Preventive Pediatrics Flashcards
(20 cards)
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
An ominous cause of LEUKOCORIA in the newborn perios is seen in which of the ff conditions?
A. Congenital cataracts
B. TORCH infections
C. Retinopathy of prematurity
D. Retinoblastoma
Answer: D
Absence of red orange reflection of light in the retina during fundoscopy could signal congenital cataracts or retinoblastoma
What are the vax for a fully immunized Filipino child?
1 BCG
3 pentavalent vax
3 IPV or (3 OPV + 2 IPV)
3 PVC
1 measles
1 MMR
2-3 rotavirus
What is the guide for complementary feeding?
FNRI pinggang pinoy
PSPGN: ditary prescription food guide/food pyramid
How many times can u repeat a failed otoacoustic emission test?
3 times
When is the hearing screening, folow-up and early intervention for hearing?
Hearing screening = 1st month of life
Follow up test = within 2-3mons
Early intervention = 6mons of life
-> hearing aid fitting, hearing and behavioral rehabilitation
