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34 Cards in this Set

  • Front
  • Back

What is so special about infancy?

Most dramatic growth


Special recommendations


Foundation of good health

What are the energy needs of an infant in their first year of life?

1st six months: 108kcal/kg of body weight




2nd six months: 98kcal/kg of body weight

Why are an infants energy needs this high?

They need this energy for rapid growth and higher metabolic needs

What is the main source of energy in infants?

FATS

Why are fats important for infants?

Brain, CNS, energy stores and organ tissue development




It's a key fatty acid

What are the specific recommendations for fat intake in infants?

-If they are less than 2 yrs, they require higher % of fat than adults




-Fat restriction is inappropriate (give whole milk)




-Can decrease fat intake after age 2

Why do infants need protein?

Ensures rapid growth and development




Excessive intake is of no value

Where do infants get their protein from?

Breast milk


Formula (cow & soy)

What is vitamin D responsible for in infants?

Bones and Teeth




**Breastfed infants require a supplement




Deficiency = Rickets

What is Iron important in infants?

Development and growth

Why are Iron deficiencies common in infants?

-It's common in breastfed babies


**Maternal intake during pregnancy provides infant w/4-6 months of stores


-Dietary source required at 6months (ex. fortified cereal)

How does vitamin K relate to infants?

They receive injection at birth




Receive from breastfeeding

Why is fluoride important for infants?

Bones and Teeth




Infants over 6 months should be assessed for need of supplement

What is colostrum milk?

'First milk'




Lots of antibodies, protein, vits, and minerals

What is hind milk?

Milk produced from extended period of nursing




Higher in fat and kcal

What is formula?

Manufactured for infant tolerance


Fortified w/ Iron


Specialty formulas for health conditions (ex. preemie)




Ready to feed, concentrate, powdered

When should parents introduce semiliquid consistency food (complementary foods)?

4-6 months




Sitting up, tongue & jaw control

What is the recommended order of complementary foods?

Fortified rice cereal, veggies, fruit, meat




*Could do meat first*

Why do infants avoid corn syrup/honey?

Risk of exposure to botulism-causing spores

How can a mother treat 'failure to thrive'?

Through dietary recall:


Timing of feedings


Intake amounts


Formula mixing

What are some of those interventions?

Change feeding times


Change caloric concentration


Modify behavioural changes

What is 'hypersensitivity'?

An immune system response

What is the toddler stage characterized by?

Desire for more independence


Regular meals and snacks


Practice self-feeding (fine motor skills)

What are the nutrient needs in toddlers?

Energy: 1000 - 1300 kcal/day


Protein: 1.1g/kg of body weight


Fat: Gradual decrease after 2 yrs


Fluids: Milk and limited juice

What is the Ellyn Satter feeding concept?

Parent is responsible for what and when




Child is responsible for how much and if or whether

What are food jags?

Repeated request for same food/little interest in variety

How can parents overcome food jags?

Allow favourite food, but continue to offer variety




Involve children in meal prep & shopping

What are the changing needs of preschoolers?

Energy: 1800kcal/day




Protein: 0.95g/kg of body weight

What are some tips for changing eating habits in preschoolers?

Parents can model


Blend new foods with familiar


Be patient


Appropriate portion sizes

What happens to the growth of school-aged children (5 - 12 years)?

Growth slows down because intake is harder to assess




Energy: 2000-2200 kcals/day

What are the nutrition requirements for adolescents?

Energy, Protein, Calcium and Iron all increase




Differences in boys and girls

What should nurses consider when assessing an adolescent with nutrition?

Assess their beliefs and knowledge




Any supplements or diets?

How can we prevent childhood & adolescent obesity and overweight?

A balanced diet


Moderate processed foods


Breakfast


Physical activity

How much weight should a:


A) child w/ obesity under 11


loose?




B) adolescent w/ obesity?

A) 1lb/month






B) 2 lb/week