infancy

Question 1

infant development and why does it matter?

Answer 1

newborn devlop extrusion reflex = put smtg in mouth, push out w/ tongue
=> not ready for (s)

can control muscle: top down, celtral to peripheral
=> influence ability to feed & enrgy expenditure

oral fding: if disrupted, becomes a reluctant / difficult feeder

Question 2

digestive system development

Answer 2

fetus swallows amniotic fluid => promotes intestinal maturation
@ birth, healthy newborn can digest simple sugar, protein and fat

@ 6 mth, GI track mature
=> HCl & pepsin c lowers
=> peristalsis improves

Question 3

interpresting head cicrcum vs interpreting weight for length

Answer 3

< 3 to 97 >: a problem vs < 3 percentile (underweight) to 97> (obese)

Question 4

recc for carb, fat and vit D

Answer 4

carb: 60 to 95 (0-6 months to 6-12 months)
fat: 31 to 30 (0-6 months to 6-12 months)
take 400 IUD of vit a day for all breast fed baby

Question 5

recc for iron, calcium and protein

Answer 5

iron: 0.27 mg to 11 mg (0-6 months to 6-12 months)
calcium: 200 to 260 (0-6 months to 6-12 months)
protein: 1. 52g/ kg.d to 1.29g/kg/d

Question 6

how to know if infant ready for feed

Answer 6

sit upright in a high chair
head hold high
watch in anticiupation as food opened
tight first, grab for spoon

Question 7

what should the 1st meal be like

Answer 7

baby should be hungry & alert
start w/ 1 mea/d then gradually increase
let them explore w/ food, decide their own portion
DO NOT FORCE FEED

Question 8

introduce ____ rich food first:
meat, poultry, fish, egg or iron-fortified ____ _____
eat fatty foods like _____ ____
best to buy it / make it @ home

baby should be eating a variety of foods & texture: carb, ___, _____

Answer 8

introduction of (s) food @ 6 mnth, 9 mnth

Question 9

what about drink choice?

Answer 9

@ 9 mnth, breast milk is still th ebest bt pasteurized whole milk until end of year
after that, do 2%, 1%, skim milk okay

Question 10

can plant based bevarage replace breast millk or cow milk? why?.

Answer 10

plant based bev is not alt to breast milk and cow milk bcs although fortified, doesnt provide enough protein and fat

Question 11

cause of iron-defiency anemia

Answer 11

cause: cow’s milk have low FE store w. poor absorption
=> GI blood loss
displacement of iron rich foods

iron deficiency anemia: FE store in child reflect FE store in mother

Question 12

aside from cause of iron-defiency anemia, what other problems do infant face?

Answer 12

gastroesophageal reflux (change position in feeding / bottle fding)
diarrhea & constipation (viral & bacteria infec, change in fliod intake so just have enough fluid)
dental carries & ear infection: limit beditme bottle & juice

Question 13

resrouces in london for infants

Answer 13

**Child Reach **
Ont Early Year Centre: play group, family drop in, breastfding support drop in
LPL