Infant Nutrition and Feeding Methods
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Questions and Answers

What is one of the key benefits of skin-to-skin contact during breastfeeding?

  • It helps the baby's immune system. (correct)
  • It makes breastfeeding more painful.
  • It has no significant effect.
  • It causes the baby to lose weight.
  • What indicates that a newborn is ready to breastfeed?

  • Sleeping soundly.
  • Crying loudly.
  • Holding their breath.
  • Rooting movements. (correct)
  • Which breastfeeding position is recommended for comfort after a cesarean section?

  • Side-lying position.
  • Cradle hold.
  • Football hold. (correct)
  • Baby-led nursing.
  • What is a sign that an infant may not be getting enough milk during breastfeeding?

    <p>Infant has fewer than 6-8 wet diapers per day. (C)</p> Signup and view all the answers

    Which stage of lactation primarily involves the secretion of milk into the alveoli?

    <p>Secretory differentiation (C)</p> Signup and view all the answers

    Which of the following factors is NOT essential for successful breastfeeding?

    <p>Correct grasp of the nipple. (D)</p> Signup and view all the answers

    What is the primary role of prolactin during milk production?

    <p>Promotes the secretion of breastmilk into the alveoli (C)</p> Signup and view all the answers

    Which hormone is primarily responsible for milk delivery from the alveoli to the nipple?

    <p>Oxytocin (B)</p> Signup and view all the answers

    What could be considered a challenge when transitioning between breastfeeding and bottle feeding?

    <p>Managing breast engorgement. (C)</p> Signup and view all the answers

    Which hormone is primarily responsible for stimulating milk production?

    <p>Prolactin. (B)</p> Signup and view all the answers

    What characterizes hindmilk compared to foremilk during breastfeeding?

    <p>Higher fat content (C)</p> Signup and view all the answers

    Which statement about breastfeeding positions is correct?

    <p>Breastfeeding positions can vary based on comfort and feeding needs. (A)</p> Signup and view all the answers

    What is a technique to remove an infant from the breast correctly?

    <p>Gently breaking the latch by inserting a finger between gums. (D)</p> Signup and view all the answers

    Which of the following is NOT a stage of lactation?

    <p>Galactogenesis (B)</p> Signup and view all the answers

    An infant’s cues for feeding may include which of the following signs?

    <p>Rooting reflex (B)</p> Signup and view all the answers

    What is a possible contraindication for breastfeeding?

    <p>Active varicella zoster virus (B)</p> Signup and view all the answers

    What is a recommended dietary change for a lactating individual?

    <p>Add one extra snack each day (A)</p> Signup and view all the answers

    Why should medications be taken with caution during lactation?

    <p>They should only be taken upon the advice of the health care provider (D)</p> Signup and view all the answers

    What action is recommended regarding the use of formula for infants?

    <p>Feed on-demand based on infant’s cues (A)</p> Signup and view all the answers

    What is one of the steps to ensure safe formula preparation?

    <p>Following the manufacturer’s instructions on preparation and storage (B)</p> Signup and view all the answers

    Which of the following foods should lactating individuals limit?

    <p>Caffeine and alcohol (C)</p> Signup and view all the answers

    What potential issue can result from improper dilution of concentrated liquid or powdered formulas?

    <p>Serious illness in the infant (C)</p> Signup and view all the answers

    What is a suitable breastfeeding position to ensure comfort for both mother and infant?

    <p>The cross-cradle or football hold (B)</p> Signup and view all the answers

    Involving family during bottle feeding can help with which aspect?

    <p>Creating a comfortable feeding environment (C)</p> Signup and view all the answers

    Flashcards

    Hunger Cues in Infants

    Signs an infant is hungry, including hand-to-mouth, mouth and tongue movements, sucking motions, rooting reflexes, clenched fists, kicking legs, and crying (late sign).

    Breastfeeding Positions

    Different ways a baby can latch onto the breast for feeding, such as baby-led nursing, cradle hold, modified cradle, side-lying, and football hold (especially helpful after a C-section).

    Latch-on

    The process of the infant's mouth properly fitting onto the mother's breast for feeding.

    Evaluating Infant Intake

    Methods to assess if an infant is getting enough breast milk, including softness of the breast after feeding, let-down reflex, frequency of feeding, audible swallowing, infant relaxation after feeding, wet diaper count, stool frequency, and weight loss.

