3.2 Nutrition- breastfeeding part 3

Question 1

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What is a growth spurt in relation to breastfeeding

Answer 1

times during breastfeeding when the baby’s growth demands exceed the
breast milk supply at that moment

Question 2

What are signs a baby is in a growth spurt

2

Answer 2

• 2-4 days of hungry all the time
• cluster feeding- feeding multiple times in a short amount of time

Question 3

What is the best thing to do when a baby is in a growth spurt

Answer 3

feed on demand and increase number of feedings which will increase milk production

if you supplement during these times it will end of decreasing your supply

Question 4

How often do growth spurts occur

Answer 4

every 3-4 weeks

Question 5

What is tandem feeding

Answer 5

when a mother breastfeeds an infant and her toddler

chooses to breastfeed both the
infant and toddler (tandem feeding). There are many benefits to
breastfeeding toddlers who have a wide range of foods in their
diet. Breastfeeding continues to provide immunity, strengthens
the maternal-child bond, is a source of comfort to the child, and
is readily available when the child needs quick nourishment and
none other is available. Breastfeeding the toddler may reduce the
prevalence of obesity in children

Question 6

When breastfeeding a toddler should they be breastfed before or after a meal of food

Answer 6

after

Question 7

Does breatfeeding a toddler need to be on demand

Answer 7

no- can be more scheduled

Question 8

If a mother is tandem feeding should she feed her infant or toddler first

Answer 8

infant

Question 9

What consideration should be made for teeth brushing and breastfeeding toddlers

Answer 9

toddler needs to brush teeth after breastfeeding

Question 10

When weaning is it best to stop suddening or wean

Answer 10

wean

Question 11

When weaning what can be done to prevent engorgement

Answer 11

use a pump

Question 12

If using a pump to prevent engorgement what instructions should be given

Answer 12

pump when uncomfortable and only until confortable- not until empty

Question 13

What is normal urine output in day 1 and 2 of life

Answer 13

1-3 wet diapers per day

Question 14

By day 3 of life how many wet diapers should the infant have

Answer 14

3+/day

Question 15

By day 4 and after how many wet diapers should an infant have

Answer 15

4-6/day

typical overtime is 6-8/day- urine light yellow no odor

Question 16

In days 1 and 2 of life how many stools should the infant have

Answer 16

at least 1 meconium stool/day

Question 17

In day 3 and into first few weeks of life how many stools hsould the infant have

Answer 17

2-3/day
loose, yellow, seedy

number may continue to increase- some will stool with every feed

Question 18

After one month how do infant stools change

Answer 18

slow down- may go a few days in between stools

as long as healthy and gaining weight no issues

Question 19

Maternal diet while breastfeeding:
* extra _______ calories per day
* supplement with _________ if avoiding dairy
* supplement with _________ if deficient
* ____L/day water

Generous intake of fruits and vegetables, whole grain breads
and cereals, calcium-rich dairy products, and protein-rich fish,
meats, and legumes
* Rich sources of calcium, zinc, folate, magnesium, and vitamin B6

Answer 19

• extra 300 calories per day
• supplement with **calcium **if avoiding dairy
• supplement with **vit D **if deficient
• 3.4L/day water

Question 20

Does excessive use of fluids increase milk production

Answer 20

no

Question 21

How does breastfeeding impact maternal weight

Answer 21

gradual loss of 1-2 lbs/month

Question 22

What is the only indication to exclude food from a mothers diet while breastfeeding

Answer 22

only if it bothers infant

Question 23

Does eliminating foods help with colic

Answer 23

no- very little evidence but they can try

For infants with colic, mothers may wish to reduce or eliminate
allergenic foods (e.g., cow’s milk, eggs, peanuts, tree nuts, soy,
fish, and wheat) in her diet; however, there is little evidence that
elimination of foods is protective against colic symptoms.

Question 24

Can breastmilk pass alcohol to baby

Answer 24

yes- can take 2-3 hours for alcohol to be elmininated

Breastfeeding should occur when the mother is feeling neurologically normal

Question 25

Does moderate caffeine intake cause concern for the infant while breastfeeding

Answer 25

Moderate intake of caffeine (1 to 2 cups of coffee per day) will not cause concerns for the infant.

Excessive caffeine consumption should be avoided until the infant is able to
metabolize caffeine, which occurs at approximately 2 to 4 months
of age

Question 26

If thawing breast milk that is frozen how should it be thawed

Answer 26

in warm water- do not use microwave because it heats unevenly and can burn the infant