A Basic Approach to Feeding and Care

Chapter 3 Infant Feeding

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Student Information


Select the Correct Response


Page 2

Let’s Review Your Responses

Correct!  

a. Prepare bottles using a sink that is only for _______________________.

The correct response is food or bottle preparation.

Use a sink that is only for bottle preparation, other food preparation or other approved source of water. Water from a hand washing sink may not be used for bottle preparation.

The bottle preparation sink must be located at least eight feet from the outermost edge of diaper changing tables or counters and sinks used for diaper changing, or have a barrier to prevent cross-contamination that is placed between the sink used for food or bottle preparation and the diaper changing table, counter or sink.

You Have Provided an Incorrect Answer 
a. Prepare bottles using a sink that is only for _______________________.

The correct response is food or bottle preparation.

Use a sink that is only for bottle preparation, other food preparation or other approved source of water. Water from a hand washing sink may not be used for bottle preparation.

The bottle preparation sink must be located at least eight feet from the outermost edge of diaper changing tables or counters and sinks used for diaper changing, or have a barrier to prevent cross-contamination that is placed between the sink used for food or bottle preparation and the diaper changing table, counter or sink.

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Page 4

Let’s Review Your Responses

Correct!  
b. Microwave ovens __________________ be used for heating an infant’s bottle or other food.

The correct response is May NOT.

If using formula or breast milk from the refrigerator, the bottle may be warmed under running water or heated in a container of water that is no more than 120° F for no more than 5 minutes (this would include a crock pot on low setting).

The crock pot should be emptied, sanitized and refilled with fresh water daily. Regularly check the temperature of the water in the crock pot with a thermometer as they do not hold a steady temperature. Be sure to shake the bottle gently after removing from the warm water and dry it off with soft cloth or paper towel to make sure no drops of hot water get on the infant. Test the temperature of the formula before feeding by shaking a few drops on the inside of your wrist.

Breast milk should not be thawed in the crock pot (only under warm running water or in the refrigerator). Microwave ovens MAY NOT be used for heating an infant’s bottle or other food. They can cause hot spots that can continue to increase in heat up to five minutes after the microwave stops. This can result in a serious burn of an infant’s or other child’s mouth.

You Have Provided an Incorrect Answer 

b. Microwave ovens __________________ be used for heating an infant’s bottle or other food.

The correct response is May NOT.

If using formula or breast milk from the refrigerator, the bottle may be warmed under running water or heated in a container of water that is no more than 120° F for no more than 5 minutes (this would include a crock pot on low setting).

The crock pot should be emptied, sanitized and refilled with fresh water daily. Regularly check the temperature of the water in the crock pot with a thermometer as they do not hold a steady temperature. Be sure to shake the bottle gently after removing from the warm water and dry it off with soft cloth or paper towel to make sure no drops of hot water get on the infant. Test the temperature of the formula before feeding by shaking a few drops on the inside of your wrist.

Breast milk should not be thawed in the crock pot (only under warm running water or in the refrigerator). Microwave ovens MAY NOT be used for heating an infant’s bottle or other food. They can cause hot spots that can continue to increase in heat up to five minutes after the microwave stops. This can result in a serious burn of an infant’s or other child’s mouth.
s.

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Page 6

Let’s Review Your Responses

Correct!  
c. Label the formula container with ___________ and _________________.   

The correct response is Child's Name and Date.

Infant formula must be labeled with the child’s name and date it was brought into the center.

When bottles are supplied by parents, they must have the child’s first and last name and date prepared written on them or on a label attached to them in waterproof marker that will not come off when being warmed in water. In order to prevent cross contamination (when a bottle falls over, especially in the refrigerator, and touches another one) and exposure to being touched by bare hands, it is very important that the bottle nipples be covered, preferable with a nipple cap (if none are available, a plastic sandwich bag will work temporarily).


You Have Provided an Incorrect Answer 

c. Label the formula container with ___________ and _________________.     

