First Steps Nutrition Modules

MODULE 6: Nutrition and the Young Infant

Case Example: Cheyenne

Cheyenne is a 6-week old infant. She is exclusively breastfed, and her mother plans to continue breastfeeding for at least 2 more months. Cheyenne spits up sometimes, so her mother has stopped drinking milk, in case she has a milk allergy. Cheyenne nurses every 2-3 hours, usually for about 15-30 minutes, depending on the time of day.

Cheyenne’s rate of growth is appropriate – her birthweight was at about the 50th percentile, and her weight today is between the 50th and 75th percentiles. Length-for-age is around the 25th percentile, and weight-for-length is around the 90th percentile.

Do you have concerns about Cheyenne's nutrient intake? About her feeding pattern?

Based on Cheyenne's growth pattern, it appears that her overall nutrient intake is adequate. The feeding pattern described by her mother is also appropriate for an infant Cheyenne's age.

What anticipatory guidance and/or nutrition education might you provide?

Anticipatory guidance and nutrition education might include:

encourage Cheyenne's mother to discuss the difference between protein intolerance and normal spitting up with Cheyenne's pediatrician
ensuring an adequate calcium intake for Cheyenne's mother
vitamin D supplement for Cheyenne
preliminary discussion of introduction of solid foods
discussion of hunger and satiety cues

Are any referrals indicated?

If she is not already enrolled in the WIC program, a referral might be indicated. Also, the dietitian could make sure that Cheyenne has medical insurance.

Questions? Contact: pwdlearn@u.washington.edu
Copyright 2007 | Disclaimers
Last updated: 05/20/2007

MODULE 6: Nutrition and the Young Infant
Home \| Module Index \| Resources \| Glossary
Intro Nutrient Needs During the First Two Months of Life Changes to Nutrient Needs After Two Months of Life Diet-related Concerns Considerations in the Nutrition Assessment Nutrition Questionnaire for Infants Referral Resources Case Examples References and Resources Quiz	Case Example: Cheyenne Cheyenne is a 6-week old infant. She is exclusively breastfed, and her mother plans to continue breastfeeding for at least 2 more months. Cheyenne spits up sometimes, so her mother has stopped drinking milk, in case she has a milk allergy. Cheyenne nurses every 2-3 hours, usually for about 15-30 minutes, depending on the time of day. Cheyenne’s rate of growth is appropriate – her birthweight was at about the 50th percentile, and her weight today is between the 50th and 75th percentiles. Length-for-age is around the 25th percentile, and weight-for-length is around the 90th percentile. Do you have concerns about Cheyenne's nutrient intake? About her feeding pattern? Based on Cheyenne's growth pattern, it appears that her overall nutrient intake is adequate. The feeding pattern described by her mother is also appropriate for an infant Cheyenne's age. What anticipatory guidance and/or nutrition education might you provide? Anticipatory guidance and nutrition education might include: encourage Cheyenne's mother to discuss the difference between protein intolerance and normal spitting up with Cheyenne's pediatrician ensuring an adequate calcium intake for Cheyenne's mother vitamin D supplement for Cheyenne preliminary discussion of introduction of solid foods discussion of hunger and satiety cues Are any referrals indicated? If she is not already enrolled in the WIC program, a referral might be indicated. Also, the dietitian could make sure that Cheyenne has medical insurance.

	Questions? Contact: pwdlearn@u.washington.edu Copyright 2007 \| Disclaimers Last updated: 05/20/2007