W: Infant Feeding

Front 1

why is 4-5months the ideal time to introduce solids?

Back 1

- the tongue extrusion reflex disappears
- the ability to coordinate suck and swallow of nonliquid foods is established, allowing spoon feeding
- infant can sit with support
- infant can indicate desire for food by opening mouth and leaning fwd or disinterest by leaning back and turning head
- Renal maturation during this period allows infant to handle the greater solute load derived from protein and minerals without excessive water loss
- advanced ability of GIT to absorb and digest macronutrients

Front 2

why is rice cereal and ideal first food?

Back 2

(pre-cooked partially hydrolyzed rice cereal, with no gluten to sensitize the gut)
- it is iron-fortified
- they provide energy and supplemental dietary iron

Front 3

Risk of methemoglobinemia associated with which foods in infants <4mo?

Back 3

Home prepared or commercially canned spinach, beets, collard greens, carrots, or turnips

Risk is 2/2 elevated nitrate concentration in these foods

Front 4

Food texture and weaning off formula

Back 4

by age 8-10 months, infnat is neurodev prepared to swallow finely chopped foods wth decreased risk of choking.

Front 5

When can you introduce: peanuts, hot dogs, grapes, raw hard veggies, popcorn, and hard candies??

Back 5

not until 3-4 years!!!

Front 6

juice - start when and how much

Back 6

start when can drink from a cup 12-18mo (but no earlier than 6mo).

Limit to 8-10oz per day to avoid loose stools or frank diarrhea. In general avoid more than 4-6oz per day in kids 1-6yo and 8-12oz in older kids

Front 7

calcium - requirement

Back 7

210-270mg/day

Front 8

Feeding Beyond Infancy

Back 8

- after 1st year until puberty, the rate of physical growth declines, appetite decreases, and food intake is variable.
- children learn to feed themselves independenty during the second year of life