| General aspects |
| When does the child eat? (Are there regular and appropriately spaced feeding intervals?) |
| How much juice (or other sweetened beverages such as soda) does the child drink per day? |
| Does the family follow a special diet (eg, vegetarian, "heart healthy")? What advice has been followed thus far? |
| When did the child begin solid foods? How were they introduced? How were they tolerated? |
| Does the child spit up or vomit in relation to feeding? |
| Are there any stooling patterns associated with feeding? |
| Does the infant tire with feeding? (May indicate cardiac or pulmonary disorder.) |
| Breastfed infants |
| How often does the infant nurse? (Should be at least 8 times per day between 0 to 4 months; 5 times per day between 4 and 8 months; and on demand thereafter.) |
| How long does the infant nurse? |
| Is feeding providing adequate stimulation of milk production? |
| Can the mother hear the infant swallow? |
| Does the baby have a strong suck/strong latch? (A weak suck may indicate neurologic disorder.) |
| Does the mother feel the sensation of let-down (a warm, tingly feeling as the milk begins to flow from the breast when the infant cries)? |
| Is the mother stressed or fatigued? (These may result in low milk production.) |
| Does the infant tolerate vitamin D supplement? |
| Formula-fed infants |
| How much formula does the child ingest? How often? (Daily intake should be approximately 16 to 32 oz at 0 to 4 months, 24 to 40 oz at 4 to 6 months, 24 to 32 oz at 6 to 8 months, 16 to 32 oz at 8 to 10 months, and 16 to 24 oz at 10 to 12 months.) |
| How is the formula mixed? |
| Does the caregiver add anything (eg, infant cereal, baby foods) to the bottle? |
| Does the caregiver hold the bottle during feedings or prop the bottle in the infant's mouth? |
| Feeding environment |
| Who feeds the child? If the child is fed by multiple caregivers, do they have consistent feeding styles? |
| Where does the child eat (eg, in a high chair, on a caregiver's lap)? |
| Does the child usually eat alone or with others? |
| Are there mealtime distractions (eg, television)? |
| Are there any limitations (eg, food insecurity or self-imposed dietary restrictions)? |
| Feeding behavior/interactions |
| How does the caregiver know when the child is hungry? |
| How does the caregiver know when the child is not hungry? |
| Does the caregiver say or do anything when the child eats well? |
| Does the caregiver say or do anything when the child eats poorly? |
| Does the child refuse food? |
| Do the caregiver and the child have struggles over feeding? |
| Does the child have strong likes and dislikes (ie, is the child "picky")? If so, can/does the caregiver feed the child accordingly? |
| Does the child feed differently with different people? |
| Does the child make a mess when they eat? If so, is this difficult for the caregiver? |
