Question

Babies Silvia and Lynette are growing and thriving. Parents Brett and Brenna are amazed and grateful that their twins are so healthy and bright. Each day they develop more and more of their own unique personalities. Brett has gone on a knowledge bender reading and watching everything he can about infant growth and development. He wants the best for his girls and feels the more he knows the more he can do to provide them the best childhood.

1. Brett is learning about how interacting with newborns in their different stages of arousal can completely change the way his daughters perceive the interactions.

Which of the following are the different states of infant arousal?

a. active alert

b. active sleep

c. crying

d. drowsy

e. quiet alert

f. quiet sleep

g. all of the above

2. After a couple days of light therapy for mild jaundice, both girls were deemed incredibly healthy by the pediatrician with no visible signs of illness and excellent bloodwork. Brenna is exclusively breastfeeding the twins and she eats very well. He knows all this will help not only in the girls’ overall health, but in their development as well. True or False: Iodine deficiency, iron deficiency anemia, chronic undernutrition, and severe, acute malnutrition are all risk factors for poor cognitive, motor, and socio-emotional development. a. True b. False

3. Brett gets to give the girls their vitamin D drops every day. He looks forward to it since he doesn’t get to participate in feeding them yet.

How much vitamin D does the AAP recommend that all breastfed and partially breastfed infants receive daily?

a. 22 IU

b. 100 IU

c. 400 IU

d. 1000 IU

e. None of the above

4. Brett is grateful that Brenna has decided to exclusively breastfeed the twins. There have been challenging days and often he feels like he’s missing out a bit, but the more he learns about infants, the more he realizes how healthy this choice has been for the family. True or False: Both the AAP (American Academy of Pediatrics) and the AND (Academy of Nutrition and Dietetics) recommend exclusive breastfeeding for the first six months of life and continuation of breastfeeding in addition to foods through at least the first year of life. a. True b. False

5. Even though he won’t be able to implement his ideas for several months, Brett is learning about introducing food to the girls. He’s even ordered a few kitchen gadgets to make homemade baby food. Brenna finds it endearing, but kindly reminds him that they are waiting until the girls are six months old to begin introducing foods, if they’re developmentally ready at that time, as they were born at 37 weeks. Match the infant age range to the approximate mouth patterns, development skills, and expected eating abilities.

8 to 11 months $image?width=68&height=948$ Mouth patterns include sucking/swallowing reflex, tongue thrust reflex and poor mouth closure. Infant has poor control of head, neck, and trunk. Infant can swallow liquids but pushes most solid objects from the mouth. Birth to 5 months Mouth patterns include drawing in lower lip as spoon is removed from mouth, up-and down-movement, and immediately transferring food from the front to the back of the tongue to swallow. Baby is able to sit with support, has good head control, and can use whole hand to grasp objects. In relation to food, baby can take in a spoonful of pureed or strained food and swallow it without choking. Baby can also control the position of food in the mouth. 10 to 11 months Mouth patterns include up-and-down munching movement and positioning food between jaws for chewing. Developmentally, the infant begins to sit alone, unsupported and begins to use thumb and index finger to pick up objects. The infant can eat mashed foods and eat from a spoon easily. 4 to 6 months Mouth patterns include complete side-to-side tongue movement and begin to curve lips around the rim of a cup. Baby can sit alone easily. At this time, baby can begin to eat ground or finely chopped foods, begin to feed self with fingers, and drink from a cup with assistance. 5 to 9 months Mouth patterns include rotary chewing also known as grinding. The infant can begin to put spoon in mouth and hold a cup. Infant can eat chopped foods and small pieces of soft, cooked foods.

6. Brett remembers an experience Brenna had several years ago when she took care of a friend’s baby who had terrible colic and cried non-stop. Brett is so thankful that his girls don’t have the same problem. True or False: As the girls are now one month old, they cannot develop colic, because it only occurs in the first two weeks after delivery. a. True b. False

Answer 1

1) All of them are different states of infant arousal .

Active alert, active sleep, quiet alert ,quiet sleep,crying and drowsy etc.

So answer is G.

2)It is true.Iron ,iodine deficiency, chronic malnutrition and acute severe malnutrition are all risk factors for poor cognitive development.

3)AAP recommends 400 IU of vitamin D to all breastfed and partially breastfed infants.

So answer is C.

4)It is true .Exclusive breastfeeding should be done for first 6 months, then supplementary feed should be added while weaning is done.