NORCET 2 - 2021 (shift-1)
Child Health Nursing (Pediatrics)
Easy
Exclusive breastfeeding should be continued up to?
Appeared in: NORCET 2 - 2021 (shift-1)
Explanation
- Global health authorities, including the WHO and AAP, recommend exclusive breastfeeding for the first 6 months of an infant's life.
- Breast milk provides all necessary nutrients and hydration for the first six months.
- After 6 months, an infant's nutritional needs, especially for iron and zinc, increase beyond what breast milk alone can supply, necessitating the introduction of complementary foods.
- Continuing exclusive breastfeeding beyond 6 months without complementary foods can lead to nutritional deficiencies and growth faltering.
Why Other Options Were Wrong
- Option A: Stopping exclusive breastfeeding at 3 months is too early and denies the infant the full immunological and nutritional benefits.
- Option C: This is incorrect for exclusive breastfeeding. While breastfeeding should continue, complementary foods must be introduced at around 6 months to meet the infant's growing nutritional demands.
- Option D: This is incorrect for exclusive breastfeeding. By 12 months, an infant should be well-established on a diet of complementary foods in addition to breast milk to ensure adequate growth and development.
Related Visual
- Visual 1: Infographic - A timeline chart showing the WHO infant feeding recommendations: exclusive breastfeeding from 0-6 months, and continued breastfeeding with complementary foods from 6-24+ months. This visual helps reinforce the key timeframes.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The recommended duration for exclusive breastfeeding as per global and national health guidelines as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in educating and supporting mothers to achieve exclusive breastfeeding for 6 months.
- Counseling should include teaching proper latching techniques, feeding on demand (8-12 times/day), and recognizing signs of adequate milk intake (e.g., weight gain, sufficient wet diapers).
- It is vital to advise against giving water, other liquids, or foods before 6 months unless medically indicated, as this can reduce breast milk intake and increase the risk of infection.
How to Approach the Question
- Identify the keywords in the question: 'Exclusive breastfeeding' and 'continued up to'.
- Recognize that 'exclusive' is the critical term, meaning nothing but breast milk.
- Recall the standard infant feeding guidelines from major health organizations like WHO, UNICEF, and the Indian Academy of Pediatrics (IAP).
- The standard recommendation is for exclusive breastfeeding for the first 6 months of life.
- Evaluate the options based on this knowledge. 3 months is too short. 9 and 12 months are too long for 'exclusive' feeding, as complementary foods are needed by then.
- Select the option that matches the standard guideline, which is 6 months.
Concept Tested & Keywords
- Concept Tested: The recommended duration for exclusive breastfeeding as per global and national health guidelines.
- Stem keywords: Exclusive breastfeeding, continued up to
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
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Practise the full NORCET 2 - 2021 (shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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