infant feeding Flashcards
Aap recommends exclusive breast feeding for how long
6 months
If breastfeeding is not possible, what should be used
iron fortified formula
When should solids be introduced
4-6 months
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)
contraindications to breast feeding
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
Medications that are contraindicated to breast feeding
Initially, babies will nurse for how long?
8-12 times a day (or every 2-3 hours)
Should babies be put on a schedule or expected to go long periods without eating
No
Breastfed and formula fed babies will frequently do what particularly during known growth spurts. Ie: 2 weeks, 6 weeks and 4 months.
cluster feed
what is the best way to ensure breast milk supply is well established and how long does it take?
Feeding on demand and as frequently as possible. takes 2-3 months to establish a solid supply
Formula fed babies will eat every
2-3 hours and typically take 1-2 ounces for the first few days/weeks of life
What will happen as the baby grows and puts on weight
the baby will demand more with each feed
Easy way of determining the average amount a baby will take with each feed
divide their weight by 2 and that is the amount of ounces they will typically demand
what happens to the weight of formula fed babies
Formula fed babies lose less weight initially and are quicker to regain birth weight
breast milk/formula is the main source of nutrition for
the first 6 months
When can solids be introduced?
4-6 months and when the baby is showing signs of readiness
sits up in high chair, interested in family eating, mimicking eating, tongue thrust diminishing are all signs of
Readiness for solid foods
Do First foods need to introduce one food over a 7 day period
no
How often can breast fed babies try new foods
every day
How often can formula fed babies try new foods
every couple of days
what should be considered before introducing peanut butter if there is Severe eczema, egg allergy or both
strongly consider measuring IgE
Earliest age of peanut introduction
4-6 months
what should be considered before introducing peanut butter if there is Moderate-to-severe eczema
introduce peanut-containing food
what should be considered before introducing peanut butter if there is No eczema or any food allergy
introduce peanut-containing food
How much should babies drink?
Initially and until 6 months: 28 – 32 ounces
6 – 12 months: 24 – 28 ounces
