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 After looking at her diet, what changes could you suggest to help with the baby's colic?
a. Eliminate all fruit except canned fruit
b. Eliminate nuts
c. Eliminate dairy products
d. All of the above
e. b and c only
Question 2
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 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.
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