Lactation and Infant Formulas

Question 1

how often do infants feeding during growth spurts? and when are growth spurts?

Answer 1

-q30mins - 1 hour for 2-3 days
-2-3 weeks, 6 weeks, 3 months, 6 months

Question 2

how many times should a infant nurse?

Answer 2

8-12 time q24 hrs

Question 3

what are some issues with nipple shields? (2)

Answer 3

-the breast does not receive adequate stimulation so milk production will be low
-feel different, so infant might be reluctant to wean from shield

Question 4

reasons to use nipple shield? reasons not to use nipple shield?

Answer 4

-flat or inverted nipples
-try not to use with cracked nipples because of the decreased milk supply and nipple confusion that it can cause

Question 5

how long can breastmilk be at room temp

Answer 5

4 hours

Question 6

how long can breastmilk be refrigerated

Answer 6

4 days of less, ideally less then 48 hours

Question 7

how long can breastmilk be frozen

Answer 7

3-4 months, 6 months in a deep freezer (below 0 degrees)

Question 8

supplement lavage feeding set up

Answer 8

tubing taped to breast with end extending 2-3mm past end of nipple, tubing should be under baby’s upper lip while nursing, release clamp after baby starts nursing, container should be below breast

Question 9

what does donor milk associated with…

Answer 9

lower rates of gut disorders such as necrotizing enterocolitis and other infections

Question 10

name 3 cow milk formulas

Answer 10

enfamil, similac, and good start

Question 11

name 4 soy based formulas

Answer 11

isomil, soyalac, prosobee, nursoy

Question 12

why would you use a soy based formula

Answer 12

infants with primary lactose deficiency, galactosemia, cow milk allergies

Question 13

name 2 common therapeutic formulas - why used?

Answer 13

nutramigen, pregestrimil - to meet special needs

Question 14

neonate formula requirements per lb

Answer 14

2.5 oz of formula per lb in 24 hours

Question 15

fat soluble vitamins in formulas include

Answer 15

vitamin A, vitamin D, vitamin E, vitamin K

Question 16

vitamin A importance

Answer 16

growth and development of tissues and immune system, supplementation in low birth weigh infants has show to reduce the incidence of bronchopulmonary dysplasia

Question 17

vitamin D importance

Answer 17

required for adequate calcium and phosphorus absorption; deficiency leads to rickets (soft bones, bowed legs)

Question 18

vitamin E importance

Answer 18

antioxidant limited in preterm infants, making them susceptible to developing hemolytic anemia

Question 19

vitamin K importance

Answer 19

important for clotting factors, injection given after birth to prevent hemorrhagic disease of newborns

Question 20

when is an enteral feeding tube required