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A young woman comes to your office for a lactation consultation complaining that her 1-month-old baby has colic and slow weight gain. Her baby requires 6 to 7 diaper changes each day and suffers from diarrhea. She tells you that she allows the baby to nurse equally on each breast so that the baby does not feel satiated; she is desperate for help and asks your advice on what to do. A 24-hour diet history provides the following information about her eating habits.
Breakfast: cereal, milk, banana, and walnut pieces; sometimes she has eggs
Lunch: peanut butter sandwich, salad, and grapes with a glass of milk
Dinner: fish or chicken, vegetables, potato or rice, applesauce, and milk
Snacks: change daily but she likes trail mix because it is easy to eat when nursing
What is likely happening to this baby and causing the diarrhea?
A. The baby is not latched on properly.
B. The mother is not producing enough breast milk.
C. The baby is getting too much foremilk and not enough hindmilk.
D. The baby has a poor suckle.
E. The baby is lactose intolerant.
Answer: C
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