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    Skin-to-Skin Contact

    A feeding intervention approach where the baby is placed directly on the skin of the parent.

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    Galactogogues

    Substances that increase milk production.

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    Frequency of Feedings

    The infant breastfeeding should be fed 8-12 times a day with 2-3 hour intervals between feedings.

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    Infant Removal from Breast

    Methods for safely and effectively removing an infant after feeding, including cues and techniques.

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    Breastfeeding Protection

    The Canadian Human Rights Commission safeguards breastfeeding. This means mothers are protected against discrimination while breastfeeding.

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    Formula Types

    Formula comes in three forms: ready-to-feed (already mixed), concentrated liquid (needs water added), and powdered (needs water and mixing).

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    Formula Preparation Caution

    Always follow the manufacturer's instructions for preparing and storing formula, as incorrect dilution can cause serious health problems.

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    Bottle Feeding Technique

    Don't microwave formula and avoid propping the bottle. Instead, involve partners and family in bottle feeding the infant.

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    Lactation Fluid Needs

    During breastfeeding, drink plenty of fluids to quench thirst. Your body needs the extra hydration.

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    Breastfeeding Resources

    Seek expert help for breastfeeding if needed. Public health clinics, lactation consultants, La Leche League, and the International Lactation Consultant Association are available.

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    Baby Friendly Hospital Initiative (BFI)

    This initiative supports, protects, and promotes breastfeeding. It aims to help hospitals create an environment that makes breastfeeding more successful.

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    BFI Ten Steps

    The Baby Friendly Hospital Initiative has 10 specific steps that hospitals follow to support breastfeeding mothers.

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    Breastfeeding Benefits

    Breastfeeding promotes uterine recovery, reduces cancer risks (uterine, breast, ovarian), osteoporosis, and facilitates weight loss. It's a birth control method for up to 6 months and enhances parent-infant bonding. It's also convenient and economical, eliminating risks from contaminated water.

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    Breastfeeding Contraindications

    Some infections (HIV, Ebola), herpes lesions, varicella zoster, untreated tuberculosis, substance use, or treatments (chemotherapy, radioactive isotopes), and galactosemia in the infant are contraindications to breastfeeding.

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    Breast Anatomy for Lactation

    The breast is a specialized organ with 15-20 lobes containing milk-producing alveoli. It produces milk in response to physical emptying, hormonal stimulation, and sensory cues.

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    Stages of Lactation

    Lactation has four stages: secretory differentiation, secretory activation, galactopoiesis, and involution.

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    Prolactin Hormone

    Prolactin stimulates milk production by the alveoli, with the highest concentration at night.

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    Oxytocin Hormone

    Oxytocin is involved in milk delivery by contracting the muscles around alveoli sacs and letting milk flow to the nipple (let-down reflex).

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    Milk Production: Foremilk/Hindmilk

    Foremilk is the beginning milk, less fatty; hindmilk is the final milk, highly fatty.

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    Breastfeeding Supply and Demand

    The amount of milk produced is often regulated by the demand (frequency of feeding).

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    Study Notes

    Infant Nutrition

    • Infant nutrition shifts from passive intake to active consumption and digestion at birth.
    • Newborns have unique nutritional needs.
    • Healthy term newborns require 80-100 mL/kg/day of water and 110-120 kcal/kg/day of energy for growth and development.
    • Breast milk is superior to commercial formulas nutritionally.

    Feeding Method Choices

    • Breastfeeding exclusively
    • Breastfeeding and supplementing with expressed breast milk
    • Breastfeeding and supplementing with formula
    • Formula feeding exclusively

    Factors Influencing Feeding Method Choices

    • Culture
    • Sociodemographic factors
    • Prior experience with breastfeeding
    • Intent or need to return to work or school
    • Support systems

    Benefits of Breastfeeding for Newborns

    • Easily digested nutrients
    • Natural immunity, lowering risk of childhood respiratory and gastrointestinal issues (otitis media, diabetes, etc.)., childhood leukemia, obesity, and necrotizing enterocolitis.
    • Potential role in improving brain development.
    • Promotion of meconium elimination, lowering jaundice risk.
    • Preventing or delaying allergies (especially with family history).
    • Promotes jaw and mouth development.

