A child should be excluded from the

A child should be excluded from the childcare setting if he/she: A. Is HIV positive B. Has an exanthem but no fever or behavioral changes C. Has diarrhea that is not contained by diapers or toilet use D. Has nits that are being treated Adelaide comes in to see you because she is concerned about her breast. She is breastfeeding her 8-week-old and her left breast is very sore. She has also noticed a “lump” in the lower outer quadrant of the breast that is warm and slightly red. She also feels very tired and “flu-like”. You examine the area and note the lump and that there is some reddish streaking on the breast by the lump. It is very painful to her when you touch the area. You tell her it appears she has mastitis, which is an infection of the breast that can occur anytime during lactation. You advise her to: A. Stop breastfeeding or the bacteria may pass to the baby and make her very ill. B. Nurse or pump more frequently to “empty” the breast. C. Use warm compresses on the area. D. B and C A child can typically pick up a small object using a pincer grasp by: A. 3 months B. 6 months C. 12 months D. 2 years Sheila is a five-year-old who comes in with a pruritic area on her left arm. Mom denies changing any soaps, detergents, lotions, etc. The only thing new in their environment is a new cat they adopted that had been “hanging around” outside the house. On exam, you note that there is an area on the left forearm that is an oval, flat, scaly, slightly erythematous patch that has well defined borders. Based on this information, this lesion is most consistent with: A. Tinea corporis B. Impetigo C. Scarlet fever D. Varicella The transmission of HIV to infants can occur in the following way(s): A. In utero transmission B. Intrapartum transmission C. Breastfeeding D. B and C E. A, B, and C For children ages 6 months to 12 years, the following anti-pyretic(s) can be used: A. Acetaminophen B. Ibuprofen C. Naproxen D. A and B E. A, B, and C The AAP recommends giving ________ to all breastfed infants through one year of age. A. 200 mg of Vitamin C per day B. Iron supplementation-dosage based on weight C. 400 iu of Vitamin D per day D. No vitamins or minerals Families and older children with innocent murmurs should be: A. Told that this can be very concerning, and exercise should be limited. B. Told that they should stay on a low sodium diet and exercise 20 minutes daily. C. Reassured there is no cardiac pathology D. Sent immediately to the cardiologist Justine has a three-month-old baby. She is breastfeeding and all has been going well. The baby is voiding 6-8 times every 24 hours, but Justine is concerned because the baby only has a bowel movement every 3-4 days. She is curious if the baby is chronically constipated. The baby is alert and appears happy. Exam is unremarkable. You tell Justine: A. That is quite odd. We need to start the baby on some laxatives to get things moving. B. This is common in babies. As many as 40% of infants do not stool every day. C. This is quite uncommon in breastfed babies. We should do an abdominal ultrasound to see if there is an anatomical problem. D. I am going to prescribe some glycerin suppositories for the baby to soften things up and get things moving.

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