Certified Specialist in Pediatrics Exam
How long is exclusive breastfeeding 6 months
is recommended for?
human milk expressed from the infant's mother (first choice) or banked
When direct breastfeeding is not
donor human milk (second choice). Using infant formula is considered
possible, what is the best option?
last alternative according to the World Health Organization.
Increased incidence of infections, sudden infant death syndrome,
What is a formula-fed infant at higher necrotizing enterocolitis, and post-neonatal deaths and hospitalization
risk for compared to a breast fed Formula-fed infants also have increased risk of atopic dermatitis, leuke
infant? lymphoma, Hodgkin's disease, asthma, diabetes, obesity, and lower IQ
scores.
Why is it import to empty breast each Fat content of human milk increases during a feeding, so it is importan
feeding? the breast to be emptied at each feeding.
Composition of human milk 50% fat, 40% to 45% carbohydrate (lactose), and 6% protein.
, Certified Specialist in Pediatrics Exam
Poor intake (poor suck, infrequent feeds, structural abnormality)
Low net intake (vomiting and diarrhea, malabsorption, infection)
When evaluating the infant for failure
to thrive, look for the following: High energy requirement (neurologic disorders, congestive heart failu
Low output (<1 wet diaper/day of life if less than 6 days old; <6 wet diap
and 3 soiled thereafter)
Poor production (anatomic, hormonal, nutritional, pharmacologic, stre
When evaluating the mother for illness, fatigue)
failure to thrive, look for the following:
Poor let-down (psychologic, pain, hormonal, pharmacologic, smoking
, Certified Specialist in Pediatrics Exam
Initiating breastfeeding early, in the first hour of life
Breastfeeding every 2 to 3 hours
Waking infant if still sleeping 3 hours from start of previous feed
Recommendations to minimize
Exclusive breastfeeding with supplements of expressed breast milk,
hyperbilirubinemia include the
pasteurized donor human milk, or formula only when medically neces
following:
Optimal breastfeeding management
Educating mothers on early feeding cues
Identifying at-risk mothers and infants
, Certified Specialist in Pediatrics Exam
Galactosemia (infant)
Maternal active untreated tuberculosis
Maternal human-T lymphotropic virus type I or II positive
Maternal human immunodeficiency virus
Contraindications to breast feeding
Mothers receiving diagnostic or therapeutic radioactive isotopes
Mothers receiving antimetabolites or chemotherapeutic agents
Mothers using drugs of abuse
Mothers with herpes simplex lesion on the breast, near or on the nippl
How long is exclusive breastfeeding 6 months
is recommended for?
human milk expressed from the infant's mother (first choice) or banked
When direct breastfeeding is not
donor human milk (second choice). Using infant formula is considered
possible, what is the best option?
last alternative according to the World Health Organization.
Increased incidence of infections, sudden infant death syndrome,
What is a formula-fed infant at higher necrotizing enterocolitis, and post-neonatal deaths and hospitalization
risk for compared to a breast fed Formula-fed infants also have increased risk of atopic dermatitis, leuke
infant? lymphoma, Hodgkin's disease, asthma, diabetes, obesity, and lower IQ
scores.
Why is it import to empty breast each Fat content of human milk increases during a feeding, so it is importan
feeding? the breast to be emptied at each feeding.
Composition of human milk 50% fat, 40% to 45% carbohydrate (lactose), and 6% protein.
, Certified Specialist in Pediatrics Exam
Poor intake (poor suck, infrequent feeds, structural abnormality)
Low net intake (vomiting and diarrhea, malabsorption, infection)
When evaluating the infant for failure
to thrive, look for the following: High energy requirement (neurologic disorders, congestive heart failu
Low output (<1 wet diaper/day of life if less than 6 days old; <6 wet diap
and 3 soiled thereafter)
Poor production (anatomic, hormonal, nutritional, pharmacologic, stre
When evaluating the mother for illness, fatigue)
failure to thrive, look for the following:
Poor let-down (psychologic, pain, hormonal, pharmacologic, smoking
, Certified Specialist in Pediatrics Exam
Initiating breastfeeding early, in the first hour of life
Breastfeeding every 2 to 3 hours
Waking infant if still sleeping 3 hours from start of previous feed
Recommendations to minimize
Exclusive breastfeeding with supplements of expressed breast milk,
hyperbilirubinemia include the
pasteurized donor human milk, or formula only when medically neces
following:
Optimal breastfeeding management
Educating mothers on early feeding cues
Identifying at-risk mothers and infants
, Certified Specialist in Pediatrics Exam
Galactosemia (infant)
Maternal active untreated tuberculosis
Maternal human-T lymphotropic virus type I or II positive
Maternal human immunodeficiency virus
Contraindications to breast feeding
Mothers receiving diagnostic or therapeutic radioactive isotopes
Mothers receiving antimetabolites or chemotherapeutic agents
Mothers using drugs of abuse
Mothers with herpes simplex lesion on the breast, near or on the nippl
