Nutrition in infancy

Question 1

what is WHO BF reccomendation

Answer 1

BF exclusive for first 6 months

Question 2

2 big reasons for BF

Answer 2

1. compostion - has all the good things

2. immunity - lower otititis, gastro, RSV, asthma

Question 3

other reasons to breastfeed

Answer 3

1. lower SIDS
2. allergies
3. obesity prevention
4. benefots to mother
5. $
6. green

Question 4

what is colostrum

Answer 4

• liquid gold
• first 24-48 hours
• rich in proteins and AB

Question 5

2 portions of breastmilk

Answer 5

foremilk - CHO, protein, low fat

hindmilk - rich in fat

Question 6

what is breatmilk missing

Answer 6

vit D

Question 7

bb and maternal BF contraindication

Answer 7

bb- galactosemia

mom - drugs, HIV, TB

Question 8

what is ONLY alternative to BF

Answer 8

formula

Question 9

3 types of formula

Answer 9

1. powder - 1 scoop/2oz
2. ready to feed
3. liquid concentrate

Question 10

*key to mixing

Answer 10

0.67kcal/ml

Question 11

4 different formula types and their indications

Answer 11

1. cow’s milk - heathy BB
2. thickened - happy spitters
3. lactose free cow - lactose intolerant
4. soy bases - vegans, galactosemia

Question 12

• energy needs for 0-6mo and 6-12mo

Answer 12

0-6 - 100 cal/kg/day

6-12 - 80 cal/kg/day

Question 13

2 alternate milks and when they may be introduced

Answer 13

homo - 9-12mo to 2 yo

skim > 2years

Question 14

what is milk baby and treatment

Answer 14

too much milk

• iron def. anemia
• restrict milk intake

Question 15

5 incomplete milks

Answer 15

rice, goat, evap, almond, coco

Question 16

max amount of juice

Answer 16

1/2cup (4-6oz) per days

Question 17

causes of dental caries

Answer 17

1. lack of flouride - bottled water
2. honey dip
3. no bottle at night
4. brush
5. dentist

Question 18

effects of Fe def.

Answer 18

irreversible cog. deficits

Question 19

when does Fe need to be given by

Answer 19

6 months - stores used up

Question 20

4 risk facotrs of Fe def.

Answer 20

1. breast fed
2. low/delayed intake of other Fe foods
3. low vit. C
4. excessive milk

Question 21

3 risk factors for vit. D def.

Answer 21

1. dark skinned
2. breast fed
3. winter

Question 22

how much vit. D does bb need

Answer 22

400 IU unless getting >1000ml formula per day

Question 23

4 ways to tell BB is ready for solids

Answer 23

1. hold head up when propped to sit
2. show interest in food
3. tongue thrusts forward
4. opens wide when food is seen coming

Question 24

dev. feeding milestones

Answer 24

holds bottle - 6-9mo
finger feed - 9-12
uses cup, spoon - 12-18mo
likes eating with hands - 18-24
picky - 2-5yo
knife and fork - 4-5yo

Question 25

when to start on solids

Answer 25

4-6months with single solid food with iron

Question 26

4 keys to foo safety

Answer 26

1. seated
2. supervised
3. no propped bottle
4. reduce choking risk - no little things under 4yo

Question 27

how has obesity changes in children

Answer 27

tripled in last 30 years

Question 28

3 factors involved in obesity

Answer 28

1. screen time
2. less active
3. super sized quant

Question 29

what is key to weight loss

Answer 29

not diet

- healthy eating and physical activity

Question 30

5 As to approach obesity

Answer 30

Ask - for permission to talk about
Assess - risk factors and motivation
Advice - goal setting with advice
Agree - on plan
Arrange - follow up