North American Registry of Midwives (NARM) Practice Exam

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At what age do breast-fed infants typically need to start receiving iron supplementation?

  1. 2-3 months

  2. 4-6 months

  3. 6-8 months

  4. 6-12 months

The correct answer is: 4-6 months

Breast-fed infants typically begin to need iron supplementation around 4 to 6 months of age because by this time, their natural iron stores, which are adequate at birth, begin to deplete. Human breast milk is low in iron, and as infants grow, their iron requirements increase due to rapid growth and development. The introduction of solid foods often starts around this age, and while iron-rich foods can be included in their diets, supplemental iron is often recommended to ensure that the infant is meeting their iron needs. This timing is especially important for exclusively breast-fed infants, as they may not receive enough iron from breast milk alone after the initial months of life.