gordons Flashcards
Nursing Responsibility for health perception and management
provide health education to parents
Nursing Responsibility for nutrition
encourage mother to breastfeed
and eat high protein high calorie food
Breastmilk: ____ oz. per hour
Formula: ____ oz per day
1-1.5
32
storage of milk
room temp:_____
Ref: _____
Frozen: ______
Chest freezer: _______
3-4 hours
3 days
6 months
12 months
Readiness factor for introduction of solid food:
birth weight ________
head control is ______ ____________
nursing vigorously every 3-4 hrs and don’t seem satisfied
doubled
well developed
Nursing responsibilities in intro to solid foods
- don’t give eggs until the infant is 1 yr old
- feed solid food before milk feeding
- introduce food one at a time
- introduce small amount of foods (1-2 tsp)
- smile and talk to the infant while feeding
refers to relinquishing the breast or bottle for a cup
Weaning
Elimination pattern of infants
involuntary, 40% reflex
Nursing responsibility for exercise and activity pattern
provide simulation
Sleep and rest of infants
sleeps 80% of the time (18-20 hrs)
Sleep and rest Nursing responsibility
provide quiet room
do not feed when sleep
do not position in prone
5 principle factors in g&d
ASAAS
Paroxysmal abdominal pain, marked by loud intense crying, occurs under 3 months
Colic
Nursing management of colic
place infant in prone position
massage infant’s abdomen
provide smaller frequent feeding
burp infant after feeding
management of failure to thrive
- adding caloric density to feedings
- multivitamin and dietary supplementation
- provide a primary core of staff to feed the child
- develop a structure routine
- follow the child’s rhythm of feeding
sudden death of infant under the age of 1 year
sudden infant death syndrome
risk factor of sudden infant death syndrome
maternal smoking during pregnancy
Co-sleeping
Prone sleeping
soft bedding
diaper change
every 2-4 hours
first tooth erupts at __________
6 months
management for teething
Teether (cold)
Thumb sucking at __________
8 months
management for constipation
increase fluid
management for loose stool
subtract fluid to formula
management for diaper dermatitis
- apply petroleum jelly or vandol ointment
- let the area exposed from time to time
- change diaper every 2-4 hours
management for spitting up
burp the baby every after feeding
prickly heat rash
miliara
management of miliara
- do not overdress or underdress
- petroleum jelly
- do not put powder
management of baby-bottle syndrome
- lessen bottle use
- do not prop the bottle
- encourage dental visit
