DSSSB 12 August 2024
Child Health Nursing (Pediatrics)
Easy
According to WHO, exclusive breastfeeding should be given to the baby till?
Appeared in: DSSSB 12 August 2024
Explanation
- The World Health Organization (WHO) and UNICEF globally recommend exclusive breastfeeding for the first 6 months of an infant's life.
- Exclusive breastfeeding means the infant receives only breast milk, without any additional food, drink (not even water), or formula, unless medically indicated.
- This practice provides optimal nutrition, robust immunological protection against common childhood illnesses, and fosters healthy growth and development.
Why Other Options Were Wrong
- Option B: Stopping exclusive breastfeeding at 3 months is premature and deprives the infant of three additional months of critical immunological and nutritional benefits that only breast milk can provide.
- Option C: This duration refers to continued breastfeeding, not exclusive breastfeeding. After 6 months, complementary foods are necessary to meet the infant's growing nutritional demands.
- Option D: Exclusively breastfeeding for 12 months is not recommended as it would lead to nutritional deficiencies, especially in iron and zinc, because breast milk alone is insufficient after 6 months.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain WHO guidelines on the duration of exclusive breastfeeding as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in educating new mothers and families about the benefits and duration of exclusive breastfeeding, helping to prevent common infant health issues like diarrhea and respiratory infections.
- A key nursing intervention is providing lactation support, teaching proper latching techniques, and helping mothers manage common breastfeeding challenges to ensure they can meet the 6-month goal.
- What if? If a mother is HIV-positive and on antiretroviral therapy in a resource-poor setting, the WHO still recommends exclusive breastfeeding for 6 months because the benefits outweigh the minimal risk of transmission, especially compared to the risks of mixed feeding or contaminated formula.
How to Approach the Question
- First, identify the key terms in the question: 'WHO' and 'exclusive breastfeeding'.
- Understand the specific definition of 'exclusive breastfeeding' – it means only breast milk and no other food or drink, not even water.
- Differentiate this from 'continued breastfeeding', which involves giving breast milk alongside other foods.
- Recall the standard global health guideline for the duration of the exclusive period.
- Evaluate the options based on this knowledge. 6 months is the standard recommendation for exclusivity.
- Eliminate other options by recognizing that 3 months is too short, while 12 months and 2 years refer to the period of continued breastfeeding with complementary foods.
Concept Tested & Keywords
- Concept Tested: WHO guidelines on the duration of exclusive breastfeeding.
- Stem keywords: WHO, exclusive breastfeeding, baby
- Lead-in keywords: till
- Negative lead-in flag: false
Question ID
QEJgWocG8o0tAQI79ELGCh
Reference Book
E6 Obstetrics Williams p. 49-68
E6 Nutrition Monika Sharma 3e p. 195-197
E6 Medicine Davidson Principles Practice 24e p. 346-348
Practise the full DSSSB 12 August 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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