The correct response is Child's Name and Date.

Infant formula must be labeled with the child’s name and date it was brought into the center.

When bottles are supplied by parents, they must have the child’s first and last name and date prepared written on them or on a label attached to them in waterproof marker that will not come off when being warmed in water. In order to prevent cross contamination (when a bottle falls over, especially in the refrigerator, and touches another one) and exposure to being touched by bare hands, it is very important that the bottle nipples be covered, preferable with a nipple cap (if none are available, a plastic sandwich bag will work temporarily).

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Select the Correct Response


Page 8

Let’s Review Your Responses

Correct!  
d. If using formula or breast milk from the refrigerator, the bottle may be warmed under running water or heated in a container of water that is not more than _____________ for no more than 5 minutes just prior to feeding.
 

The correct response is 120°F .

You Have Provided an Incorrect Answer 

d. If using formula or breast milk from the refrigerator, the bottle may be warmed under running water or heated in a container of water that is not more than _____________ for no more than 5 minutes just prior to feeding.   

The correct response is 120°F .

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Select the Correct Response


Page 10

Let’s Review Your Responses

Correct!  
e. 5. Bottles may not be left out at room temperature for more than ___________.  Do not put bottles that have been used back in the refrigerator.  

The correct response is 1 hour.

To limit bacterial growth, bottles may not be left out at room temperature for more than an hour, and may not be put back in the refrigerator after a child has fed from the bottle. The contents must be discarded.
You Have Provided an Incorrect Answer 

e. 5. Bottles may not be left out at room temperature for more than ___________.  Do not put bottles that have been used back in the refrigerator.    

The correct response is 1 hour.

To limit bacterial growth, bottles may not be left out at room temperature for more than an hour, and may not be put back in the refrigerator after a child has fed from the bottle. The contents must be discarded.

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Page 12

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Correct!  
f. Bottles, bottle caps, nipples, and other equipment used for bottle feeding must not be reused without first being ________________ and ______________ by washing in a dishwasher or by washing, rinsing, and boiling for one minute. 

The correct response is cleaned and sanitized.

Bottles, bottle caps, nipples and other equipment used for bottle feeding must not be reused without first being cleaned and sanitized, by washing in a dishwasher or by washing, rinsing and boiling for one minute.
You Have Provided an Incorrect Answer 
f. Bottles, bottle caps, nipples, and other equipment used for bottle feeding must not be reused without first being ________________ and ______________ by washing in a dishwasher or by washing, rinsing, and boiling for one minute.   

The correct response is cleaned and sanitized.

Bottles, bottle caps, nipples and other equipment used for bottle feeding must not be reused without first being cleaned and sanitized, by washing in a dishwasher or by washing, rinsing and boiling for one minute.

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Select the Correct Response


Page 14

Let’s Review Your Responses

Correct!  
g. Bottle nipples must be _________________________ in order to prevent cross contamination. 

The correct response is covered.

In order to prevent cross contamination (when a bottle falls over, especially in the refrigerator, and touches another one) and exposure to being touched by bare hands, it is very important that the bottle nipples be covered, preferable with a nipple cap (if none are available, a plastic sandwich bag will work temporarily).
You Have Provided an Incorrect Answer 

g. Bottle nipples must be _________________________ in order to prevent cross contamination.   

The correct response is covered.

In order to prevent cross contamination (when a bottle falls over, especially in the refrigerator, and touches another one) and exposure to being touched by bare hands, it is very important that the bottle nipples be covered, preferable with a nipple cap (if none are available, a plastic sandwich bag will work temporarily).

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Select the Correct Response


Page 16

Let’s Review Your Responses

Correct!  
h. Frozen breast milk may be kept at the center for no more than ____________________. 

The correct response is 2 weeks.

Breast milk may be kept frozen in the center for no more than two weeks.

