Newborn Nutrition Flashcards Preview

Maternal Nursing > Newborn Nutrition > Flashcards

Flashcards in Newborn Nutrition Deck (24):
0

Physical influences on feeding

Hormonal issues, handicap, breast cancer, inverted nipples, born in nicu, medications, infection, pain

1

Psychological influences on feeding

Depression, bonding, anxiety

2

Social influences on feeding

Cost, work, timing, support

3

Cultural influences on feeding

Social stigmas, modesty

4

Advantages to early feeding after birth

Baby is alert, eager, stimulates meconium excretion, coats GI system, vitamin k production

5

Cranial nerves associated with rooting reflex

5

6

Cranial nerves associated with sucking reflex

9 10 12

7

Cranial nerves associated with swallowing and gag reflex

9 and 10

8

What to assess during a feeding assessment

Color of infant, respirations, choking, vomiting, tracheoesophageal fistula, esophageal atresia

9

Esophageal atresia

Esophagus ends in a blind sack and food goes right back up

10

Caloric requirement for ages 0-6 months

115 kcal/kg/day

11

Weight gain of infants

Loses 5-10% in first week
Regains by day 10
Doubles by 6 months
Triples by 1 year

12

Advantages of breast feeding

Nutritionally superior, bacterially safe, always available, fresh, anti infectious factors, immune cells, least allergenic, helps uterus get back to normal size, strong jaw and teeth development, bonding, milk changes as infant ages, laxative effect

13

Hormones and milk production

Sucking stimulates hypothalamus
Hypothalamus releases prolactin
Prolactin produces milk

14

Hormones and milk let down

Sucking stimulates hypothalamus
Hypothalamus releases oxytocin
Oxytocin causes milk to be let out

15

Colostrum characteristics

Day 1-3, yellow, high in protein, low in fat, rich source of antibodies, helps pass meconium

16

First time breast feeding (care and set up)

Wash hands, restful, calm environment, comfortable position, infant should grasp most of nipple press breast away from nose, nurse 5-10 mins each side, increase time slowly, alternate sides, rotate positions

17

Signs of satisfaction with breast feeding

Content, sleeping 2-3 hours, gaining weight, wet diapers and 2 stools/day

18

Maternal nutrition

Balanced diet, increased protein + 500 extra cals a day, 3-4 quarts of water, prenatal vitamins as long as breast feeding, no birth control pills

19

Potential breast feeding problems

Leaking, sore nipples, weaning, mastitis (breast infection)

20

Bottle feeding

Emulates breast milk, increased protein

21

What to avoid with infants

Whole, skim milk, evaporate milk, honey

22

Positioning for bottle feeding

Sit upright, don't prop bottle, don't leave bottle in mouth, keep nipple filled with formula

23

Intro to solids

Start introducing by 6 months, one food at a time, rice cereals, vegetables, then fruit