Question

Please help answer these questions

1. What is expected feeding behavior for day 1 of life?

2. What would be normal intake at 1 feeding when colostrum (not full breast milk) is present?

3. What is normal output for a baby on day 1 of life? (24 hours?)

4. What puts a baby at risk for hyperbilrubinemia/jaundice?

5. How do we assess attachment/bonding behaviors?

• Breastfeeding/milk production:

6. When does mother's full milk actually "come in"? (Typically day 3-4 after the birth, she would be able to pump approx 1 ounce of milk from each breast)

7. How can mom manage engorgement?

8. How can nurses help mom and baby establish feeding and ensure mom is getting breast stimulation so she produces milk later?  

Answer 1

Ans) 1) After initially being very awake, most newborns get sleepy for about the next 24 hours. It's important to wake them to feed every 2 to 3 hours so they get used to the process and start eating well. If a mother is breastfeeding, this is also the best way to encourage her milk to come in.

2) It is typical for a mother who is breastfeeding full-time to be able to pump around 1/2 to 2 ounces total (for both breasts) per pumping session.

3) the early days, baby typically has one dirty diaper for each day of life (1 on day one, 2 on day two…). After day 4, stools should be yellow and baby should have at least 3-4 stools daily that are the size of a US quarter (2.5 cm) or larger. Some babies stool every time they nurse, or even more often–this is normal, too. The normal stool of a breastfed baby is loose (soft to runny) and may be seedy or curdy.

4) Infant jaundice is yellow discoloration of a newborn baby's skin and eyes. Infant jaundice occurs because the baby's blood contains an excess of bilirubin (bil-ih-ROO-bin), a yellow pigment of red blood cells.

- Infant jaundice is a common condition, particularly in babies born before 38 weeks' gestation (preterm babies) and some breast-fed babies. Infant jaundice usually occurs because a baby's liver isn't mature enough to get rid of bilirubin in the bloodstream. In some babies, an underlying disease may cause infant jaundice.

- Most infants born between 35 weeks' gestation and full term need no treatment for jaundice. Rarely, an unusually high blood level of bilirubin can place a newborn at risk of brain damage, particularly in the presence of certain risk factors for severe jaundice.