Answer all questions completely: CASE STUDY 9.2Noah's Cardiạc ConditionNoah is a former late preterm male born at 36 weeksgestation. He weighed 2000 g and was small for gesta-tional age. His mother's medical history included chronichypertension, obesity, and gestational diabetes. Noah wasdiagnosed prenatally with a cardiac condition that couldaffect his ability to feed.His mother planned to breastfeed Noah and hasbeen successful at expressing her milk and maintainingher breast milk supply. Noah has a weak suck andtires easily at the breast. He is able to drink smallvolumes, 1 to 1½ oz from a bottle. The feedings canlast 30 minutes or longer.At discharge, the family is referred to the WIC pro-gram, Supplemental Social Insurance (SSI), and the stateChildren with Special Health Care Needs program. Spe-cialty cardiac clinic and local follow-up appointmentsare made. Feeding difficulties concern the family, andboth a lactation consultant and a registered dietitian areinvolved prior to and after discharge.Noah nurses frequently, but briefly, due to fatigue.Growth is slower than expected, but the cardiologistdoes not think Noah's slow weight gain is a resultof his cardiac condition. Noah continues to nipplesmall volumes even after his family implements thethis change. Noah likes to nurse; however feedings arebrief and Noah is not able to obtain the higher fat/higher calorie hindmilk. Over time, his family startsto introduce baby foods from a spoon and his momcontinues to breastfeed. Noah's weight gain is pro-gressing slowly; his length and head circumference areprogressing along the 10th percentile. Because of hisslow weight gain his weight-for-length percentile hasfallen to the 3rd percentile.Noah's family enjoys the interactions during feedingsand feels that Noah is doing well for an infant with acardiac problem. They have not contacted the WIC pro-gram or the Children with Special Health Care Needsprogram. Some people they meet assume that Noah wasa premature baby, but his small size is not of concern tohis parents.Questions1. How do breastfeeding and feeds of breasts milkbenefit Noah?2. How would you know if Noah's nutritional intake issufficient?3. Why might the family not desire services and benefitsfrom the WIC program orChildren with SpecialHealth Needs Care program?recommendations from the lactation consultant. Theregistered dietitian recommends increasing the caloricdensity of expressed breast milk with the additionof infant formula powder. The family perceives thisrecommendation as undermining Noah's mother'seffort to nurse him, and is unsure about implementing4. What next steps would yourecommend to help Noahwith his weight gain?Cheryl E. Davis/Shutterstock.com Chapter 9 – Review Case Study 9.2 (Noah's Cardiac Condition)and answer the four questions. These aren't correct or incorrect.Provide your answers that relate to the case.5. How do breastfeeding and feeds of breast milk benefitNoah?6. How would you know if Noah's nutritional intake issufficient?7. Why might the family not desire services and benefits fromthe WIC program or Children with Special Health NeedsCare program?8. What next steps would you recommend to help Noah withhis weight gain?This last question does not relate to the Noah case9. Note: this question is not in the chapter review questions,but relates to content in Chapter 9 and earlier in the text.This situation actually happened to a former student whenI was teaching in MA.A friend/classmate of your delivers a healthy baby and wasfound to have PKU. What are the diet recommendationsfor this infant (breast feed/formula feed and if so whatformula)? How will these diet recommendations change, ifat all, during the first year of life when the child begins toeat?

Name: Answer all questions completely: CASE STUDY 9.2Noah's Cardiạc Conditio
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Description: Answer all questions completely: CASE STUDY 9.2Noah's Cardiạc ConditionNoah is a former late preterm male born at 36 weeksgestation. He weighed 2000 g and was small for gesta-tional age. His mother's medical history included chronichypertension, obes