Newborn Nutrition answer key PDF

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Newborn Nutrition answer key...

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Newborn Nutrition Guided Reading 1. Calculate daily energy (kcal) requirements for each of the following a. Baby boy Tim – 1 month 4kg. _440kcal_________ ( 100-115kcal/kg) b. Baby girl Jane – 6 months 6kg. _540kcal_________ (85-95kcal/kg) 2. What is the difference between colostrum, foremilk and hindmilk Colostrum- initial milk after delivery, smaller amts produced. Thick, creamy-yellow with concentrated amounts of protein, fat and minerals. Also helps establish gut flora Foremilk- present at the start of feedings - bluish-white, high in lactose, protein and water soluble vitamins Hindmilk- appears toward end of feeding, the cream portion (let-down). Increased calories and highest fat concentration 3. List 3-5 feeding readiness cues of the infant. Rooting, sucking, hand-to-mouth, quiet alert 4. The nurse is educating a new mom about weight gain for her newborn son. What advice should the nurse give)? Newborn should regain birth weight within 7-10 days and consistently gain 35 grams a day at 1 month of age 5. What are signs of dehydration in the newborn? decreased fontanelles, rapid, weak pulse, elevated low grade temp, dark concentrated urine, dry hard stools, dry skin, poor turgor, elevated specific gravity 6. How do you assess if a baby is getting enough milk? Baby is nursing at least 8 times in 24 hours, mother can hear an audible swallow while nursing, breasts appear softer after feeding, 6-8 wet diapers after day 5 of life, stools begin to transition color to yellow 7. Explain the premise of milk production, what physiologic processes are involved? Prolactin production influenced by ant. Pituitary, based on supply/demand, establishment of milk volume happens in the first 2 weeks postpartum

8. What are the benefits of breastfeeding for the newborn ? macronutrients are made available through maternal stores, passive immunoglobulins, promotes bonding 9. What is American Academy of Pediatrics (AAP) recommendation for Vitamin D3 supplementation ? 400IUs daily 10. How do you wake a sleepy baby to feed ?

11. List contraindications to breastfeeding : Maternal HIV + status, active/untreated TB, maternal Herpes( HSV) on her breasts, illicit drug use, certain medications( ex. Chemotherapy), smoking 12. What education can the nurse provide a new mom about medications ( prescription and OTC) and breastfeeding ? most drugs cross into human milk – but usually in small amounts, considerations – need for medication, drug effect on milk production/supply, amount of drug excreted into milk 13.What advice would the nurse provide a new mom about her diet ( calories, nutrient dense foods) ? Increase calories by 500kcal a day, adequate protein, fluids, calcium, iron. 14. What are indications for gavage feeding a newborn? preterm infants, and infants who have poorly coordinated suck/swallow, also as a supplement for infants who are losing weight 15. Outline steps for gave tube placement and steps for administering a gavage feed ....