Infant nutrition and breastfeeding

Question 1

Why is a newborn given a shot of Vitamin K

Answer 1

to prevent hemorrhagic disease

Question 2

When should normal, healthy, term infants be ready to nurse?

Answer 2

following delivery

Question 3

Why are infants given a glucose water bottle?

Answer 3

to provide glucose to prevent neonatal hypoglycemia

Question 4

What are the advantages of breastfeeding for the infant?

Answer 4

normal weight control, most close to perfect nutrient, antibodies for infant, bonding with mother

Question 5

Why should breastfeeding be considered a public health issue, not a lifestyle choice?

Answer 5

promising short term and long term medical and neurodevelopment advantages

Question 6

How long should women exclusively breastfeed?

Answer 6

6 months

Question 7

How long is breastfeeding desired for?

Answer 7

1 year

Question 8

Why does human milk provide optimal nutrition?

Answer 8

species specific

Question 9

Breast milk has higher amounts of cholesterol and omega 3 fatty acids which are important for ______

Answer 9

brain development

Question 10

Why is breastfeeding good for the mother?

Answer 10

bonding; gives her a chance to relax

Question 11

Who has a higher IQ, a baby who was breastfed or a bottle fed baby?

Answer 11

breastfed

Question 12

How much would we save in healthcare costs if 90% of the population was breastfed for 6 months

Answer 12

> 13 billion dollars

Question 13

Why does breastfeeding account for as much as 40 fold increase in infant mortality in some regions of the world?

Answer 13

poor sanitation, infectious disease, and poor access to clean water

Question 14

Why is there decreased post partum depression in mothers who breastfeed?

Answer 14

Increased oxytocin which is calming

Question 15

How does longer amenorrhea help a mother?

Answer 15

improved iron status, better spacing of pregnancies

Question 16

What diseases are decreased with breast feeding?

Answer 16

ovarian, premenopausal breast cancer

Question 17

How is the secretion of milk activated?

Answer 17

by the suckling of the infant

Question 18

What are signs of let down

Answer 18

milk dripping from breast before the baby starts to nurse, milk dripping from other breast while baby nurses from the other, contraction of uterus, tingling sensation

Question 19

What is early milk called

Answer 19

colostrum

Question 20

What is colostrum high in and what is it low in

Answer 20

high in carbs, protein, and antibodies; low in fat

Question 21

What does colostrum look like

Answer 21

yellow and sticky

Question 22

How is the mother a factory, not a warehouse?

Answer 22

milk production based on demand; if the baby is not suckling at the breast then the milk will not be made

Question 23

What are nutrition tips for the breastfeeding mom

Answer 23

eat a well-balanced diet, avoid foods that bother the baby, usually leave on prenatal vitamins

Question 24

how many glasses of water should a breastfeeding mom drink

Answer 24

8

Question 25

What are the basics of breastfeeding?

Answer 25

learned skill, requires patience and practice, may be frustrating for mother and baby, takes a greater effort than formula feeding at first

Question 26

What is the rooting reflex?

Answer 26

the infant will turn towards the nipple and open their mouth

Question 27

How does the infant latch on?

Answer 27

compressing the lips; should be well up on the areola

Question 28

How long should the infant nurse for?

Answer 28

10-15 minutes on each breast

Question 29

What percentage of women make sufficient milk and can breastfeed with appropriate support?

Answer 29

99

Question 30

What is the number 1 cause of lactation failure?

Answer 30

poor latch on

Question 31

How can you check to see if the infant is getting enough to eat?

Answer 31

Wet diapers, duration of breastfeeding,baby is drowsy after nursing, take and get weighed

Question 32

What are some obstacles to breastfeeding?

Answer 32

media, insufficient prenatal education, maternal employment, lack of guidance

Question 33

What is the most common cause of poor weight gain

Answer 33

inappropriate, infrequent feeding

Question 34

How often do newborns feed?

Answer 34

8-12 times per 24 hours for the first month of life

Question 35

Why should both breasts be offered at each feeding?

Answer 35

most milk removed in 5 minutes, recommend nursing longer to get hind milk

Question 36

What are downsides of bottle feeding during early lactation

Answer 36

Interferes with milk production, may cause nipple confusion, exposure to antogens

Question 37

What can moderate to heavy alcohol intake interfere with?

Answer 37

let down, milk ejection, reflex, as well as mother’s ability to care for the baby

Question 38

Can breast milk be saved?

Answer 38

yes; refrigerated or frozen

Question 39

How should breast milk be thawed?

Answer 39

slowly in the refrigerator or in a bowl of warm milk

Question 40

Why shouldn’t you use the microwave?

Answer 40

destroys antibodies, scalds baby

Question 41

Should supplemental fluoride be provided for the first 6 months?

Answer 41

no

Question 42

What formula is recommended for infants who are not breastfed?

Answer 42

cow’s milk based iron fortified

Question 43

What are three types of formula?

Answer 43

ready to serve liquids, concentrated liquids, powdered formulas

Question 44

How should you sterilize a bottle?

Answer 44

boil water for 5 minutes; allow to cool for 20 minutes

Question 45

What is the extrusion reflex?

Answer 45

baby’s tongue pushing spoon and food out

Question 46

What are developmental signs consistent with age appropriate progression to solids

Answer 46

Extrusion reflex, bring hand to mouth, good head and neck control

Question 47

What has intake of cow’s milk before age 1 been associated with?

Answer 47

iron deficiency anemia and occult bleeding due to high concentration of proteins