Breastfeeding & Infant Feeding Practices Flashcards

Current guidelines recommend introducing solid (complementary) foods at approximately what age for healthy term infants?

Answer: Around 6 months

Both the AAP and WHO recommend introducing complementary foods around 6 months of age, when most infants show developmental readiness signs and breast milk alone becomes insufficient.

According to current AAP guidance on early allergen introduction, which statement is MOST accurate?

Answer: Early introduction of peanut products at 4–6 months may reduce peanut allergy risk in high-risk infants

The LEAP trial and subsequent guidelines support early introduction of peanut products around 4–6 months in high-risk infants (severe eczema or egg allergy) to reduce the risk of peanut allergy.

Human milk fortifier (HMF) is added to expressed breast milk primarily for which patient population?

Answer: Very low birth weight (VLBW) preterm infants

Human milk fortifier is added to breast milk for very low birth weight (VLBW) preterm infants (<1500 g) to meet their higher protein, calorie, and micronutrient needs that breast milk alone cannot provide.

Responsive feeding (also called cue-based or on-demand feeding) is important in infancy primarily because it:

Answer: Supports the development of healthy hunger and satiety regulation

Responsive feeding, which responds to infant hunger and fullness cues rather than a fixed schedule, supports the development of self-regulation of intake and is associated with healthier long-term eating behaviors.

Which of the following maternal medications is generally considered COMPATIBLE with breastfeeding?

Answer: Ibuprofen

Ibuprofen has low transfer into breast milk and short half-life, and is generally considered compatible with breastfeeding; it is often preferred over other NSAIDs for lactating women.

Breast milk jaundice, distinct from breastfeeding jaundice, typically occurs at what time and is associated with which mechanism?

Answer: After day 5–7, peaking at 2 weeks; associated with substances in mature milk that inhibit bilirubin conjugation

Breast milk jaundice typically appears after the first week, peaks around 2 weeks, and is thought to result from factors in mature breast milk (such as beta-glucuronidase) that increase enterohepatic bilirubin recirculation.

When providing anticipatory guidance about introducing cup drinking, at what age is it generally recommended to begin transitioning infants from bottles toward open or straw cups?

Answer: Around 12 months

The AAP recommends transitioning away from bottles toward cups around 12 months of age to reduce the risk of dental caries, overweight, and iron deficiency associated with prolonged bottle use.