A young woman comes into your office for a lactation consultation complaining that her 1-month-old baby is colicky and slow to gain weight. Her baby requires 6 to 7 diaper changes each day and suffers from diarrhea. She tells you she allows the baby to nurse equally on each breast so that she does not feel "overfull"; 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 would the best advice be for this woman?
a. Allow your baby to nurse on one breast only until it is completely empty.
b. Allow us to evaluate you while you are nursing your baby and see what you are doing.
c. Stop nursing immediately and use an infant formula so your baby starts growing.
d. Use supplemental infant formula after each feeding because the baby is obviously not getting enough to eat.
e. a and b only
e
You might also like to view...
A cup (8 ounces) of which of the following beverages has the highest caffeine content?
A) a soft drink B) chocolate milk C) drip-brewed coffee D) brewed tea
Which of the following statements about essential nutrients is true?
A) Essential nutrients are necessary to obtain through the diet or deficiency diseases will occur. B) Essential nutrients should be consumed in excessive amounts to promote optimal health. C) Essential nutrients must be made by the body and cannot be provided through the diet. D) Essential nutrients are less important than nonessential nutrients.
The abuse of which of the following substances can lead to liver cancer?
A) anabolic steroids B) creatine C) growth hormone D) caffeine
Patient X, a male cancer patient undergoing chemotherapy, is 5'10" and currently weighs 207 lbs. At an out-patient visit with his physician two months ago, he weighed 222 lbs. In preparing your nutrition diagnosis for Patient X, what should be your primary assessment of his current weight status?
a. Patient X has experienced significant weight loss. b. Patient X is overweight. c. Patient X has experienced severe weight loss. d. Patient X is obese.