Breast Feeding and Intro of Solid Food in kids

Question 1

All breastfed babies should take which supplement daily? What is the dose?

Answer 1

• 400 IU of vitamin D

Question 2

True or False: For the first 4-6 months all babies should be exclusively breast fed (or formula fed)

Answer 2

• True
• The only food a young baby needs
• Should not give water, other liquids cereals etc..
• Feed anytime they show signs of hunger

Question 3

In which circumstances would you not recommend breast feeding?

Answer 3

• HIV positive mother who is antibody positive
• Mother with untreated active TB
• Infant with galactosemia

Question 4

When can cows milk be introduced? What type of milk?

Answer 4

• May be introduced at 9-12 months
• Pasteurized whole cows milk
• Skim milk inappropriate in first two years, 1% and 2% not recommended
• Soy, rice or other vegetarian beverages are inappropriate under 2 years

Question 5

When is a baby ready for solid foods?

Answer 5

• Keep head up
• Sit without support
• Hold food in their mouths for a few moments without pushing it out

Question 6

True or false: Introduction of solid foods before 2-3 months of age has more risk than benefit

Answer 6

True

Question 7

True or false: Introduction of solid foods later than 6 months of age has more risk than benefit

Answer 7

True

- Do not delay beyond 9 months

Question 8

Which solid foods should be introduced first?

Answer 8

• Rice cereal (less allergenic)

- between 4-6 months recommended

Question 9

How should pureed vegetables be introduced and when?

Answer 9

• Yellow-orange vegetables first with green last (they’re the most bulky)
• Avoid beets, spinach, turnips which have high nitrite content)
• risk of methaemoglobinaemia (Ferric 3+ iron) on hemaglobin instead of ferrous (2+) which has higher affinity to O2 affecting delivery

Question 10

When can egg whites be introduced?

Answer 10

• 12 months due to risk of allergy

Question 11

When are pureed fruits, juices and meats introduced

Answer 11

• 6-9 months

Question 12

Finger foods, peeled fruit, cheese, cooked vegetables and homo milk can be introduced at what age?

Answer 12

• 9-12 months

Question 13

When can honey be introduced? Why?

Answer 13

• 12 months
• risk of botulism
• under 1 year intestinal flora insufficiently developed which allowed ingested botulism spores to germinate, proliferate and produce toxin

Question 14

When should peanut butter be introduced?

Answer 14

• 6 months according to new Canadian guidelines

- Reduces risk of developing peanut allergy