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    Ati nur 275 paediatrics final proctored exam

    A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

    Explanation & Rationale

    A. “Your baby should burp after each feeding.”: Burping indicates the baby swallowed air, not necessarily that they swallowed milk. B. “Your baby should wet 6 to 8 diapers per day.”: The most reliable objective indicator of adequate intake in a newborn is output. After day 4, the infant should have at least 6 to 8 wet diapers and 3 to 4 bowel movements every 24 hours. Fewer wet diapers indicate dehydration and insufficient milk transfer. C. “Your baby should have a wake cycle of 30 to 60 minutes after each feeding.”: Wakefulness is not a reliable indicator of caloric intake. A baby might be lethargic (too sleepy) due to hypoglycemia from lack of food. D. “Your baby should sleep at least 6 hours between feedings.”: A 2-day-old newborn should feed every 2 to 3 hours. Sleeping 6 hours at a time is dangerous for a newborn this young (risk of hypoglycemia and dehydration) and would indicate the baby is not feeding often enough.

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