Newborn Nutrition (1) Flashcards

(38 cards)

1
Q

it is normal for a baby to lose up to ____% of its birth weight before gaining

A

7

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2
Q

normal newborn weight gain is about ____oz per day

A

1

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3
Q

what is the newborn caloric need?

A

100kcal/kg/day

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4
Q

babies double their birth weight by ____ and triple by ______

A

6 mo, a year

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5
Q

what are newborn benefits of breastfeeding

A

-nutritional (made for babies)
-immune advances
-bonding
decreased risk of disease (t1/2 DM, lymphoma, leukemia, obesity, cholesterol, asthma)

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6
Q

breastfeeding benefits to mother

A

-decreased risk of PP bleeding
-stimulate uterine involution
-dec. risk of breast and ovarian cancer
-dec. osteoporosis risk
-save money!!

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7
Q

what hormones stimulate breast development during pregnancy

A

estrogen and progesteron

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8
Q

what hormone is released from anterior pituitary in response to breast stimulation, also milk production

A

prolactin

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9
Q

what hormone is …
-released from posterior pituitary in response to breast stimulation
-ejection of milk

A

oxytocin

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10
Q

what composes breast milk

A

fat/triglycerides!!!
carbs (lactose)!!!
protein (whey)
vitamins, minerals, and trace elements

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11
Q

what is the average caloric content of breast milk??

A

20 cal/ounce

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12
Q

what antobody is high in colostrum

A

IgA

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13
Q

colostrum is high in what?

A

protein, vitamins, minerals

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14
Q

colsotrum is low in what?

A

fats and carbs

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15
Q

what color is colostrum

A

yellowish

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16
Q

what stage of breastmilk contains more fat, lactose, vitamins, and calories

A

transitional milk

17
Q

by day 5 PP, how much transitional milk is made / day?

18
Q

what stage of milk is white/bluish in color

19
Q

when does mature milk come in?

20
Q

by 6 mo PP, how much mature milk is made / day?

21
Q

what milk flows at the start of the feeding session and is high in lactose and protein, low in fat

22
Q

what milk flows later in milk letdown and is high in fat

23
Q

how much shoukd the breastfeeding mother increase her caloric intake by

A

500kcals over non pregnant weight requirement

24
Q

what foods need to be avoided and restricted

A

restrict alcohol and caffeine, no “restrictions”

25
when should the inital feeding take place?
first hour
26
what are arousal techniques
* remove blanket * change diaper * sit baby up * talk to baby
27
what acronym is used to assess breastfeeding? what deos it stand for
LATCH * latch * audible swallowing * type of nipple * comfort (breast/nipple) * hold
28
what are some problems associated with breastfeeding?
engorged breasts sore, cracked, blisterd, or bruised nipples
29
what kind of things help injured nips
lanolin cream and hydrogel dressing
30
are supplementary feedings necessary?
no, could cause probs
31
when is breastfeeding contraindicated?
HIV or aids TB varicella herpes on breast drug/alcohol use certain meds infant with galactosemia
32
what types of formula are there
milk based soy based specialty formula
33
what are the 3 forms of formula preparation
-ready to feed -powdered formula -formula concentrate
34
when does prepared powdered fromula need to be used by?
24-48 hours
35
how to prepare formula concentrate
water is added
36
baby eats every 3 hr., he weighs 3.6 kg, how many ounces per feeding?
100kcal/kg/day form= 20kcal/oz 100x3.6 = 360kcal/day 360kcal/8 feedings = 45kcal/feed 45kcal/20kcal = 2.2 oz
37
how should you warm bottles?
warm water bath
38
bottle feeding technique
* tilt 45 degrees * observe bubbles rise * hold infant up * never prop * allow baby to stop on its own