infant nutrition Flashcards

1
Q

wt changes in first yr of life

A
  • double by 4-6 mo
  • triple by 1 yr
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2
Q

A well, term infant needs ~ ____ kcal/kg/day

A

100

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3
Q

infants need a higher percentage of kcal from ____ d/t their fast growth

A

fat

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4
Q

why is human milk preferred to formula or cows milk in terms of protein needs?

A
  • human is better quality than formula; 70 whey/30 casein
  • overall lower in protein than cows milk so its less taxing for their kidney
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5
Q

all parents breastfeeding should provide which 3 supplements? when?

A
  • vitamin D 400IU in 1st wk
  • fluoride & iron by 4-6months
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6
Q
  • Assists over 300 enzymes
  • Essential for growth and development
  • Immune healing
  • Wound healing
  • Taste

which nutrient

A

zinc

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7
Q

All infants should receive a single intramuscular dose of which vitamin shortly after birth to prevent hemorrhagic disease of the newborn

A

Vitamin K

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8
Q

how long is exclusive breastfeeding recommended

A

6 months

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9
Q

benefits of breastfeeding for the birthing parent

A
  • increased oxytocin helps w uterine involution
  • earlier return to pre-preg. wt
  • lactational amenorrhea
  • less CV risk and cancer risk and T2DM risk
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10
Q

which 3 infections makes breastfeeding C/i

A
  • HIV and human T-cell lymphotropic vicrus 1 and 2
  • active TB
  • herpetic breast lesions
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10
Q

which 3 infections makes breastfeeding C/i

A
  • HIV and human T-cell lymphotropic vicrus 1 and 2
  • active TB
  • herpetic breast lesions
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11
Q

what stage of lactogenesis does this apply to

  • mid pregnany
  • gland competent
  • lactose in blood and urine
  • slight leakage of colostrum
A

stage 1

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12
Q

what stage of lactogenesis does this apply to

  • postpartum
  • change from small volumes of colostrum to copious amounts of milk
  • triggered by fall in progesterone and elevated prolactin
A

stage 2

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13
Q

this happens when regular milk removal stops

  • decrease in prolactin
  • mammary gland returns to pre-pregnancy state
A

involution

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14
Q

acute phase protein with antimicrobial activity in breast milk

A

lactoferrin

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15
Q

found in breast milk; supports growth of nonpathogenic Lactobacillus in the gut, which prevents growth of pathogenic bacteria

A

bifidus factor

16
Q
  • Produced the first few days
  • Higher concentration of protein and antibodies compared to mature milk
  • yellow color due to beta carotene
A

colostrum

17
Q

when does mature milk transition start and end?

A

starts day 3 and ends day 10

18
Q

which has more carbs, mature milk or colostrum

A

mature milk

19
Q

foremilk vs hindmilk

which is rich in fat and which is rich lactose & protein

A
  • foremilk– rich in lactose and protein
  • hindmilk– rich in fat
20
Q

4 nutrients breastmilk lacks

A

iron
zinc
vit k
vit d

21
Q

ways to tx cow milk allergy via breastfeeding (3)

A
  • no cow milk or dairy in moms diet
  • if sx persist after 2 wks, no soy then no egg
  • switch to hydrolyzed or amino based formula
22
Q

ways to tx cow milk allergy via formula

A
  • hydrolyzed formula –> amino based formula

NO SOY FORMULA

23
Q

ways to tx cow milk allergy via formula

A
  • hydrolyzed formula –> amino based formula

NO SOY FORMULA

24
Q

when can you try to reintroduce cows milk after tx cow milk allergy

A

1 year

25
Q

2 inborn errors of metabolism that are C/I to breastfeeding

A

galactosemia
PKU

26
Q

when should you introduce complementary solids?

A

4-6 months

by month 6, human milk isnt enough for energy

27
Q

how long should you wait between introducing each new single ingredient solid food

A

3-5 days

28
Q

how long do you wait to introduce COW milk

A

1 yr

29
Q

2 things associated w/ cow milk introduction

A
  • increased renal solute load
  • risk of Fe deficiency anemia
30
Q

drinking more than # oz/day of cows milk in young kids is associated w/ iron deficiency anemia

A

24 oz/day

31
Q

when & how can you introduce fruits into their diet (2)

A

offer pureed whole fruits starting at 6 months
at 12 months can offer pasterurized 100% fruit juice w/ food/snacks

32
Q

when & how can you introduce fruits into their diet (2)

A

offer pureed whole fruits starting at 6 months
at 12 months can offer pasterurized 100% fruit juice w/ food/snacks

33
Q
  • crying for no apparent reason lasting ≥ 3 hrs/day for ≥3 days/wk in an otherwise health infant under 3 months (rule of 3s)
  • resolves by 3-4 months; unknown etiology
  • proxysmal, hypertonia
  • difficult to console
A

infantile colic