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Pediatric Board Breastfeeding

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Recognize that human and cow milk proteins differ in quality and
quantity
Infant feeding: breast-feeding
Know that human milk contains antibodies against certain bacteria and
viruses, including high concentrations of secretory IgA antibodies
Infant feeding: breast-feeding
Know that ingested antibodies from human colostrum and milk provide
local gastrointestinal immunity against organisms entering the body
via this route
Infant feeding: breast-feeding
Understand that the low vitamin K content of human milk may
contribute to hemorrhagic disease of the newborn infant
Infant feeding: breast-feeding
Know the drugs that are contraindicated in breast feeding
Infant feeding: breast-feeding
Know that maternal ingestion of drugs with sedative properties has
the potential to cause sedation in breast-feeding infants
Infant feeding: breast-feeding
Understand the physiologic consequences of the differences in the
composition of mature human milk and colostrum
Infant feeding: breast-feeding
Understand the qualitative and quantitative differences between
human milk and infant formulas
Infant feeding: breast-feeding
Know that there is a lower incidence of gastrointestinal infections
in infants fed human milk
Know the disorders of the breast that may interfere with breast
feeding
Infant feeding: breast-feeding
Plan the management of a preterm infant with respiratory distress
syndrome whose mother wants to breast feed her infant
Infant feeding: breast-feeding
Know which infant formulas contain lactose

Recognize that nutritional deficiencies may develop in infants who
are fed nontraditional formulas (eg, goat milk, vegetarian)
Infant feeding: formula
Recognize that infants fed goat milk exclusively are prone to
megaloblastic anemia due to folate deficiency
Infant feeding: formula
Recognize the signs and symptoms of formula intolerance
Infant feedingformula
Know the indications for the use of protein hydrolysate formulas
Infant feeding: formula
Understand that milk protein allergy is a type of formula intolerance
Infant feeding: formula
Recognize soy as a potential allergen in gastrointestinal protein
allergy
Infant feeding: formula feeding
Understand the nutritional supplements that can be used to increase
caloric density of formulas and their risks
Infant feeding: formula feeding
Understand the difference between milk protein allergy and
lactose intolerance
Infant feeding: formula feeding
Know that rickets may develop in rapidly growing
premature infants with low intake of either calcium or
phosphorus
Vitamin deficiency states
Recognize the effects of vitamin D deficiency (tetany, poor growth,
and rickets)
Vitamin deficiency states
Know that breast-fed infants who do not receive vitamin D
supplementation are susceptible to rickets
Vitamin deficiency states
Recognize the clinical manifestationsof vitamin K deficiency
Vitamin deficiency states
Recognize the presenting signs and symptoms of rickets
Vitamin deficiency states
Know that folate deficiency may develop in children with
malabsorption syndrome
Vitamin deficiency states
Know the laboratory and radiologic findings in vitamin D deficiency
rickets
Vitamin deficiency states
Know the nutritional complications associated with a strict
vegan diet
Vitamin deficiency states
Recognize the results of protein deficiency (kwashiorkor)
Protein deficiency states
Recognize that marasmus is caused by inadequate caloric intake
Protein deficiency states
Know the causes of protein-losing enteropathy
Protein deficiency states
Recognize the signs and symptoms of hypervitaminosis A
hypervitaminosis A
Recognize the signs and symptoms of hypervitaminosis D
hypervitaminosis D

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