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Clinical skills workbook
Responsive Bottle / Formula Feeding
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Created by
Amanda Ugiagbe
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Cards (32)
What is the formula for feeding mentioned in the study material?
Responsive Bottle
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What are the types of feeding other than direct breastfeeding?
Expressed Breast Milk
(EBM)
Donor milk
Wet nursing
Combi/Mixed feeding
Formula feeding
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Why does BFI discuss formula feeding?
To enable mothers to safely combine other feeds with
breastfeeding
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How are mothers who formula feed encouraged to interact with their babies?
They are encouraged to hold their baby
close
during feeds
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What are the key points of support for mothers regarding feeding?
Evidence-based practice
Responsive feeding
Building strong bonds
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What are possible indications for supplementation and/or formula feeding?
Maternal request/choice
Severe maternal illness
Bilateral mastectomy
HIV+ mothers
Infants with severe metabolic diseases
Infants with acute weight/water loss
Insufficient glandular tissue
Maternal medication contraindications
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What is a resource for parents regarding infant formula and bottle feeding?
UNICEF's
guide on infant formula
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What is stated about the difference between formula milks?
There is no
significant
difference between formula milks
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What is important for the preparation of formula?
Appropriate
standards
and proper
hygiene
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What are the methods of sterilizing feeding equipment?
Cold-water sterilizing solution
Steam or microwave sterilizing
Sterilizing by boiling
Industrial sterilizing methods
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What should be followed during the preparation of formula?
Follow the
manufacturer's
instructions
and practice proper
hygiene
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What are the key points for making up a feed?
Use boiled water at
70°C
or above
Do not store boiled water in
sterilized
bottles
Avoid using boiled water for making feeds
Add
powdered formula
to hot water
Check
manufacturer's
instructions for water and powder amounts
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What temperature should boiled water be at when making up a feed?
70°C
or above
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Why should boiled water not be stored in sterilized bottles for later use?
It is not
sterile
and may contain too much
salt
or
sulfate
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What should you do first when preparing a feed?
Put the water in the bottle first while it is still
hot
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What should you check regarding the manufacturer's instructions when preparing formula?
How much water and
powdered
formula is needed
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What temperature should boiled water be at when making up a feed for a baby?
70°C
or above
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Why should you not boil water in advance and store it for later use?
It may not be
sterile
and can increase the risk of
infection
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Why is boiled water not recommended for making up a feed?
It is not
sterile
and may contain too much
salt
or
sulphate
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What should you check to find out how much water and powdered formula is needed?
The
manufacturer's
instructions
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Why is it important to let the feed cool before giving it to the baby?
To prevent
burns
and
ensure
safety
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What is the feeding guideline for newborn babies in terms of volume?
Start with small volumes
Gradually increase from
15-20 ml/kg
on the first day
Reach
150-200 ml/kg
by the end of the first week
Ensure
nutritional adequacy
and fluid requirements
Prevent
under or over-feeding
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What should you monitor to ensure the baby is feeding adequately?
The baby's
weight gain
and
nappies
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When is the usual introduction of solids for a baby?
Around
6 months
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What is the weight of baby Dilan?
4250
grams
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How much formula does baby Dilan need per 24 hours if he feeds 6 times?
To be calculated based on his
weight
and
feeding frequency
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What is the birth weight of baby Shahida?
3080
grams
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How much formula should baby Shahida have per meal?
To be calculated based on her
weight
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What should you never do while feeding a baby from a bottle?
Never leave the baby unattended
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What are some resources for bottle feeding information?
NHS
website on
infant formula
NHS bottle feeding advice
NCT
parenting resources
NHS Highland
postnatal
formula feeding booklet
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What is the International Code of Marketing of Breastmilk Substitutes?
A guideline for the marketing of
breastmilk substitutes
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What is the significance of the statement "What we do now lasts a lifetime"?
It emphasizes the
long-term
impact of
early
feeding practices
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