Presentation on theme: "Chapter 16 Feeding Infants. Infant Growth Patterns Infants experience rapid growth during the first year: –Gains approximately 2/3 ounce/day between birth."— Presentation transcript:
Chapter 16 Feeding Infants
Infant Growth Patterns Infants experience rapid growth during the first year: –Gains approximately 2/3 ounce/day between birth and 6 months; gains of 1/2 ounce/day between 6 and 12 months are typical. –Length increases by approximately 10 inches. –Basal metabolic rate (BMR) is higher than an adults’.
Low Birth Weight Infants The data on low birth weights is worrisome because such babies — those born at less than 5.5 pounds — are at greater risk of dying in infancy or experiencing long- term disabilities.
Common choke foods for infants and toddlers include: uncut spaghetti uncut hot dogs, peanuts, and hard or gooey candy whole grapes popcorn nuts chunks of peanut butter (if your toddler isn't at risk for food allergies and you decide to give him peanut butter, spread smooth peanut butter thinly on bread or a cracker) chewing gum raisins raw vegetables chunks of meat chunks of cheese
Case Study MissyT. is the mother of 6-week-old Hayden. Hayden is Missy's first child. Missy's mother lives nearby and is happy to help out with Hayden's care. Missy complains of being tired and mentions to her mother that Hayden awakens several times during the night and acts hungry. Her mother advises her to add cereal to his bedtime bottle in order to “fill him up so he will sleep through the night.” She also advises cutting larger holes in the nipple so the cereal won't block the opening.
Case Study 1.Should Missy follow her mother's advice? 2.What are the dangers, if any, of feeding a 6-week- old baby cereal from the bottle? 3.Do child care practices change from generation to generation? 4.Consider possible short- and long-term consequences of feeding semi-solid food from a bottle. 5.How would you respond if you were the teacher and a parent asked that you feed an infant in this manner?
Children with Special Needs Infants who are born prematurely Have a range of health problems Genetic disorders and congenital malformations Conditions that require surgery Infection Medication side effects and unpleasant medical treatments Swallowing difficulties Dental problems Special diets Fatigue
Bottle Mouth Syndrome Can result in such rampant decay of a child’s teeth that the child will suffer pain and may lose teeth at a very early stage. Acidic liquids damage the enamel physically. Liquids high in sugar content (including milk) encourage bacterial growth in the mouth. Carbonated cold drinks and pure fruit juice are both of these and should be avoided in bottles. Try to use only water in the bottle if your baby insists on lying down with one. Do not to allow a baby to sleep with a bottle.
Bottle Mouth Syndrome Letting a baby drink a bottle lying down can also increase the risk of ear infections. Ear infection from feeding usually comes about by milk flowing into the baby's ear, where the warmth of the ear combined with the wetness and sugar of the milk provide a perfect breeding ground for germs.
NC Nutrition Requirements for Infants 10A NCAC 09.0902 GENERAL NUTRITION REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding schedule for the child. This schedule must be followed at the center. This schedule must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's schedule shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall be posted for quick reference by the caregivers, except in centers licensed for three to 12 children located in a residence.
NC Nutrition Requirements for Infants (b) Each infant will be held for bottle feeding until able to hold his or her own bottle. Bottles will not be propped. Each child will be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist.
Case Study Lindsey, 5 months old, has begun attending a child care program as her mother recently returned to work. Lindsey was started on cereal mixed with pureed fruit prior to entering child care. Lindsey's mother pumps and freezes her breast milk and delivers it to the center to be thawed and fed as needed. Lindsey is now experiencing some diarrhea and apparent abdominal pain.
Case Study Questions 1.What are some possible causes of Lindsey's discomfort? 2.Do you know how the breast milk is handled at home? 3.What are safe procedures for handling breast milk at child care? 4.Given Lindsey's age, is she ready to have fruit added to her diet? 5.What other food/liquids could be used to mix in her cereal; what type of cereal should she be fed?