ch. 25: newborn nutrition & feeding

Question 1

What are the BENEFITS of BREASTFEEDING?

Answer 1

• breastmilk provides best nutrition for baby
• decreases risk for ovarian cancer, breast cancer, type 2 DM, htn
• enhances bonding and attachment

Question 2

How long is it recommended to breastfeed for?

Answer 2

exclusive breastfeeding for first 6 months and continue for at least 12

Question 3

What does it mean if a newborn has GALACTOSEMIA?

Answer 3

they cant process galactose ( a sugar in breastmilk)

Question 4

What are some reasons it would be CONTRAINDICATED to breastfeed?

Answer 4

If the mother has

1) human Tcell lymphotropic virus
2) untreated brucellosis
3) active TB
4) active herpes simplex lesions on breast
5) HIV (in U.S. bc in other countries the benefits for breastfeeding outweighs risk for infant contracting HIV)

Question 5

Are infants at HIGH risk for fluid imbalances?

Answer 5

yes they lose water through urination and respiration

-no need to give them water bc they get enough through breastmilk or formula

Question 6

What vitamins does breastmilk have?

Answer 6

all vitamins newborns need EXCEPT vit. D

Question 7

What does prolactin do?

Answer 7

it aids in secretion of milk

Question 8

What does oxytocin do?

Answer 8

its responsible for the let down reflex (milk ejection)

Question 9

What are some feeding cues?

Answer 9

• hand to mouth
• sucking motion
• rooting reflex
• mouthing

Question 10

What are some problems associated w/ latch?

Answer 10

• not a good seal
• nipple pain
• bleeding
• cracking

Question 11

When should a bottle of formula be discarded?

Answer 11

1 hr after being fed to an infant

Question 12

How long does BREASTMILK last in ROOM TEMP?

Answer 12

4 HOURS

Question 13

How long does BREASTMILK last in the FRIDGE?

Answer 13

4 days

Question 14

How long does BREASTMILK las in the FREEZER?

Answer 14

6 MONTHS

Question 15

How long does BREASTMILK last in DEEP FREEZE?

Answer 15

up to 1 YEAR

Question 16

How many calories should BREASTFEEDING MOTHERS add to their diet?

Answer 16

add 400-500 calories/ DAY

Question 17

How long are BREASTFEEDING MOTHERS encouraged to take PRENATALS?

Answer 17

for as long as theyre breastfeeding

Question 18

Why should mothers AVOID using SOAP on their nipples?

Answer 18

it can be drying and lead to cracking

Question 19

What is ENGORGEMENT?

Answer 19

• sudden INCREASE in breastmilk
• occurs 3 to 5 days after birth
• breasts are firm, tender, swollen, taut

Question 20

What are some INTERVENTIONS to treat ENGORGEMENT?

Answer 20

-chilled cabbage leaves help w/ pain

Question 21

What is MASTITIS?

Answer 21

inflammation of breasts, flu-like s/s, redness to breast, tenderness

Question 22

What is the TREATMENT for MASTITIS?

Answer 22

antibiotics

-can continue to breastfeed

Question 23

How long should mothers WAIT to BREASTFEED after SMOKING or DRINKING?

Answer 23

2 HOURS

Question 24

What are the different types of infant formulas available?

Answer 24

1) cow’s milk based
2) soy based
3) casein or whey hydrolysate formulas
4) amino acid formulas

Question 25

What are some PROBLEMS associates w/ FORMULA FEEDING?

Answer 25

SPITTING UP: hold infant upright for 30 mins

-if they keep spitting up, it could be feeding INTOLERANCE to formula type

Question 26

How OFTEN should infants FEED?

Answer 26

every 3 to 4 hrs

Question 27

How MUCH should infants FEED?

Answer 27

15 to 30 ml

Question 28

Does the infant have to be upright for every feeding?

Answer 28

YES

Question 29

How should BOTTLES and NIPPLES be CLEANED?

Answer 29

soapy warm water and BOIL for 5 mins