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Nutrition Through the First Year

Nutrition Through the First Year. Objectives. Identify nutrition needs for growth during the first year Describe the nutrition qualities of formula List tips for proper mixing of formula and food safety guidelines Identify feeding tips for 4-6 montsh and 6-12 months

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Nutrition Through the First Year

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  1. Nutrition Through the First Year

  2. Objectives • Identify nutrition needs for growth during the first year • Describe the nutrition qualities of formula • List tips for proper mixing of formula and food safety guidelines • Identify feeding tips for 4-6 montsh and 6-12 months • Describe ways to determine adequate nutrition intake

  3. Birth To 1 Year • Breastmilk or formula primary nutrition • GI and kidney development • Rapid Growth • Weight doubles 4-6 months, triples year • 100 calories/kg • 2.2 → 1 gram protein per/kg • 40% of calories from fat

  4. Formula • Supports normal growth and development • Formula contains • lactose/sucrose (CHO) • casein, whey (PRO) • vegetable oils (FAT) • Vitamins-mineral fortified, high iron • More symptoms of intolerance • Spitting up, gassy, protein intolerance, constipation

  5. Formula Types • Standard • Essential fatty acid enhanced • Modified for gassy babies, spitty babies • Organic • Lactose-Free • Follow-up (6-12 months) • Soy-protein • Hypoallergenic- Protein Sensitivity • Preemie • Medical

  6. Formula Tips • Mix according to instructions • Too dilute- poor nutrition • Too concentrated- GI problems • Food Safety – GI problems • Discard unfed formula • Refrigerate diluted formula 24 hours • Clean nipples/bottle- dishwasher OK • Safe water

  7. 4-6 Months • Introduce solids • Developmental feeding milestones • Mature GI tract •  protrusion reflex • Head-neck control • Interest in food • Iron-fortified rice cereal • Then vegetables-fruits • Wait several days to introduce new food • Diarrhea, vomit, rash, wheezing, very fussy, wait

  8. 6-12 months • Mashed, soft foods to small chunks • Introduce foods according to ability • Pincer grasp • Hand to mouth movement • Imitates chewing motion • Holds eating utensils • Holds bottle, cup • Eating is part of motor skill development • Caution with foods that could cause choking (nickel sized)

  9. Adequate Nutrition • Growth Curves • Weight, length, head circumference for age • Problem if growth deviates off usual curve • Hemoglobin (iron deficiency anemia) • Normal Development

  10. Fig. 14.1

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