Newborn Nutrition, Weight Gain Flashcards
Which of the following is appropriate advice to give to a mother who is breastfeeding her 10-day-old infant?
A. “Your milk will come in today.”
B. “To minimize breast tenderness, the baby should not be kept on either breast for more than 5 to 10 minutes.”
C. “A clicking sound made by the baby during feedings signifies a good latch and suck.”
D. “The baby’s urine should be light or colorless.” (Fitzgerald 425)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
D. “The baby’s urine should be light or colorless.” (Fitzgerald 425)
Which of the following is appropriate advice to give to a mother who is breastfeeding her 12-hour-old infant?
A. “You will likely have enough milk to feed the baby within a few hours of birth.”
B. “The baby might need to be awakened to be fed.”
C. “Supplemental feeding is needed unless the baby has at least four wet diapers in the first day of life.”
D. “The baby will likely have a seedy, yellow bowel movement today.” (Fitzgerald 425)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
The baby might need to be awakened to be fed.”
- Compared with the use of infant formula, advantages for the breastfed baby include all of the following except:
A. lower incidence of diarrheal illness.
B. greater weight gain in the first few weeks of life.
C. reduced risk of allergic disorders.
D. lower occurrence of constipation. (Fitzgerald 425)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
B. greater weight gain in the first few weeks of life.
At 3 weeks of age, the average-weight, formula-fed infant should be expected to take:
A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours.
B. 2 to 3 oz, or 60 to 90 mL, every 3 to 4 hours.
C. 3 to 4 oz, or 90 to 118 mL, every 2 to 3 hours.
D. 3 to 4 oz, or 90 to 118 mL, every 3 to 4 hours. (Fitzgerald 425)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours.
- In infants, solid foods are best introduced no earlier than:
A. 1 to 3 months.
B. 3 to 5 months.
C. 4 to 6 months.
D. 6 to 8 months. (Fitzgerald 425)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
4-6 months
- Nursing infants generally maximally receive about which percentage of the maternal dose of a drug?
A. 1%
B. 3%
C. 5%
D. 10% (Fitzgerald 425)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
A. 1%
- The anticipated average daily weight gain during the first 3 months of life is approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. (Fitzgerald 426)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
D. 30 g or 1 oz. (Fitzgerald 426)
- The average required caloric intake in an infant from age 0 to 3 months is usually:
A. 40 to 60 kcal/kg/day.
B. 60 to 80 kcal/kg/day.
C. 80 to 100 kcal/kg/day.
D. 100 to 120 kcal/kg/day. (Fitzgerald 426)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
D. 100 to 120 kcal/kg/day. (Fitzgerald 426)
- Regarding physiological jaundice in the newborn, select all that are correct:
A. It occurs between the first 12 and 24 hours of life.
B. It progresses from the abdomen toward the head of the infant.
C. Unconjugated bilirubin is elevated.
D. Risk of development of hyperbilirubinemia can be reduced in a breastfed infant with frequent breastfeeding every 2 to 3 hours per 24 hours.
E. It can be avoided by supplemental water and dextrose feedings between breastfeeding in the first 3 to 4 days of life to increase infant hydration while awaiting mother’s milk to come in.
(Fitzgerald 426)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
C. Unconjugated bilirubin is elevated.
D. Risk of development of hyperbilirubinemia can be reduced in a breastfed infant with frequent breastfeeding every 2 to 3 hours per 24 hours.
Guidelines for Nutrition in the First Months of Life
■ Frequency of feeding during months 1 and 2:
■ Breastfed infants: A minimum of 10 minutes at each breast every 1.5 to 3 hours
■ Bottle-fed infants: 2–3 oz (60–90 mL) every 2 to 3 hours
■ Fluoride supplementation is advisable for breastfed infants or if formula is not mixed with fluoridated water in formula-fed infants
■ Solid foods are best introduced no sooner than age 4 to 6 months
■ Signs that an infant is ready for solid food:
■ Doubled birth weight and at least 4 to 6 months of age
■ Eats more than 32 oz (946 mL) formula per day or more than 8 to 10 feedings (breast or bottle) per day (Fitzgerald 427)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
Info
Anticipated Weight Gain and Caloric Requirements in the First 3 Years of Life
Age Anticipated /Average Weight Gain per Day (g) /Required Kilocalorie per Kilogram per Day
0–3 mo 26–31 100–120 kcal
3–6 mo 17–18 U105–115 kcal
6–9 mo 12–13 100–105 kcal
9–12 mo 9 100–105 kcal
1–3 yr 7–9 100 kcal
(Fitzgerald 427)
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation, 5th Edition. F.A. Davis Company, 20170314. VitalBook file.
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