(b) Hard stools mean too little fluid intake.
(c)
(6)
Low-grade temperatures and/or increasing, weak pulses.
b. Determine impact of your observations over a 24-hour period rather than at
each feeding.
9-8.
WEIGHT CHANGES
a. All babies lose weight directly after birth, which should cause no concern
unless the weight loss approaches 10 percent of the birth weight.
b. Within a week a newborn should regain his birth weight.
c. A gain of about an ounce a day is average.
d. At the end of 5 months, most babies have doubled their birth weight.
9-9.
FIRST ORAL FEEDING AND RECORDING PROCEDURES BY THE NURSE
a. Review the mother's health record to verify the order.
b. Wash your hands.
c. Assemble the necessary equipment (sterile water in bottle, nipple and cap
combination, tissue or cloth, and gown (if necessary)).
d. Wash your hands.
e. Put on clean gown (if not already in scrubs).
f. Approach and identify the newborn.
g. Invert the bottle and shake some water on your wrist.
(1)
Test the patency of the nipple hole.
(2) Ensure that the water drips freely, but not in a stream. If the hole is too
large, the newborn may aspirate water. If the hole is too small, the newborn may tire
before the end of feeding.
h. Sit comfortable and cradle the newborn in a semi-reclining position in one
arm. The infant's head and back are easily supported. Air is allowed to rise to the top
of the infant's stomach where it is more easily expelled.
MD0922
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