DEL acknowledges that the La Leche League and other infant organizations currently recommend breast milk storage for longer periods of time than two weeks. However, due to the inconsistency of freezer temperatures, transportation temperatures, storage container temperatures, and transportation times, DEL limits the time you may keep frozen breast milk at the center for not more than two weeks.

You Have Provided an Incorrect Answer 
h. Frozen breast milk may be kept at the center for no more than ____________________.   

The correct response is 2 weeks.

Breast milk may be kept frozen in the center for no more than two weeks.

DEL acknowledges that the La Leche League and other infant organizations currently recommend breast milk storage for longer periods of time than two weeks. However, due to the inconsistency of freezer temperatures, transportation temperatures, storage container temperatures, and transportation times, DEL limits the time you may keep frozen breast milk at the center for not more than two weeks.

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Select the Correct Response


Page 18

Let’s Review Your Responses

Correct!  
i. Bottles can be prepared as the child seems hungry or ___________________________.

The correct response is prepared ahead of time.

You may wish to have parents bring formula or breast milk already in the bottle or prepare formula yourself. Bottles can be prepared as the child seems hungry, or prepared ahead of time.

Bottles prepared in advance must be refrigerated until it is time to use them. Having a refrigerator in the infant room allows more flexibility in meeting infants’ needs. See WAC 170-295-3170 for more information on storing infant formula and breast milk.

You Have Provided an Incorrect Answer 
i. Bottles can be prepared as the child seems hungry or ___________________________.
.
   

The correct response is prepared ahead of time.

You may wish to have parents bring formula or breast milk already in the bottle or prepare formula yourself. Bottles can be prepared as the child seems hungry, or prepared ahead of time.

Bottles prepared in advance must be refrigerated until it is time to use them. Having a refrigerator in the infant room allows more flexibility in meeting infants’ needs. See WAC 170-295-3170 for more information on storing infant formula and breast milk.

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Select the Correct Response


Page 20

Let’s Review Your Responses

Correct!  
j. Thawed breast milk is refrigerated and used __________. 

The correct response is that day.

Breast milk
  1. Frozen breast milk will be stored at 10°F or less and for no longer than 2 weeks. The container will be labeled with the child’s full name and date.
  2. Frozen breast milk will be thawed in the refrigerator or in warm water (under 120°F) and then warmed as needed before feeding. Thawed breast milk will not be refrozen.
  3. Unused thawed breast milk will be returned to the family at the end of the day.
You Have Provided an Incorrect Answer 
j. Thawed breast milk is refrigerated and used __________.

The correct response is that day.
   
Breast milk
  1. Frozen breast milk will be stored at 10°F or less and for no longer than 2 weeks. The container will be labeled with the child’s full name and date.
  2. Frozen breast milk will be thawed in the refrigerator or in warm water (under 120°F) and then warmed as needed before feeding. Thawed breast milk will not be refrozen.
  3. Unused thawed breast milk will be returned to the family at the end of the day.

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Select the Correct Response


Page 22

Let’s Review Your Responses

Correct!  
k. Thawed breast milk  _____________refrozen. 

The correct response is never.

Thawed breast milk cannot ever be refrozen.

You Have Provided an Incorrect Answer 
k. Thawed breast milk  _____________refrozen.   

The correct response is never.

Thawed breast milk cannot ever be refrozen.

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Select the Correct Response


Page 23

Let’s Review Your Responses

Correct!  
l. Parents should bring ______________ cans of formula. 

The correct response is unopened.

If parents supply powdered or liquid canned formula, ask them to bring you unopened cans. This allows you to know how long the can has been open. Make sure to check the expiration date, usually printed on the label or the bottom of the can.
You Have Provided an Incorrect Answer 
l. Parents should bring ______________ cans of formula.
   

The correct response is unopened.

If parents supply powdered or liquid canned formula, ask them to bring you unopened cans. This allows you to know how long the can has been open. Make sure to check the expiration date, usually printed on the label or the bottom of the can.

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Chapter 3 Assessment

Total Points
12 possible

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