Peads Flashcards

1
Q

The WHO recommends exclusive breastfeeding for

A

the first 6 months of life

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2
Q

What are some common issues with breast feeding

A

poor milk supply

difficulty latching

discomfort or pain for the mother

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3
Q

overfeeds is more common in

A

bottle-fed babies

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4
Q

What does breast milk contain

A

87% water

1% protein

4% lipid

7% carbohydrate

Oligosaccharides

Vit D and K

DHA and EPA

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5
Q

Breastmilk is

A

dynamic and the composition changes in order to meet the babies needs

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6
Q

breastmilk contains that other milk doesn’t

A

additional biological compounds which are not available elsewhere, which supports the infants immune system and gives anti-infective properties

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7
Q

benefits of oligosaccharides

A

Complex carbs feed the infant’s gut bacteria, an important quality of breastmilk

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8
Q

Benefits of breastfeeding

A

lowers risk of mortality

lowers risk of diarrhoea and pneumonia

protective factor against childhood morbidity and mortality

protective against necrotising enterocolitis and sudden death syndrome

lowers risk of otitis media

higher intelligence later in childhood

lower risk of obesity

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9
Q

complimentary feeding refers to

A

introducing food other than breastmilk to an infants diet, which takes place around 6 months

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10
Q

why is weaning delayed until 6 months?

A

allow the infants swallow reflex to develop and gut to mature sufficiently

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11
Q

Complementary feeding (recommended by WHO) (CFORD BIGF)

A

C - Continue frequent breastfeeding until 2 years of age

F - Frequent, on-demand breastfeeding

O - Only look at your child

R - Responsive feeding

D - Directly feed infants and assist older children

B - Be patient

I - Increase food consistency and variety.

G - Good hygiene

F - Fortified complementary foods or vitamin-mineral supplements as needed

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12
Q

How many times should a infant be fed 6-8 months

A

2-3 meals per day

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13
Q

How many times should a infant 9-23 months be fed

A

3-4 meals per day with additional 1 to 2 snacks

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14
Q

Things to think about for complimentary feeding

A

Viscosity of food

Frequency and duration of feeding

Nutrient density

Avoidance of inhibitors and uptake enhancers

Hygiene, preparation, processing and storage

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15
Q

Signs of food allergy can include

A

diarrhoea or vomiting

a cough

wheezing and shortness of breath

itchy throat and tongue

itchy skin or rash

swollen lips and throat

runny blocked nose

sore, red and itchy eyes

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16
Q

Breast milk contains what, to help protect the neonate from infection

A

antibodies

17
Q

Breastfeeding has been linked to

A

reduced infections, better cognitive development, lower risk of certain conditions later in life and a reduced risk of sudden infant death syndrome

18
Q

Smaller body composition has been linked with

A

breastfed babies compared to bottle-feeding

19
Q

Formula-fed babies should receive, how many ml per kg of body weight?

A

150ml

20
Q

Breast feed babies can loose up to, what percentage of their body weight

A

10%

21
Q

formula fed babies can loose up to what percentage of their body weight in the the first 5 days

A

5%

22
Q

Babies should be back at their birth weight by day?

A

10

23
Q

Weaning refers to

A

the gradual transition from milk to normal food.

24
Q

what foods does weaning start with

A

pureed foods that are easy to palate, swallow and digest, for example, pureed food and baby rice

25
Q

What are the 4 major domains of child development

A

Gross motor (large movements)

Fine motor (precise skilled movements)

Language (speech)

Personal and social (interacting, communicating, playing, and building relationships)

26
Q

What are the three phases of growth

A

0 to 2 = rapid growth driven by nutritional factors

2 years to puberty = steady slow growth

Puberty = rapid growth spurt driven by sex hormones

27
Q

Fussy eating tips P-E-L-V-(D)-S-S

A

P-E-L-V-I-S-S
P- Positive attitude towards food
E- Encourage
L- Lead by example
V- Variety of foods
D- Don’t force feed
S- Self-feeding
S- Stress-free + distraction-free meal times