ROSH Gastrointestinal Practice Exam

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Regarding vitamin D intake for a breastfed infant, what advice should be given to the mother?

Breastfed infants do not need supplemental vitamin D
Intake of vitamin D in excess of 200 IU/day is potentially toxic
The baby should be given 400 IU of supplemental vitamin D daily
Vitamin D supplementation should not be started until 6 months old

The correct answer is: The baby should be given 400 IU of supplemental vitamin D daily

Supplementing breastfed infants with vitamin D is crucial because breast milk typically does not provide adequate levels of vitamin D to meet an infant’s needs. The recommendation for infants, specifically those who are exclusively or partially breastfed, is to administer a daily dose of 400 IU of vitamin D starting shortly after birth. This supplementation is essential to prevent vitamin D deficiency and its associated conditions, such as rickets, which affects bone development. The recommendation for 400 IU daily is supported by health organizations such as the American Academy of Pediatrics and the World Health Organization and aims to ensure that infants receive sufficient vitamin D for healthy bone growth and overall health. By adhering to this guideline, mothers can help safeguard their infants against deficiencies that could lead to long-term health issues.