Pediatric Obesity - Exam 2 Flashcards
How long should you exclusively breastfeed your baby? When can you introduce complementary foods into the babies diet?
for the first 6 months of life
12 months
What are some protective effects of breastfeeding? How much does it decrease risk of SIDS?
Protective effect against respiratory illnesses, ear infections, GI diseases, and allergies including asthma, eczema and atopic dermatitis
reduces risk by over 1/3
What effect does breastfeeding have on the reduction in adolescent and adult obesity?
15 - 30 percent reduction
Is crying an early sign or late sign of hunger in an infant? What are some additional hunger cues?
crying is a late sign of hunger
licking lips, sticking tongue out, rooting, putting hand to mouth repeatedly, opening mouth, fussiness, sucking on everything around
When a baby is sucking on things, does that always mean it is hungry?
NO!! babies suck for hunger but also for comfort
How much will a newborn take in ounces the first day or two of life? Milk intake increases to about ???
half ounce per feeding
drink 1 to 2 ounces at each feeding and then will increase to 2-3 ounces by 2 weeks of age
When babies are 2 months old, how many ounces per feeding? how often?
babies usually take 2 to 4 ounces per feeding every 3 to 4 hours.
At 4 months old, how many ounces are babies taking? At 6 months?
At 4 months, babies usually take 4 to 6 ounces per feeding.
At 6 months, babies may be taking up to 8 ounces every 4 to 5 hours.
What is the general rule of thumb for ounces consumed based on age in months?
Most babies will increase the amount of formula they drink by an average of 1 ounce each month before leveling off at about 7 to 8 ounces per feeding
What infants who are breastfeed or bottle fed more likely to overfeed?
bottle fed babies are more likely to overfeed
better to offer less but can always give more if your baby wants it, gives time for the baby to realize if they are full or not
A ______ is a good indicator of whether he or she is getting enough to eat. How many the first few days after birth? How many after the first week?
newborn’s diaper and growth charts
first week: 2-3 wet diapers each day
after first week: at least 5 to 6 wet diapers a day
What does stool frequency in newborn depend on?
Stool frequency is more variable and depends whether your baby is breastfed or formula fed.
What is the vit D recommendation for babies? How long should it continue?
400 IU of vitamin D per day, starting soon after birth (but only for breastfed babies, formula has vit D in it)
supplementation should continue until the baby is at least drinking 1qt of whole milk per day (no whole milk until after 12 months old)
What is the iron supplementation requirement for breastfed babies? What formula should you choose?
breastfed infants 1 mg/kg/day of a liquid iron supplement until iron-containing solid foods are introduced at about six months of age.
use iron-fortified formula (containing from 4 to 12 mg of iron) from birth through the entire first year of life.
infants lose up to ____ of their birth weight in the first few days. When should they be back up to their birthweight?
7%
by day 10-14
Infants typically gain about ______ per day
15 grams per day
What timeframe will formula fed infants typically grow faster? What do they have an increased risk for?
Formula-fed infants grow more rapidly especially at 3-4 months
Higher risk for obesity later in childhood
no food products, only formula until the baby is _______. Why?
4 months
Oropharyngeal coordination is immature before 3 months of age, too early to introduce solid foods
When can you start introducing single item baby foods? When can the baby start having meat?
Baby foods at 6 months of age - fruits and veggies, new food every 3-4 days
No meats until 9 months of age
What are 4 signs that a baby is ready for complementary foods?
Able to hold head up
Able to sit unassisted
Brings objects to mouth showing interest in foods
Ability to track spoon and open the mouth
What does starting to incorporate single-grain cereals into the diet do for the baby? How long do you need to stay with one type before trying a different one?
adds additional iron to the diet
Stay with each one for 3-4 feedings to monitor for intolerance
What is the recommendation for introducing common allergenic foods?
these foods should NOT be delayed! and introduced at the same timing interval as normal foods
When should you introduce peanuts specifically?
Introducing peanut-containing foods in the first year reduces the risk that an infant will develop a food allergy to peanuts.
If a kiddo has severe eczema or an egg allergy, what are 2 things to consider before introducing peanuts?
can test peanut sigE
peanut skin prick test
