How long is exclusive BF recommended? first 6 mos
How quickly should BF be initiated? within 30 mins of birth
There are many illnesses that are less likely to occur if gastro, NEC, AOM, LRTIs, asthma, atopy, DM, SIDS, leukemia
babe is breastfed, what are these?
Benefits to mother from BF: rapid return to non-preg state, strong bond, decreased br/ovarian Ca, decreased
metabolic syndrome, NIDDM, and PPD
Contraindications of BF galactosemia, T-cell lymphotrophic virus, TB, Ca or Ca tmt, HIV, nipple herpes
What is in colostrum immunoglobulins/antibodies
Colostrum higher or lower fat than milk? lower
Colostrum facilitates the passage of? meconium
What is breastmilk low in? vit D, iron
At what point in pregnancy is a woman capable of milk 20 wks
production?
What hormone triggers letdown reflex? oxytocin
What is mammogenesis? growth and development of the mammary gland in preparation for milk production
Frequency of feedings of newborn? 8-12 after first 24 hrs
Duration of feedings of newborn? 20-45 mins after first 24 hrs
How long is breastmilk good for in fridge? 8 days
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, Pediatric Primary Care Burns Exam 1 | Questions & Verified Answers
How long if breastmilk good for in cooler? 24 hrs
How long is breastmilk good for in freezer? 3 mos
Recommendations for breastfeeding toddlers? after meal, not on demand, if tandem feed infant first, brush teeth after, tell dentist
breastfeeding
Infant wt loss after birth 5-8% of body wt normal
neonate daily average wt gain 0.5-1 ounce (14-28g)
How long until a babe should be at birth wt? 3 wks
At what age should birth wt be doubled? 5-6 months
At what age should birth wt be tripled? 1 yr
First few days, a neonate should void? 1-3 times
By day 4 the neonate should void? 4-6
Regular urine output of neonate is? 4-6 times per day
Stool output of typical neonate? 2-3
Meconium stools should be complete by day? 3
Minimum caloric intake of BF mom? 1800
If mom wondering about ETOH intake what is the amount <0.5/kg
considered safe?
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Malaise, breast tenderness; red, warm lumps/streaking; mastitis
flu-like sys (fever, chill, aches) in a breastfeeding mom can
indicate?
Mgmt mastitis: empty breast, frequent nursing, analgesics, abx if needed, rest, warm showers,
increase fluids
Red flag progression of mastitis? abscess/septicemia
When does elevated bili peak in breast milk jaundice? occurs 7-10 day and peaks on 10-15th
How much water loss can be life threatening to a child? 10%
What does sodium regulate in the body? ECF volume, osmolarity, acid-base balance, membrane potential of cells
How is sodium lost out of body? vomiting, diarrhea, perspiration
Role of potassium in the body? helps maintain intracellular homeostasis, muscle contractility, transmission of nerve
impulses
Severe deficit of potassium can cause? cardiac dysrhythmias/death
What is the role of chloride in the body? function with sodium to maintain fluid/electrolyte balance
Proteins, enzymes, and hormones are synthesized from? amino acids
Monosaccharides are simple or complex carbs? simple
Disaccharides are simple or complex carbs? complex
Role of fat in diet? energy, vitamin absorption, maintain cell membrane and myelin
Two essential fatty acids are? Linoleic acid, alpha-linolenic acid (LA and ALA)
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, Pediatric Primary Care Burns Exam 1 | Questions & Verified Answers
fat soluble vitamins DAKE, absorbed in intestines, require bile, store for a long time in tissue
Water soluble vits Cs and Bs, only store small amts, if intake too high absorption decreases, require
daily intake
How much vit d should a breastfed babe have? 400 IU daily
When should fluoride be given to a babe? at 6 months if not in water
What is an important consideration when adding food to a iron-fortified
breastfed babe's diet?
What is advice regarding comfort feeding? avoid
Nutritional risk with teen pregnancies? adolescent growth spurt competes with fetus for nutrients
Teen pregnancy risks? prematurity, LBW, chronic illness/disability, death
How much exercise should a child have? 60 minutes mod/high per day
Benefits of vegetarianism lower obesity, heart disease, and DM rates
What can be deficient in a vegan diet? What 2 are the protein, B12, iron, Ca++, zinc, riboflavin, vit D; B12, zinc
highest?
What can become of fetus with B12 and zinc deficiency? possible permanent neuro damage
What measurements can be taken, other than ht and wt, to Triceps skinfold measurement; mid-upper arm circumference
assess wt in children?
triceps skinfold measurement
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