Nutrition/Language/Sleep/Play/Injury Prevention Flashcards
Infats in the 1st 6 months for nutrition are on a
on-demand schedule
- establish feeding schedule
feed until satisfied by pulling away
easy temperament babies may need a more planned schedule
What is the optimal choice for 1st 6 months babies?
Breastmilk
What is the acceptable alternative for 1st 6 months babies?
Formula
What are the benefits of breastfeeding?
- Antibodies produced by mom to pass to baby
- personalized to the baby through milk production
- always available
- bonding and helps mom with depression
- economic
- low breast CA in mothers who have breastfed
- help decrease risks of obesity, specific allergies, DM, heart diseases
WHO promotes what time of newborn feedings throughout the world
breastfeeding
What are some keys to breastfeeding success?
Frequent and early
Skin-to-skin contact
Within 1st hour of life
1st milk – colostrum = rich in antibodies, Vitamin K, and proteins??
Transitions to breast milk and goes into fatty
Careful of diet and meds
Education and support
What is the nurse’s role in promoting breastfeeding?
Hydration, proper diet, lactation specialists, correct technique of latching, positioning for the baby with pillows and side-lying, no rigid feeding schedule
The 1st milk for the baby is known as the
colostrum
The colostrum is rich in
antibodies, Vit K, and proteins
Bottle feeding
Side-lying position as newborns esp. premes
Burp with steady pats while supporting the chin downward
Not too comfortable to fall asleep but okay
demand feedings vs scheduled
Swaddle, nipples with sizes
Prep formula with proper mixing
Stress could cause struggling
Coughing and choking needs to be stopped and start again
Whole milk can be given to the baby when
not until the end of the 1st year
deficient in components needed for optimal growth
Skim and low fat milk if parents prefer can be used when
at the end of the 2nd year
Why is skim and whole milk not used during the baby’s first year of life?
need essential fat for neurodevelopment
When can the baby have solid foods?
4-6 months
4 months = acceptable if the baby is hungry constantly
6 months best because the GI system is complete and ready for real food
What is the order of solid foods a baby can have?
Iron-fortified cereal (rice)
veggies
fruits
meat
eggs and cheese
The baby can have eggs and cheese when?
12 months
You need to introduce the new food for how long?
4-7 days
because of allergy possibilities
Extrusion reflex
the tongue pushes food out
Honey should not be given to babies for what reason
botulism
The extrusion reflex goes away after
6 months
During the 3rd trimester the unborn baby stores iron in the
liver
At the end of 4 months the breast feeding mother should give what to the child
iron supplements
bc the mothers iron stores are depleted in breast milk at 4 months
Iron supplemets are given 1 mg per
kg
When is the greater absorption of iron (best time to give )?
between meals
Caution the parents when you administer iron to the baby that these things will occur
stain teeth
stool will turn tarry with green or black
Iron supplements will be administered by a
dropper in side of the cheek for PO
Infants who are partially or not breastfed should receive iron-fortified formula from
birth to 12 months
Toddler Nutrition
physiologic anorexia
food jags
“Quality over Quantity”
No more than 1 quart of milk per day
lead to dietary deficiencies
Parents should always offer nutritious food over
junk food
“Quality over quantity”
Preschool Nutrition
3-4 y/o - cont to see food jags
strong taste preference
5 - social aspects of eating
5-6 try new foods if encouraged with prep
