Exam 2 - Breastfeeding + Formulal

Question 1

5 stages of Lactation: Mammogenesis, lactogenesis, galactokinesis, galactopoiesis, involution

Question 2

What vitamins are deficient in human breast milk?

Answer 2

Vit D and K

Question 3

Mothers should NOT breast feed if they have one or more of the following:

Answer 3

HIV infection, human T-cell lymphotropic virus Type I or II
Untreated brucellosis
Ebola virus
Active HSV lesion on breast (may use other breast)
POs Hep B SAG - neonate MUST have initial dose of Hep B vaccine and HBIG
Use of illicit opioids, cocaine or phencyclidine
Infant condition of galactosemia

Question 4

81 times more likely to develop severe bleeding than those who don’t get the vit K shot.

Question 5

Highest level of alcohol in breast milk is ______ after consumption.
Level of alcohol in breast milk closely mimics maternal BAC.
_____ a day is okay

Answer 5

30-60min
1 standard drink/day.

Question 6

Mastitis tx

Answer 6

Bacteria from skin or in infants mouth
PCN 10-14 days. Continue breastfeeding

Question 7

When is the time that most mothers stop breast feeding?

Answer 7

70% at 6 weeks.

Question 8

Term infant formula is ______kcal/oz

Answer 8

20kcal/oz

Question 9

S/s of lactose intolerance in infants

Answer 9

Gassy, fussy, rash,small bit of blood in stool, family Hx.

Question 10

Whey milk protein has the most alpha and beta globulin.

Question 11

What is the patho Phys behind cow milk protein intolerance?

Answer 11

Unabsorbed whey proteins (alpha Dan beta globulin) come in contact with intestinal lining and irritate it. Most outgrow by 4 years.

Question 12

If you have an infant that is sensitive to certain formula, its best to move between formulas with differing whey: casein ratios rather than between formulas with similar profiles.

Question 13

PHWF does not prevent lactose intolerance in the future, it just makes it more easy for patient to tolerate the formula.

Question 14

If a baby is less than 10th percentile for age, consider a formula with a higher than 20kcal/ml count. Usually considered in conjunction with pediatrician or nutritionist.

Question 15

DHA and ARA are omega-3 and omega-6 fatty acid supplements in formula. DHA associated with retinal cell function, reduced triglyceride levels, altered serotonin levels in CNS (depression, ADHD)
ARA associated with synchronizing neuronal activity.

Question 16

Do not use thickening formulas in ______ due to ______

Answer 16

Premies
Caloric limitations.

Question 17

Can infants that have galactosemia use lactose intolerant formulas?

Answer 17

No. They must use soy formulas.

Question 18

If parents want a vegitarian formula what should you recommend?

Answer 18

Soy based.

Question 19

______% of infants who have colic or are intolerant to cow milk protein are also intolerant to _____

Answer 19

47%
Soy protein.

Question 20

Soy milk formulas are contraindicated in _____

Answer 20

Premature infants.

Question 21

Can switch to low fat cow’s milk at ____

Answer 21

2years.

Question 22

1mo should have a 3-4oz feed. Then increase by ___ oz/mo until _____.

Answer 22

1
8oz.