Preventive Obstetrics, Paediatrics and Geriatrics MCQs

Explanation: Early initiation of breastfeeding, ideally within the first hour after birth , is recommended for all healthy newborns, especially for primigravida mothers. Early initiation is important because: It stimulates milk production in the mother. The newborn receives colostrum , which is rich in nutrients and antibodies, providing protection against infections . Promotes mother-baby bonding and helps establish successful breastfeeding.

Maximum milk output occurs around 3 to 6 months postpartum , not 12 months, as infant demand peaks and the mother’s milk supply is well-regulated. Iron uptake from breast milk is 70% , due to high bioavailability, allowing infants to absorb it efficiently. Calcium in human milk is better absorbed than in cow’s milk, facilitating better bone development. Caloric content of breast milk is around 70 Kcals per 100 ml , meeting the energy needs of infants. Key Takeaways: Peak milk production is around 3-6 months postpartum . Breast milk provides highly bioavailable iron and calcium and approximately 70 Kcals per 100 ml . Tags: INICET NOV 2021 Reference : Park's Textbook of Preventive and Social Medicine, 27th Edition,chapter-09 ,Page no.: 622-626.

Answer is D (Repeated Gross Hematuria): The most common presentation of IgA Nephropathy is with recurrent episodes of Gross (Macroscopic) Hematuria during or immediately following an upper respiratory tract infection 'Recurrent attacks of Painless Gross Hematuria represent the classic clinical presentation of IgA Nephropathy' — Rudolph's Paediatrics