i. Place the nipple in the newborn's mouth. Do not insert if far enough to
stimulate a gag reflex. The newborn should begin to suck. If he doesn't, stroke him
under the chin or on the side of his cheek, or touch his lips with the nipple to stimulate a
sucking reflex.
j. Tilt the bottle upward as the newborn feeds. Keep the nipple filled with water.
This prevents him from swallowing air. Watch for a steady stream of bubbles in the
bottle. This indicates proper venting and flow of water.
k. Reinsert the nipple if the newborn pushes the nipple out with his tongue. This
is a normal reflex. It does not necessarily mean that he is finished eating.
l. Burp (bubble) the newborn after each 1/2 ounces of water. Some air will be
swallowed by the newborn even when fed correctly. Positions to bubble the newborn
are:
(1) Hold the newborn upright in a slightly forward position. Use one hand to
support his head and cheek. Rub or gently pat his back until air is expelled.
(2) Hold the newborn upright over your shoulder or place him face down
across your lap. A change in position helps bring up the bubble. Rub or gently pat his
back until air is expelled.
m. Place the newborn on his stomach or right side. This prevents aspiration if he
regurgitates.
n. Discard any remaining formula and properly dispose of all equipment.
o. Record the procedures and significant nursing observations in the patient's
health record. Give the same report to the Charge Nurse. This will include:
(1)
Time of feeding.
(2)
Amount taken.
(3)
How well the newborn fed.
(4)
Did neonate appear satisfied.
(5)
Occurrence of any regurgitation or vomiting.
9-10. FORMULA PREPARATION INSTRUCTIONS TO THE MOTHER
Reinforce instruction to the mother about formula preparation.
a. Identify the mother requiring reinforcement of teaching.
MD0922
9-15
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