    Benefits of Breastfeeding for the Breastfeeding Person

    • Uterine return to pre-pregnancy state.
    • Reduced risk of uterine, breast, and ovarian cancers, and osteoporosis.
    • Facilitates weight loss.
    • Potential birth control method for up to 6 months (with needed health teaching).
    • Enhanced parent-infant bonding.
    • Convenient and economical.
    • Elimination of risks from contaminated water or improper dilution.

    Possible Contraindications to Breastfeeding

    • Infections (HIV, Ebola, untreated brucellosis, herpes lesions, varicella zoster virus, tuberculosis)
    • Illicit drug use, or chemotherapy/radioactive isotope therapy.
    • Galactosemia in the infant (disrupts milk metabolism)

    The Breast and Lactation

    • A unique organ designed for nourishment through lactation.
    • Composed of 15-20 lobes containing milk-producing alveoli.
    • Milk production is stimulated by various stimuli.
    • Physical emptying of the breast and hormonal/sensory stimulation are key factors.

    Stages of Lactation

    • Stage 1: Secretory differentiation
    • Stage 2: Secretory activation
    • Stage 3: Galactopoiesis
    • Stage 4: Involution

    Milk Production Hormones

    • Prolactin: Secretion of breast milk into alveoli, highest at night.
    • Oxytocin: Milk delivery, contractions around alveoli sacs, causes "let-down" reflex, possibly uterus cramping.

    Nursing Care

    • Skin-to-skin contact
    • Hand expression
    • Galactogogues (breast milk stimulators)
    • Interventions to support lactation, respecting cultural practices

    Breastfeeding Positions

    • Baby-led nursing
    • Cradle hold
    • Modified cradle
    • Side-lying position
    • Football hold

    Breastfeeding Techniques

    • Hunger cues
    • Attachment techniques (latch-on, suckling patterns)
    • Frequency and duration of feedings
    • Responsive, cue-based breastfeeding (8-12 times per day)
    • Burping

    Essential Breastfeeding Factors

    • Proper body alignment
    • Correct grasp of the areola
    • Proper hand positions
    • Hand washing before breastfeeding
    • Expressing colostrum to increase nipple erectness
    • Feeding from both breasts at each feeding session

    Hunger Cues

    • Hand-to-mouth movements

    • Mouth and tongue movements

    • Sucking

    • Rooting movements

    • Clenched fists

    • Kicking of legs

    • Crying

    Latch-On Assessment

    • Visual assessment of proper attachment

    Removing the Infant from breast

    • Procedures for detaching the infant

    Evaluating Infant Intake

    • Soft breast after feeding
    • Let-down reflex
    • Infant stays awake at breast a minimum of 8 times per day
    • Audible swallow
    • Infant relaxed after feeding
    • 6-8 wet diapers per day by day 6
    • Several stools per day
    • Weight loss of less than 10% of birth weight

    Overcoming Challenges

    • Sleepy infant
    • Fussy infant
    • Flat or inverted nipples
    • Supplemental feedings
    • Breast engorgement
    • Sore nipples

    Nutritional Requirements During Lactation

    • Increased food intake (one extra snack)
    • Maintaining similar protein intake to pregnancy
    • Adequate fluids
    • Vitamin supplements (often continued)
    • Limiting intake of caffeine and alcohol
    • Medications only with healthcare provider's approval
    • Food implications (taste changes, gas).

    Baby Friendly Hospital Initiative (BFHI)

    • Goal: support, protect, and promote breastfeeding.
    • Positive impact on breastfeeding initiation and exclusivity.
    • 10 steps to successful breastfeeding.
    • Supported by the Canadian Human Rights Commission.

    Formula Feeding

    • Types of formulas: Ready to feed, concentrated liquid, powdered.
    • Following manufacturer's instructions for preparation and storage.
    • On-demand feeding based on infant cues.

    Feeding the Infant (Formula-fed)

    • Avoid over- or underdilution of formula (serious illness risk).
    • Do not microwave formula.
    • Do not prop the bottle.
    • Involve partner and family members.

    Breastfeeding Resources

    • Public Health/Breastfeeding Clinics
    • Lactation consultants
    • La Leche League
    • International Lactation Consultant Association (ILCA)

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    Related Documents

    Infant Nutrition PDF

    Description

    This quiz explores the essential aspects of infant nutrition, focusing on the unique needs of newborns and various feeding methods. It delves into the benefits of breastfeeding and the factors influencing feeding choices. Assess your understanding of how nutrition impacts growth and development in infants.

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