newborn nutrition Flashcards

1
Q

is it normal for a newborn to lose weight after birth?

A

it’s normal for a baby to lose up to 7% of its birthweight

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2
Q

what is the role of estrogen and progesterone in lactogenesis?

A

stimulate breast development during pregnancy

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3
Q

what is the role of prolactin in lactogenesis?

A

it is released from anterior pituitary in response to breast stimulation, for milk production

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4
Q

what is the role of oxytocin in lactogenesis?

A

it is released from the posterior pituitary in response to breast stimulation, for ejection of milk (let-down reflex)

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5
Q

when is colostrum produced?

A

during pregnancy (as early as the first trimester)

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6
Q

components of colostrum

A
  • high in IgA
  • high in protein, vitamins, and minerals
  • low in fats and carbs
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7
Q

when does transitional milk come in?

A

by day 5 postpartum

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8
Q

components of transitional milk

A

contains more fat, lactose (this is the carb), vitamins, and calories

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9
Q

when does the breast milk mature

A

present at 2 weeks postpartum, up to 6 months postpartum

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10
Q

foremilk

A

the milk that flows at the start of feeding session; it’s high in lactose and protein, low in fat

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11
Q

hind milk

A

the milk that flows later in let-down; high in fat

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12
Q

what is the diet for a mother who’s breastfeeding?

A

generally no need to avoid certain foods, restrict alcohol, and limit caffeine

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13
Q

when should the initial feeding take place?

A

within the first hour

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14
Q

how often should a newborn be fed

A

hospitals prefer every 3-4 hrs but we encourage moms to feed on demand even if the last feeding took place only an hour ago

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15
Q

what are signs of hunger in a newborn?

A
  • rooting (when you touch their cheek, they’ll move their mouth toward your finger)
  • hands to mouth
  • crying is a late sign
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16
Q

how do we know if the baby is getting enough during a feeding?

A
  • baby may fall asleep at breast or pulls away = sign that baby is satiated
  • softening of the breast
  • baby is voiding
  • pre/post weights
17
Q

if a woman’s breasts are engorged, what can we suggest to help?

A

encourage frequent feedings/pumping

18
Q

if a woman’s nipples appear sore, cracked, blistered, or bruised, what can this indicate and how can we help?

A

an incorrect latch

  • assess and support position
  • lanolin cream
  • hydrogel dressings
19
Q

ready to feed formula:

A
  • don’t need to add anything
  • more expensive
20
Q

powered formula:

A
  • water is added
  • must be used within 24-48 hrs
  • least expensive
21
Q

formula concentrate:

A
  • water is added
  • in the middle of expensive and not
22
Q

how do we calculate how much a baby should eat?

A

100 kcal/kg/day
formula = 20 kcal/oz.