Question

1. calculate protein intake for a 4 month female infant with a weight of 6 kg taking 7 oz at 8 pm, 12 pm, 4 pm, 8 pm and 2 am. The infant is consumsing 20 kcal/oz formula with 2.1 g protein per 100 kcal

a) explain how you did it by showing your calculation

b) calculate both in total gram protein for the day and in gram protein/kg/d

c)assess if recommendations are below, adequate, or above recommendation

d)what are your recommendations for this mother to feed her infant and explain your rationale

e)what questions would you ask the mother to understand the cultural and family dynamics and parent's child relationship?

Answer 1

A 4-month female infant with a weight of 6 kg taking 7 oz at 8 pm, 12 pm, 4 pm, 8 pm and 2 am.

The infant is consuming 20 kcal/oz formula with 2.1 g protein per 100 kcal.

a.

The infant consuming 7 oz of drink 6 times a day.

she is consuming 140kcl per drink.

20kcl x 7oz = 140kcl

She is consuming a total of 840kcl in a whole day

140kcl x 6drinks = 840kcl

b.

The formula has 2.1gm of protein in 100kcl. the infant is taking 840kcl in a whole day

so, the total protein intake is 17.64 grams.

2.1gm - 100kcl x 840kcl = 17.64

the infant's weight is 6 kg. so, she is taking 2.94grams/kg/day.

17.64gm - 6kg = 2.94gm

c. The daily recommendation of protein intake for 4 to 6 months of the baby is 1.52gms/kg/day

She is taking 2.94gm/kg/day

She is taking the above recommendation.

d. her mother is feeding the above recommendations and she also gives a large amount in a single feed.

she should try less amount and should increase the frequency of feed, it will lessen the chance of vomiting and aspiration, diarrhea.

She should try low protein formula.

e. A nurse should ask why she is not feeding breast milk to baby? is there any cultural issue with breastfeeding?