Breastfeeding: Demand vs Scheduled Feeding

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Questions and Answers

Which stage of child development typically spans from 10 to 19 years old?

Toddlerhood

Early childhood

Adolescence (correct)

Middle childhood

What is the primary determinant of physical development in infancy and toddlerhood?

Environmental factors

Parent-child interaction

Genetic predisposition (correct)

Health issues

Which of the following motor skills involves the use of large muscle groups to perform activities such as walking and jumping?

Gross motor skills (correct)

Fine motor skills

Cognitive skills

Sensory skills

At what stage of child development do children typically develop rapid growth and refinement of motor skills?

Infancy Signup and view all the answers

What is the age range for middle childhood and adolescence?

6 to 12 years Signup and view all the answers

What is the primary focus of physical development in infancy?

Biological changes Signup and view all the answers

What is a significant factor to consider when estimating nutritional requirements for a sick child?

The child's nutritional status prior to the onset of the disease Signup and view all the answers

Which of the following is a potential consequence of a vitamin K deficiency in breastfed infants?

Bleeding or hemorrhagic disease Signup and view all the answers

What is the primary reason why breastfed infants may require a vitamin D supplement?

To compensate for low levels of vitamin D in human milk Signup and view all the answers

Which of the following groups is at the highest risk for vitamin D deficiency?

Infants with darker skin and low exposure to sunlight Signup and view all the answers

What is a reliable indicator of a breastfed baby's adequate milk intake?

The mother's breasts feeling softer after feedings Signup and view all the answers

What is the primary benefit of adequate choline intake during pregnancy and lactation?

Support for the growth and development of the child's brain and spinal cord Signup and view all the answers

What is a key aspect of a family-centered approach to pediatric development?

Access to interdisciplinary and community-based services Signup and view all the answers

What is a common challenge faced by women during pregnancy and lactation?

Meeting recommended intakes of choline Signup and view all the answers

What is a useful tool in assessing a child's growth and development?

All of the above Signup and view all the answers

What is a potential indicator of a feeding issue in a breastfed baby?

Less than five wet diapers per 24 hours Signup and view all the answers

What is a key aspect of developmental milestones?

Meeting age-appropriate behavioral and psychosocial milestones Signup and view all the answers

What is a characteristic of scheduled feeding?

Feeding at predetermined intervals Signup and view all the answers

Study Notes

Child Development Overview

Encompasses biological, psychological, and emotional changes from birth to adolescence.
Divided into three main stages:
- Early childhood (infancy to 6 years)
- Middle childhood (6 to 12 years)
- Adolescence (10 to 19 years)

Physical Development in Infancy

Involves significant biological changes as children grow.
Key aspects influencing physical development:
- Growth of physical body and brain
- Development of reflexes and motor skills
- Sensory perceptions and learning capabilities
- Health-related issues impacting growth

Gross Motor Skills vs. Fine Motor Skills

Gross motor skills utilize large muscle groups for activities like walking, jumping, and throwing.
Acquired during infancy and early childhood; refinement continues into adulthood.
Fine motor skills involve control of small muscle movements in hands, fingers, face, and mouth.

Factors in Estimating Requirements for Sick Children

Assess nutritional status prior to illness onset.
Determine if the condition is acute or chronic.
Consider effects on mobility and normal feeding capabilities.
Evaluate possible gastrointestinal and urinary losses.
Note inability to metabolize dietary constituents; requirements may not increase during illness.

Micronutrient Needs in Infants

Adequate breast milk generally meets infant nutrient requirements.
Breast milk is low in vitamin D; supplementation is often necessary to support bone health.
Infants with darker skin and limited sunlight exposure are at greater risk for vitamin D deficiency.
Vitamin K is also low in breast milk, which is crucial for blood clotting; deficits can lead to bleeding disorders.

Importance of Choline

Essential for brain and spinal cord development during pregnancy and lactation.
Many women do not meet recommended choline intakes.

Indicators of Adequate Milk Intake

Five wet diapers in 24 hours.
Baby appears satisfied after feeding.
Mother's breasts feel softer post-feedings.

Feeding Approaches

Demand Feeding: Feeding whenever the baby shows hunger cues.
Scheduled Feeding: Fixed intervals regardless of the baby’s readiness.

Behavioral-Psychosocial Aspects

Includes developmental issues, hunger disorders, and the impact of societal factors.
Family dynamics and access to food are critical in understanding overall development.

Assessments in Pediatrics

Utilize age, gender, and disease-specific growth charts from CDC or WHO.
Ensure assessments are conducted by trained personnel with appropriate equipment.

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Description

Learn about the differences between demand and scheduled feeding, and how to determine if your baby is getting enough milk. Understand the importance of following your baby's cues and recognizing signs of satisfaction.