FEEDING

Question 1

Benefits of Breast milk

Answer 1

Immune protection
Superior nutrients bioavailability
Improved feeding tolerance
Neurodevelopmental advantages
Better long-term health outcomes (less future diseases)
Good for maternal health
Emotional connection

Question 2

Types of infant feeding

Answer 2

Breast feeding
Mixed feeding
Artificial feeding

Question 3

Average stomach capacity

Answer 3

@1dy 5-7ml
@3dys 22-27
@10dys 45-60ml

Question 4

Disadvantages of Breast feeling

Answer 4

Infection Transmission
Drug transmission
Breast milk jaundice
Vitamin K deficiency
Less flexible in public areas
Nutrition inadequacy for long term breast feeding
Emotionally upsetting if breastfeeding is unsuccessful

Question 5

Breastfeeding assessment

Answer 5

Weight gain pattern
Stooling (more than formula)
Voiding (diapers/day?)
Feed on demand (every2-3hrs)
Feeding duration (10-20mins/side)
Activity/ vigor of infant

Question 6

When should weaning start?

Answer 6

4-6 months, when baby starts sitting

Question 7

Order to give food during weaning

Answer 7

1) Cereals
2) Vegetables & fruits
3) Meats
4) Eggs

Question 8

What is NIL PER ORAL

Question 9

Criteria for NIL PER ORAL

Answer 9

• Tense abdominal distension
• Abdominal tenderness
• Decreased Bowel Sounds
• Abdominal wall Erythema
• Gross/ occult blood in stool
• Heavy bile stained nasogastric aspirate
• Vomiting after 2 consecutive feeds with feeding tube in correct position

Question 10

Signs of feeding intolerance

Answer 10

Vomiting
Abdominal Distension
Abdominal discoloration
Visible bowel loops
Tender firm, shiny abdomen
Bloody stool
Bloody/ watery stool
Bilious/ Bloody aspirate
Metabolic acidosis
Unwell baby

Question 11

Feeding problems in 1st yr

Answer 11

Underfeeding
Overfeeding
Regurgitation & vomiting
Loose/ diarrheal stools
Constipation
Colic