General Pediatrics Infant feeding
Regarding human milk production (True or False)
A- Regular suckling is the most important factor for maintenance of milk flow (T)
B- Milk ejection can be inhibited by maternal anxiety (F)
C- Colostrum has higher caloric value than mature milk (F)
D- Transitional milk usually ended in neonatal period (T)
The important reflex necessary for breast feeds
A- Moro B- Grasp
C- Rooting D- Cough
Colostrum is the breast milk secreted in the first
A- Day B- 1-5 days
C- 2 weeks D- 1 month
Colostrum contains more of the following nutrients than mature milk except
A- Lactose B- Minerals
C- Protein D- Vitamin A
Colostrum has all of the following properties; except
A- High secretory IgA B- High fat content
C- High protein content D- Low carbohydrate content
A newborn in the 1st day of life should be best fed
A- Glucose 5% B- Sugary water
C- Water D- Colostrum
Compared with breast milk, colostrum has
A- less calories B- more amount
C- higher protein D- high carbohydrates
( 11-12 )
, General Pediatrics Infant feeding
Preterm milk
↑ Calories → 80 Cal/dl (Eighty)
↑ Fats → 40-50%, ↑ Essential FA (LC-PUFA) → Brain & retinal development
↑ Protein → 20%, ↑ Essential AA, ↑ Enzymes, ↑ Lactoferrin, ↑ IgA
↑ Ashes → ↑ Electrolytes (Na, Cl, K, Mg, Ca, PO4), ↑ Vitamins (E, A, D)
↑ Acetyl hydrolase of PAF, ↑ IL-10 → protect against NEC
↑ Anti infective properties → Extended protection against respiratory & GIT infections
↓ CHO → 15% (Low Lactose)? ………………………………………………………….
FA: Fatty Acids
LC-PUFA: Long Chain Poly Unsaturated Fatty Acids
AA: Amino Acids
PAF: Platelet Activating Factor
NEC: Necrotizing Enterocolitis
أﻓﻀﻞ ﻟﺒﻦ ﻓﻰ ﺣﺎﻻت اﻟﻤﺒﺘﺴﺮﯾﻦ ھﻮ ﻟﺒﻦ اﻷم
(أﻓﻀﻞ ﻟﺒﻦ ﻷى طﻔﻞ ھﻮ ﻟﺒﻦ ﻣﺎﻣﺘﮫ )ﻟﯿﺲ ﻟﺒﻦ أى أم
-------------------------------------------------------------------------------------------------------------
A mother of preterm infant ask you to describe a milk formula, you told her to
complete breast feeding because of the following except (Dec 2015)
A- 20% protein more B- 40% higher in fat
C- less in Na, Cl, Mg D- protect against NEC
Considering characters of premature milk, which statement is false
A- 15% higher protein B- 40% higher in fat
C- higher Ig D- 15% higher in lactose
Most suitable milk for preterm is
A- expressed from mother B- premature formula
C- humanized milk D- none of the above
- 13 -
Regarding human milk production (True or False)
A- Regular suckling is the most important factor for maintenance of milk flow (T)
B- Milk ejection can be inhibited by maternal anxiety (F)
C- Colostrum has higher caloric value than mature milk (F)
D- Transitional milk usually ended in neonatal period (T)
The important reflex necessary for breast feeds
A- Moro B- Grasp
C- Rooting D- Cough
Colostrum is the breast milk secreted in the first
A- Day B- 1-5 days
C- 2 weeks D- 1 month
Colostrum contains more of the following nutrients than mature milk except
A- Lactose B- Minerals
C- Protein D- Vitamin A
Colostrum has all of the following properties; except
A- High secretory IgA B- High fat content
C- High protein content D- Low carbohydrate content
A newborn in the 1st day of life should be best fed
A- Glucose 5% B- Sugary water
C- Water D- Colostrum
Compared with breast milk, colostrum has
A- less calories B- more amount
C- higher protein D- high carbohydrates
( 11-12 )
, General Pediatrics Infant feeding
Preterm milk
↑ Calories → 80 Cal/dl (Eighty)
↑ Fats → 40-50%, ↑ Essential FA (LC-PUFA) → Brain & retinal development
↑ Protein → 20%, ↑ Essential AA, ↑ Enzymes, ↑ Lactoferrin, ↑ IgA
↑ Ashes → ↑ Electrolytes (Na, Cl, K, Mg, Ca, PO4), ↑ Vitamins (E, A, D)
↑ Acetyl hydrolase of PAF, ↑ IL-10 → protect against NEC
↑ Anti infective properties → Extended protection against respiratory & GIT infections
↓ CHO → 15% (Low Lactose)? ………………………………………………………….
FA: Fatty Acids
LC-PUFA: Long Chain Poly Unsaturated Fatty Acids
AA: Amino Acids
PAF: Platelet Activating Factor
NEC: Necrotizing Enterocolitis
أﻓﻀﻞ ﻟﺒﻦ ﻓﻰ ﺣﺎﻻت اﻟﻤﺒﺘﺴﺮﯾﻦ ھﻮ ﻟﺒﻦ اﻷم
(أﻓﻀﻞ ﻟﺒﻦ ﻷى طﻔﻞ ھﻮ ﻟﺒﻦ ﻣﺎﻣﺘﮫ )ﻟﯿﺲ ﻟﺒﻦ أى أم
-------------------------------------------------------------------------------------------------------------
A mother of preterm infant ask you to describe a milk formula, you told her to
complete breast feeding because of the following except (Dec 2015)
A- 20% protein more B- 40% higher in fat
C- less in Na, Cl, Mg D- protect against NEC
Considering characters of premature milk, which statement is false
A- 15% higher protein B- 40% higher in fat
C- higher Ig D- 15% higher in lactose
Most suitable milk for preterm is
A- expressed from mother B- premature formula
C- humanized milk D- none of the above
- 13 -
