Complementary Child Nutrition

Question 1

Main specifications of the WHO Global Strategy for Infant and Young Child Feeding

Answer 1

1. Exclusive breastfeeding for the first 6 months
2. Incorporate nutritionally adequate complementary foods from 6 months onward
3. Breastfeed on demand day and night, reasonable to be every 1-3 hours
4. No other fluids whatsoever first 6 months. Small amounts water okay after 6 months
5. No infant cereals/purees younger than 6 months

Question 2

When are infants at highest risk of nutrient deficiency?

Answer 2

Around 6 months of age when complimentary foods are introduced

Question 3

Particular attention and education regarding infant feeding/nutrition is important for which demographic?

Answer 3

Families living in poverty. Infants in this setting are at high risk for early introduction of complementary foods, and nutritionally inadequate foods.

Question 4

WHO expected weekly weight gain in the first year?

Answer 4

0-4 months: 155-241 g/week
4-6 months: 92-126 g/week
6-12 months: 50-80 g/week

Question 5

What is a delivery practice that can significantly impact iron stores in all infants?

Answer 5

Delayed cord-clamping (increased iron stores at 6 months of life)

Question 6

What are the top eight protein-based allergies to be considered in elimination diets? Always followed by dietician.

Answer 6

Cow’s milk, soy, egg, tree nuts, peanuts, wheat, gluten, shellfish. Casein (cow’s milk) takes the longest to eliminate from the body and is therefore recommended to be eliminated first

Question 7

Considerations for vegan parents and infants?

Answer 7

B12 supplementation is required

Question 8

Pediatric malnutrition is mostly a concern for underweight infants, true or false?

Answer 8

False. Malnutrition can occur in both over and underweight infants, children and adults