Feeding Babies Flashcards

1
Q

What factor primarily leads infant phase of growth?

A

nutrition

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2
Q

What factor primarily leads child phase of growth?

A

growth hormone

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3
Q

What factor primarily leads the pubertal phase of growth?

A

sex steroid

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4
Q

What weight (in Kg) is the average term infant?

A

3.3kg

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5
Q

How many kcal does an infant require a day?

A

100 plus 2g protein/kg/day

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6
Q

What is the average weight gain expected in a child aged 0-3 months?

A

200g

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7
Q

What is the average weight gain expected in a child aged 3-6 months?

A

150g

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8
Q

What is the average weight gain expected in a child aged 6-9 months?

A

100g

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9
Q

What is the average weight gain expected in a child aged 9-12 months?

A

75-50g

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10
Q

What is a good rule of thumb to determine if a child is gaining weight at an adequate rate?

A

should:

  • double weight by six months
  • triple weight by a year
  • after 1 years gain approximately 2kg and 5cm/ year until puberty
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11
Q

Why is breast feeding best for baby?

A
  • well tolerated
  • less allergenic
  • low renal solute load
  • improves cognitive development
  • reduces infection
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12
Q

What is the purpose of the UNICEF Baby Friendly ‘ten steps’?

A

promote breast feeding

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13
Q

What should be done if breast feeding is not possible?

A

formula feeding (all are cows milk based)

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14
Q

What are the 10 UNICEF baby friendly steps?

A
  • Inform all pregnant women about the benefits/management of breastfeeding.
  • Help mothers initiate breastfeeding within a half-hour of birth.
  • Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.
  • Give newborn infants no food and drink other than breast milk, unless medically indicated.
  • Practise rooming-in - allow mothers+ infants to remain together - 24h/day
  • Encourage breast-feeding on demand.
  • Give no artificial teats, pacifiers (dummies) to breastfeeding infants.
  • Foster the establishment of breast-feeding support groups and refer mothers to them on discharge from the hospital or clinic.
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15
Q

For how long are babies milk fed exclusively?

A

for 4-6 months

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16
Q

What are different types of milk for babies?

A
  • breast milk
  • standard formula (cows milk based)
  • specialised e.g. for cows milk protein allergy, nutrient dense or disease specific
  • preterm formulae
  • lactose free milk
17
Q

What is the first line feed choice in a child with a cows milk protein allergy?

A
  • extensively hydrolysed protein feeds

- first choice would be nutramigen as cheapest then neocate

18
Q

What would be a second line feed in a child with a cows milk protein allergy?

A
  • amino acid based feeds

- babies with severe colitis/ enteropathy/ symptoms on breast milk

19
Q

When would soya milk be indicated?

A

in a child with milk allergy when hydrolysed formulae refused

20
Q

What is important to note about choosing a type of milk?

A

that it has enough calcium in it

21
Q

When does weaning occur?

A

starts at about 5-6 months

22
Q

How would you start weaning?

A
  • smooth purees, fruit, veg
  • lumps/finger food from 6-7 months
  • cup from 7 months
23
Q

What vitamins should we recommend for children?

A
  • vitamin D

- children’s vitamins (over the counter)