Newborn Nutrition (1)

Question 1

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

Answer 1

7

Question 2

normal newborn weight gain is about ____oz per day

Answer 2

1

Question 3

what is the newborn caloric need?

Answer 3

100kcal/kg/day

Question 4

babies double their birth weight by ____ and triple by ______

Answer 4

6 mo, a year

Question 5

what are newborn benefits of breastfeeding

Answer 5

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

Question 6

breastfeeding benefits to mother

Answer 6

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

Question 7

what hormones stimulate breast development during pregnancy

Answer 7

estrogen and progesteron

Question 8

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

Answer 8

prolactin

Question 9

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

Answer 9

oxytocin

Question 10

what composes breast milk

Answer 10

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

Question 11

what is the average caloric content of breast milk??

Answer 11

20 cal/ounce

Question 12

what antobody is high in colostrum

Answer 12

IgA

Question 13

colostrum is high in what?

Answer 13

protein, vitamins, minerals

Question 14

colsotrum is low in what?

Answer 14

fats and carbs

Question 15

what color is colostrum

Answer 15

yellowish

Question 16

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

Answer 16

transitional milk

Question 17

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

Answer 17

16

Question 18

what stage of milk is white/bluish in color

Answer 18

mature milk

Question 19

when does mature milk come in?

Answer 19

2 weeks

Question 20

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

Answer 20

800 ml

Question 21

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

Answer 21

foremilk

Question 22

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

Answer 22

hind milk

Question 23

how much shoukd the breastfeeding mother increase her caloric intake by

Answer 23

500kcals over non pregnant weight requirement

Question 24

what foods need to be avoided and restricted

Answer 24

restrict alcohol and caffeine, no “restrictions”

Question 25

when should the inital feeding take place?

Answer 25

first hour

Question 26

what are arousal techniques

Answer 26

• remove blanket
• change diaper
• sit baby up
• talk to baby

Question 27

what acronym is used to assess breastfeeding? what deos it stand for

Answer 27

LATCH
* latch
* audible swallowing
* type of nipple
* comfort (breast/nipple)
* hold

Question 28

what are some problems associated with breastfeeding?

Answer 28

engorged breasts
sore, cracked, blisterd, or bruised nipples

Question 29

what kind of things help injured nips

Answer 29

lanolin cream and hydrogel dressing

Question 30

are supplementary feedings necessary?

Answer 30

no, could cause probs

Question 31

when is breastfeeding contraindicated?

Answer 31

HIV or aids
TB
varicella
herpes on breast
drug/alcohol use
certain meds
infant with galactosemia

Question 32

what types of formula are there

Answer 32

milk based
soy based
specialty formula

Question 33

what are the 3 forms of formula preparation

Answer 33

-ready to feed
-powdered formula
-formula concentrate

Question 34

when does prepared powdered fromula need to be used by?

Answer 34

24-48 hours

Question 35

how to prepare formula concentrate

Answer 35

water is added

Question 36

baby eats every 3 hr., he weighs 3.6 kg, how many ounces per feeding?

Answer 36

100kcal/kg/day
form= 20kcal/oz

100x3.6 = 360kcal/day
360kcal/8 feedings = 45kcal/feed
45kcal/20kcal = 2.2 oz

Question 37

how should you warm bottles?

Answer 37

warm water bath

Question 38

bottle feeding technique

Answer 38

• tilt 45 degrees
• observe bubbles rise
• hold infant up
• never prop
• allow baby to stop on its own