infant Flashcards
APGAR test
- how they ate adapting
-Heart rate
Breathing
Muscle tone
Reflexes
Skin colour
what is growth retardation
- poor nutritional stats
- increase calories
what’s failure to thrive
weight continues to decrease after 10 days
AND
weight not regained to birth weight by 3 weeks
how much weight does baby gain in first year
- double in 4-6 month
- weight triple in year
what is the typical weight and weight full term
5.5-8.5 pounds
18.5-21.5 inches
what do growth charts look at
- head circumference for age
- weight for length
steps of motor development in infant
be able to control voluntary muscles
- first head
- than lower legs-last
this influences ability tp start fed self
what stimulates intestinal maturation and growth
swallowing amniotic fluid third trimester
composition of stomach and pancreas of baby
- weaker gut muscles
- low concentration of hydrochloric acid and pepsin ( cannot digest solids)
- so than reflux issues
- pancreas not fully developed-inefficient digestions of solids
why you have to be careful while introducing solid foods
- limited capacity to filter out waste and excrete sodium
- renal system is still developing
-so with solid foods you need lots of water
how to tell when baby hungry
- when fussy start to feed– if start crying baby fill up on air in stomach and won’t want to feed anymore
-beware of cues and signs
how many cal baby need
0-6 months
6-12 months
108 cal
than drop
98 cal
how much protein does baby need? when do you need more?
1.52 g/ day 0-6 months
1.2 g/day 6-12 months
- more protein needed with an infection, illness, prematurity
why is fat important
- develop CNS
- maintain appropriate body temperature
- cushion for organs
- concentrated source of energy
- flavour and satiety
- fat soluble vitamin aborsotion
why is iron important
- Iron deficiency anemia is the most common deficiency
- Cows milk has low iron
- Cause- decrease resistance to infection, poor weight gain, irritability, metal retardation and developmental delays
vitamin and mineral needs and reasons
ca/ na/ zinc/ fluoride
Ca
- Large need for calcium because of rapid skeletal growth
Na- sodium
- Nerve transmission and muscle contraction
- Fluid electrolyte balance — risk becomes when vomit
Zinc- growth
- Baby’s grow quickly, zinc is extra important at beginning of life
-
- Fluorride
- - do not need a supplement if mother is drinking fluoridated water
what is the rooting and extrusion reflex
rooting- initiating breastfeeding
- baby than must learn how to suck and swallow and breath at the same time
extrusion- push tongue outwards
- protect from consuming solids– baby not ready
infant nutrition 0-4 months
- extrusion reflex
- rooting reflex
- cannot swallow solids
- cannot fully digest food
- no solids at this time
infant nutrition 4-6 months
- sit with some support and control head and neck
- starting to be interested in food
what solid foods are introduced first
- iron rich meats and eggs, iron fortified cereals - rice, oat, etc.
- vitamin c rich foods (help absorb the iron)
infant nutrition 6-9 months
goals? ready signs?
goals
- want flavour and texture exposure
- adequate iron intak e
ready?
- self feed finger foods
- sit up independently
- drink sip cup -9months
-pincer graps
** want to offer formula first
* small amount of familiar food, plus one new food
infant nutrition 9-12 months. ready signs?
- can hold a bottle
- grab a spoon
- sit unsupported
- continue nursing