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Peds week 1-3 > infant feeding > Flashcards

infant feeding Flashcards

1
Q

Aap recommends exclusive breast feeding for how long

A

6 months

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2
Q

If breastfeeding is not possible, what should be used

A

iron fortified formula

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3
Q

When should solids be introduced

A

4-6 months

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4
Q

Mother’s conditions:
HIV-1, HIV-2
HTLV-1, HTLV-2
Herpes simplex virus Contraindicated only if active breast lesions are present
Tuberculosis infection
Infant Conditions *
Classic galactosemia (galactose 1-phosphate uridyltransferase deficiency)
Maple syrup urine disease
Phenylketonuria (partial breastfeeding is possible with careful monitoring)

A

contraindications to breast feeding

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5
Q

Antineoplastic agents Fetal death, congenital anomalies, organ system toxicity
Immunosuppressants Potential suppression of the immune system
Lithium High potential for toxicity
Chloramphenicol Blood dyscrasias, aplastic anemia
Ergot alkaloids Ergotism poisoning
Radiopharmaceuticals Potential toxicity; brief to full interruption of breastfeeding recommended
Bromocriptine Suppresses prolactin secretion; hyperprolactinemic mothers taking drug can breastfeed successfully
Iodides Thyroid suppression

A

Medications that are contraindicated to breast feeding

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6
Q

Initially, babies will nurse for how long?

A

8-12 times a day (or every 2-3 hours)

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7
Q

Should babies be put on a schedule or expected to go long periods without eating

A

No

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8
Q

Breastfed and formula fed babies will frequently do what particularly during known growth spurts. Ie: 2 weeks, 6 weeks and 4 months.

A

cluster feed

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9
Q

what is the best way to ensure breast milk supply is well established and how long does it take?

A

Feeding on demand and as frequently as possible. takes 2-3 months to establish a solid supply

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10
Q

Formula fed babies will eat every

A

2-3 hours and typically take 1-2 ounces for the first few days/weeks of life

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11
Q

What will happen as the baby grows and puts on weight

A

the baby will demand more with each feed

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12
Q

Easy way of determining the average amount a baby will take with each feed

A

divide their weight by 2 and that is the amount of ounces they will typically demand

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13
Q

what happens to the weight of formula fed babies

A

Formula fed babies lose less weight initially and are quicker to regain birth weight

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14
Q

breast milk/formula is the main source of nutrition for

A

the first 6 months

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15
Q

When can solids be introduced?

A

4-6 months and when the baby is showing signs of readiness

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16
Q

sits up in high chair, interested in family eating, mimicking eating, tongue thrust diminishing are all signs of

A

Readiness for solid foods

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17
Q

Do First foods need to introduce one food over a 7 day period

A

no

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18
Q

How often can breast fed babies try new foods

A

every day

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19
Q

How often can formula fed babies try new foods

A

every couple of days

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20
Q

what should be considered before introducing peanut butter if there is Severe eczema, egg allergy or both

A

strongly consider measuring IgE

21
Q

Earliest age of peanut introduction

A

4-6 months

22
Q

what should be considered before introducing peanut butter if there is Moderate-to-severe eczema

A

introduce peanut-containing food

23
Q

what should be considered before introducing peanut butter if there is No eczema or any food allergy

A

introduce peanut-containing food

24
Q

How much should babies drink?

A

Initially and until 6 months: 28 – 32 ounces
6 – 12 months: 24 – 28 ounces

25
Q

How many meals should a 4 month old?

A

0-1 meal

26
Q

How many meals should a 6 month old?

A

1-2 meals

27
Q

How many meals should a 9 month old?

A

3 meals

28
Q

How many meals should a 12 month old?

A

3 meals and a snack

29
Q

Breast fed baby – continue breast feeding for the first year of life with the introduction and incorporation of solids – three meals a day, snack and breast milk – typically 24 ounces of EBM or 4-5 nursing sessions during the day time hours

A

Goals of feeding

30
Q

Formula fed baby – by 12 month birthday, taking around 24 ounces of formula with three meals and snack

A

Goals of feeding

31
Q

At 1 year of age, transition to whole milk – no more than 24 ounces a day and in a sippy cup – at 2 years, transition to a low fat milk

A

Goals of feeding

32
Q

second year of life is less about milk and more about the fat, calcium and vit d – keep in mind as some breast fed babies who wean do no take to whole milk

A

Goals of feeding

33
Q

What is important to assess on a newborn

A

feeding, weight gain, elimination

34
Q

How much weight does a newborn lose initially

A

10%

35
Q

What is the caloric range of human milk from feeding to feeding

A

19-21 calories per ounce

36
Q

What has more protein formula or breast milk

A

formula has slightly higher levels of protein

37
Q

What is the breastfed stool variant and why does it happen

A

One soft, voluminous stool occurs usually every 3 to 4 days,
Due to almost complete absorption

38
Q

indications for use of different formulas
allergies

A
39
Q

indication for partially hydrolyzed formula

A

eczema, contact dermatitis

40
Q

contains higher concentration of protein. Lactose free. Not for preterm infants. They have not been shown to be of benefit
in the management of infantile colic or cow milk intolerance, and there is no indication for their use in the
prevention of atopic diseases

A

Soy formulas

41
Q

not indicated in the management of nonIgE allergies to cow milk protein. However,
only 8% to 14% of infants who have IgE-mediated allergic reactions to cow milk proteins are sensitized to soy

A

Soy formula

42
Q

indicated
when strict lactose avoidance is required, as in the rare
case of congenital lactase deficiency or in the management of galactosemia. It is recommended to limit use to infants 6 months and older

A

Soy formula

43
Q

formulas
supplemented with probiotics reduce

A

the incidence
of clinical eczema in high-risk infants

44
Q

used in infants with conditions characterized by malabsorption
of nutrients

A

extensively hydrolyzed formula

45
Q

when are Hydrolyzed formulas used

A

for the prevention of atopy, particularly eczema, asthma, and food allergies.

46
Q

may delay or prevent atopic dermatitis compared to cow milk based formula

A

Extensively hydrolyzed formula or partially hydrolyzed formula

47
Q

Partially hydrolyzed formula is not indicated in which population

A

in Cow milk protein allergy so they should be fed Extensively hydrolyzed formulas

48
Q

Amino acid formulas should be reserved

A

For those that do not respond to Extensive hydrolyzed formulas

Peds week 1-3 (6 decks)

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