IBCLC Infant Nutrition and Development 2

Question 1

At what age is it recommended to introduce complementary foods to a breastfed infant according to WHO guidelines?

Accepted Answer

Around 6 months while continuing breastfeeding

Answer

WHO recommends exclusive breastfeeding for the first 6 months with introduction of complementary foods at around 6 months.

Question 2

What is the expected weight gain pattern for a healthy exclusively breastfed infant during the first 4 months of life?

Accepted Answer

Approximately 150-200 grams per week

Answer

Healthy exclusively breastfed infants typically gain approximately 150-200 grams (5-7 ounces) per week during the first 4 months.

Question 3

Which component of human milk is primarily responsible for promoting the growth of beneficial Bifidobacterium in the infant's gut?

Accepted Answer

Human milk oligosaccharides (HMOs)

Answer

Human milk oligosaccharides are complex sugars that serve as prebiotics, selectively promoting the growth of Bifidobacterium species.

Question 4

A breastfed infant's pediatrician recommends starting iron supplementation at 4 months of age. What is the rationale?

Accepted Answer

Iron stores accumulated during gestation begin to deplete around 4-6 months, and breast milk iron alone may not meet increasing demands

Answer

The AAP recommends iron supplementation for exclusively breastfed infants beginning at 4 months because fetal iron stores begin to deplete.

Question 5

Which developmental milestone indicates that an infant may be ready for complementary foods?

Accepted Answer

Ability to sit with minimal support and bring objects to the mouth

Answer

The ability to sit with minimal support and bring objects to the mouth indicates the neuromuscular maturity needed for safe swallowing.

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