Lecture 10: Obesity Flashcards
(64 cards)
How long should a mother exclusively breastfeed?
AAP recommendation
First six months
What are the benefits of BFeeding?
- Protective effect against most illnesses
- Reduce risk of SIDS
- Reduce risk of obesity
- BFeeding mothers have reduced risk of postpartum hemorrhage
What are the disadvantages of BFeeding?
- Tired
- Mother is on special meds
- Baby needs special diet
- Cannot Bfeed if alcoholic or on drugs
- Need to supplement Vit D still
When do you feed a baby?
When its hungry
How do you know a baby is hungry?
- Licking lips
- Sticking tongue out
- Rooting
- Hand to mouth
- Opening mouth
- Fussy
- Sucking on everything (altho sucking can also be for comfort)
Hunger cues
Crying is a LATE sign of hunger
How often does a newborn eat on average?
Every 2-3 hours
For BFeeding
How do newborn feeding amts increase?
- First days of life: 0.5 oz/feed
- 1-2 weeks: 1-2 oz/feed
- 2 weeks: 2-3 oz/feed
- 2 Months: 2-4 oz/feed (feeding slows Q3-4h)
- 4 months: 4-6 oz/feed
- 6 months: 6-8 oz/feed (feeding slows Q4-5h)
Formula-wise: 1oz per month until they get to 7-8 oz/feed.
What kind of baby is most likely to overfeed?
Bottle fed
How do you know a baby is getting enough to eat?
- Beginning days: 2-3 WET diapers daily.
- By 1 week: 5-6 WET diapers daily.
How much Vit D does a baby need?
400 IU QD until they drink 1 qt of whole milk
Milk would not start until 1 year at minimum.
What kind of babies need Vit D supplementation?
Any baby being BFeed or not drinking at least 32oz of formula
What is the recommended iron supplementation for a newborn baby being BFed?
1mg/kg/d of liquid iron until 6 months
They usually start eating food with iron by 6mo.
What is the recommended iron supplementation for a newborn baby being Formula-Fed?
Just use iron-fortified formula for the first year
How does a baby’s wt change in the first 2 weeks of life?
DROPS by 7%
How much wt do we expect a baby to gain daily?
15g
100-120 kcal/kg/d needed for this.
When do you first recheck a newborn’s wt?
3-5 days after its born.
You would expect a small DROP in wt.
How does formula affect future obesity?
High risk for obesity in childhood.
What are the biggest benefits of formula?
- Catering to special needs (MPA, galacto, etc)
- No other supplementation is generally required.
When can you start single grain rice cereal at the earliest?
4 months via a spoon BID
When can you start meats in children?
9 months of age
What 4 things signal a child is ready for complementary feeding?
- Can hold head up unassisted
- Can sit unassisted
- Bring objects to mouth (interest)
- Ability to track spoon and open mouth
What is the danger of introducing peanut foods in the first year to an infant?
It is preferred that you DO introduce them to it to reduce their risk of developing an allergy to it.
Unless you have anaphylaxis to it i guess
When is juice recommended to children?
NEVER
Diabetes!!
How do milk recommendations change for a baby?
- 16 oz of Whole milk starting at age 1.
- Switch to skim/2% at age 2.
