Newborn Nutrition

Question 0

Psychological influences on feeding

Answer 0

Depression, bonding, anxiety

Question 1

Physical influences on feeding

Answer 1

Hormonal issues, handicap, breast cancer, inverted nipples, born in nicu, medications, infection, pain

Question 2

Social influences on feeding

Answer 2

Cost, work, timing, support

Question 3

Cultural influences on feeding

Answer 3

Social stigmas, modesty

Question 4

Advantages to early feeding after birth

Answer 4

Baby is alert, eager, stimulates meconium excretion, coats GI system, vitamin k production

Question 5

Cranial nerves associated with rooting reflex

Answer 5

5

Question 6

Cranial nerves associated with sucking reflex

Answer 6

9 10 12

Question 7

Cranial nerves associated with swallowing and gag reflex

Answer 7

9 and 10

Question 8

What to assess during a feeding assessment

Answer 8

Color of infant, respirations, choking, vomiting, tracheoesophageal fistula, esophageal atresia

Question 9

Esophageal atresia

Answer 9

Esophagus ends in a blind sack and food goes right back up

Question 10

Caloric requirement for ages 0-6 months

Answer 10

115 kcal/kg/day

Question 11

Weight gain of infants

Answer 11

Loses 5-10% in first week
Regains by day 10
Doubles by 6 months
Triples by 1 year

Question 12

Advantages of breast feeding

Answer 12

Nutritionally superior, bacterially safe, always available, fresh, anti infectious factors, immune cells, least allergenic, helps uterus get back to normal size, strong jaw and teeth development, bonding, milk changes as infant ages, laxative effect

Question 13

Hormones and milk production

Answer 13

Sucking stimulates hypothalamus
Hypothalamus releases prolactin
Prolactin produces milk

Question 14

Hormones and milk let down

Answer 14

Sucking stimulates hypothalamus
Hypothalamus releases oxytocin
Oxytocin causes milk to be let out

Question 15

Colostrum characteristics

Answer 15

Day 1-3, yellow, high in protein, low in fat, rich source of antibodies, helps pass meconium

Question 16

First time breast feeding (care and set up)

Answer 16

Wash hands, restful, calm environment, comfortable position, infant should grasp most of nipple press breast away from nose, nurse 5-10 mins each side, increase time slowly, alternate sides, rotate positions

Question 17

Signs of satisfaction with breast feeding

Answer 17

Content, sleeping 2-3 hours, gaining weight, wet diapers and 2 stools/day

Question 18

Maternal nutrition

Answer 18

Balanced diet, increased protein + 500 extra cals a day, 3-4 quarts of water, prenatal vitamins as long as breast feeding, no birth control pills

Question 19

Potential breast feeding problems

Answer 19

Leaking, sore nipples, weaning, mastitis (breast infection)

Question 20

Bottle feeding

Answer 20

Emulates breast milk, increased protein

Question 21

What to avoid with infants

Answer 21

Whole, skim milk, evaporate milk, honey

Question 22

Positioning for bottle feeding

Answer 22

Sit upright, don’t prop bottle, don’t leave bottle in mouth, keep nipple filled with formula

Question 23

Intro to solids

Answer 23

Start introducing by 6 months, one food at a time, rice cereals, vegetables, then fruit