatal visit should a mother have to properly care & observe the baby’s well-being?
atleast 4
what are the recommended content of prenatal care?
- assessment
- health promotion
- care provision
what are the steps of “Unang Yakap”?
- drying w/ rapid assessment of the baby’s breathing (done within first 30 secs to stimulate breathing and provide warmth
- initiate immediate uninterrupted skin to skin contact
- practice properly-timed cord clamping
- non-separatin of newborn to initiate early breastfeeding through sustained contact
A 30 hr old newborn is being discharged. When is the recommended follow up based on the AAP guidelines for this infant?
A. 72 hrs
B. 1 week
C. 48 hrs
D. 2 wks
Answer: C
Discharge before 48th hr
1 & 2 wks = too long
72hrs/3 days = for cesarean px (during pandemic)
What is the therapeutic dose of iron supplementation per day in a 10kg child?
A. 10mg
B. 40mg
C. 30mg
D. 20mg
Answer: B
Therapeutic dose = 4-6mg/kg/day
4mg x 10kg = 40mg
Maintenance dose = 1-3mg/kg/day
Blood pressure monitoring is recommended at which of the ff scenarios?
A. At every encounter for all children >3 yrs old for monitoring
B. At every encounter for children on oral contraceptive pills
C. Annually for children <3 yo
D. Annually for children with obesity
Answer: B
Annual: children >3yo & adolescents
More frequent if child has:
- renal dis, obesity, diabetes, hx of aortic arch obstruction/coarctation of the aortia, meds to INC BP (oral contraceptives)
What is the recommended dose in mg of Mebendazole given to children >12 mons of age every 6 mons?
Mebendazole
If >12months = 500mg SD every 6mons
Albdendazole
If 12-23mons = 200mg SD every 6 mons
If >24 mons = 400mg SD every 6 mons
How much iron supplementation is given to low birth weight infants?
LBW = 0.3mL OD to start @ 2MONs until 6MONs when complementary foods are given
Infants (6-11mons) = 0.6mL OD for 3 consecutive mons in a yr
Children (1-5 yrs) = 1tsp OD for 3MONs or 30mg 1x/wk for 6 mons w/ supervised admin
Children (6-11yrs) = 2tsp OD for 6 mons for 3 consecutive mons in a yr
-> anemic & underwt
Adolescent girls (10-19yrs) = 1 tablet OD for 3 consecutive mons in a yr
What is the recomended dose of Vitamin A supplement IU in children 2-3 yo?
Infants (6-11mons) = 100,000IU = 1 dose (usually @ 9mons)
Children (12-59mons) = 200,000IU = 1 dose every 6mons
Who among the infants can be discharged before the 48th hr of life?
Term infant with light jaundice notes on the face at 30th hr of life
-> if >24 hrs then lumabas jaundice -> physiologic jaundice
Pathologic jaundice is <24h
What is the normal HR of infants?
120-160bpm
Who among the ff has the greatest risk for developing retinopathy of prematurity?
Preterm infants <32 wks AOG
<1500g
Older infants & or >1500g w/ stormy medical course for retinopathy or prematurity
Infants & children with metab disorders
Infants & children w/ conditions known t have assoc problems (down synd, neurofibromatosis, idiopathic arthritis, etc)
Infants & children with hx of squinting, head tilt or head turn
Children w/ hx of visual and learning difficulties
Which of the ff is a C/I to deworming?
A. Erratic passage of helminths
B. Periianal pruritus
C. Abdominal pain
D. Low grade fever
Answer: C
C/Is to deworming:
- severe malnutrition
- high grade fever
- profuse diarrhea
- abdominal pain
- serious illness
- previous hypersensitivity to antihelminths
Crede’s prophylaxis is given to:
A. Prevent vit K def bleeding
B. Hepa B & TB
C. Hemorrhagic disease of the newborn
D. Ophthalmia neonatorum
Answer: D
Application of erythromycin or tetracycline eye ointment
Which of the ff shows a developmental red flag?
A. Does not know his full name at 20 months
B. Has <3 words with meaning at 14 mons
C. Persistence of grasp reflex at 2 mons
D. No object permanence by 12mons
Answer: D
Not searching for hidden objects at 12 mons
A = does not know his full name at 3 yrs
B = has <3 words with meaning @ 18 mons
C = persisitence of grasp reflex at 3 1/2 mons
