nutrition trigger

Question 1

when should you introduce breastfeeding to a baby

Answer 1

within the first HOUR of life!

(aids in stimulation of milk production, uterus contraction and helps baby learn to nurse)

breastfeeding = increased oxytocin = lower risk of hemorrhage for mom!

Question 2

how often should a well nourished infant “void” and “stool”

Answer 2

pee (void) - 6-8 times daily
Stool (poo) - 4-6 times daily

Question 3

how fast should babies typically gain weight?

Answer 3

1/2 oz to 1 oz of weight daily!

weight should double by 5 months and triple by a year

Question 4

what things does breast milk contain that may help babies immune systems

Answer 4

• bacterial/viral antibodies (secretory IgA)
• macrophages
• nucleotides

Question 5

what does breast milk NOT contain, how do we supplement this? with how much??

Answer 5

Vitamin D

supplement with 1ml (400IU)

Question 6

what can breast feeding protect babies against

Answer 6

• GI infections (rotavirus/giardia/shigella/ecoli)
• respiratory illnesses (wheezing/lower resp tract dz)
• H. Flu
• S. Pneumo
• 50% reduction in OM cases

Question 7

how does breastfeeding act as a contraceptive

Answer 7

Due to suckling reflex, increases prolactin, which in return suppresses GnRH, which does not allow FSH/LH to be released, thereby amenorrhea or anovulatory menses

4-6 months

Question 8

what three illnesses can breastfeeding decrease risk for in a mom

Answer 8

• breast cancer
• ovarian cancer
• T2DM

Question 9

exaggerated physiologic jaundice associated with inadequate intake of breast milk, infrequent stooling, and unsatisfactory weight gain

what is this called?

Answer 9

breastfeeding jaundice

Question 10

May present with vomiting, esophagitis, colitis with blood/mucus in stool, irritability, slow weight gain, diarrhea, rashes on skin

assocaited with GERD s/s

Answer 10

cows milk protein allergy or human milk allergy

Question 11

along with decreased dairy intake, what else should mom avoid if she finds that her breastfeeding baby is allergic to cows milk

Answer 11

eggs! cross reactive

Question 12

how long can breast milk be stored

Answer 12

4 days in the fridge
frozen for 6 months in freezer

Question 13

when do rhythmic biting movements begin in babies

Answer 13

7-9 months (allows food to be introduced that requires chewing)

Question 14

what allergies are typically lifelong

Answer 14

peanut allergies

lots of kids outgrow milk/egg allergy tho!

Question 15

how many kcal/ day do infants need? what about 1 year olds? what about >1 year?

Answer 15

infants - 120kcal/kg/day
by 1 year - down to 90 kcal/kg/day
>1 year - 100kcal/year + 1000

(so a 9 year old eats 1900kcal)