Topic 10: Pregnancy, Lactation and Infant Nutrition Flashcards

week 10 (23 cards)

1
Q

Why does iron absorption increase during pregnancy?

A

To support:
* increased blood volume
* placental needs, and
* fetal development

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2
Q

What hormone regulates iron availability during pregnancy?

A

Hepcidin, which decreases in later trimesters to allow greater iron absorption.

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3
Q

When does most fetal iron transfer occur?

A

During the third trimester.

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4
Q

What is the RDI for iron during pregnancy?

A

27 mg/day.

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5
Q

Why is folic acid recommended before and during early pregnancy?

A

To reduce the risk of neural tube defects like spina bifida.

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6
Q

How much folic acid is recommended before conception and in the first trimester?

A

An additional 400 micrograms/day on top of dietary intake.

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7
Q

What is the total folate intake recommendation during the first trimester?

A

Approximately 1000 micrograms/day.

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8
Q

How much additional energy is required during the first 6 months of lactation?

A

About 2000 kJ/day.

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9
Q

Why is hydration especially important during lactation?

A

To support milk production and fluid loss through breastfeeding.

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10
Q

What are key components of breast milk?

A
  • Essential nutrients
  • antibodies
  • immunoglobulin A
  • oligosaccharides.
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11
Q

What is the recommended duration of exclusive breastfeeding in Australia?

A

Until around 6 months of age.

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12
Q

What are some protective properties of breast milk for infants?

A

Protects against:
* infections
* allergies
* diabetes
* obesity, and
* supports cognitive development.

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13
Q

How does breastfeeding **benefit **the mother?

A
  • Reduces risk of some cancers
  • conserves iron
  • may promote weight loss, and
  • is economical.
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14
Q

At what age can cow’s milk be introduced as a main drink?

A

At 12 months of age.

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15
Q

Why should cow’s milk not be given before 12 months?

A
  • It may cause intestinal bleeding
  • displaces iron-rich foods, and
  • stresses immature kidneys.
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16
Q

What type of milk should be given in the *second year *of life?

A

Pasteurised full cream milk; not low-fat or skim.

17
Q

How much cow’s milk is appropriate for toddlers?

A

No more than 500–600 mL/day.

18
Q

When should solid foods be introduced?

A

Around 6 months, when developmentally ready.

19
Q

What is the key nutrient to include when starting solids?

A

Iron-rich foods.

20
Q

What foods should be avoided when introducing solids?

A
  • Sugar
  • salt
  • whole nuts
  • hard foods, and
  • cow’s milk as a drink.
21
Q

What texture progression is recommended for solids?

A

From pureed to lumpy to normal textures between 6–12 months.

22
Q

Why is iodine important in pregnancy?

A

It supports
* thyroid function
* fetal growth, and
* brain development.

23
Q

What are risks of iodine deficiency during pregnancy?

A
  • Miscarriage
  • hypothyroidism
  • lower intelligence in children, and
  • cretinism.