Which statement best reflects proper infant formula preparation?

• A. Always dilute for larger volume
• B. Never dilute or concentrate formula
• C. Mix with sugar water
• D. Concentrate formula for extra calories

Answer: (B)

The essential idea is that infant formula must be prepared exactly as directed to provide the intended nutrition and electrolyte balance. Formula is formulated with a precise caloric density and set levels of minerals; altering the ratio disrupts this balance.

If you dilute the formula, the baby would receive fewer calories and essential nutrients, which can lead to inadequate weight gain, dehydration, and electrolyte problems such as hyponatremia. If you concentrate it, the formula becomes too rich and increases osmolality, placing extra strain on the kidneys and raising the risk of dehydration and electrolyte disturbances, along with potential feeding intolerance or other complications. Mixing with sugar water offers no nutritional benefit and can introduce contamination or distract from proper feeding; concentrating for extra calories carries the same safety concerns as diluting.

Therefore, the best practice is to follow the manufacturer's instructions exactly—use the specified amount of water and powder, and avoid diluting or concentrating beyond those guidelines.