NEONATE: PARENTS QUESTIONS & TEACHING POINTS

Question 1

How often should I feed baby?
Breastfed
Formula

Answer 1

Breastfed every 2-3 hrs

Formula 3-4 hrs

Question 2

How many diaper changes daily?
wet
stools

Answer 2

• at least 6-8 wet diapers each day indicates sufficient breast milk intake
• 3-4 stools daily

Question 3

Why does my baby lose weight after birth?

Answer 3

Juicey baby..excess fluid loss not body mass

Question 4

Commercial formula what supplement maybe needed?

Answer 4

Fluoride .25 mg daily unless in the water

Question 5

B12 needed if?

Answer 5

mother is vegetarian and is BF

Question 6

Cord clamp is removed when stump is dry …how long?

Answer 6

Usually 24 hrs

Question 7

When does stuff fall off?

Answer 7

about 2 weeks

Question 8

When can my baby have a bath?

Answer 8

until cord stump detaches or circumcision heals appx 2 weeks

Question 9

When can my baby start using a cup?

Answer 9

6 months swallowing established

Question 10

Epistein pearls when do they go away?

Answer 10

disappear a few weeks after birth

Question 11

Check vital signs every 15 mins for first 2 hrs

Answer 11

first 2 hrs, then…?

Question 12

Infant Sleep
daily?
average stretch?

ATI 283

Answer 12

17 hrs

4 hrs

Question 13

Circumcision Care

Answer 13

Yellow secretion is normal
The redness and secretion should disappear gradually within a week.
KEEP AREA CLEAN AND DRY
Healed in about 2 weeks
Plastibell comes off after 5-7 days no petroleum is used

Question 14

Circumcision Care:

Nursing Care: Preprocedure

Answer 14

Preprocedure:
assess blood disorder
Hypospadias or epispadias
ambiguous genitalia
Illness or infection

Question 15

Circumcision Care:

Nursing Care: Post procedure

Answer 15

Assess for bleeding q15 for 1st hour and every hour for 12 hours
Voiding

Question 16

Circumcision Care:

Nursing Care: Parent Teaching

Answer 16

Informed consent
bottle feed stop 4 hrs prior, BF can nurse til procedure
NB is restrained
change diaper at least every 4 hours
Fan fold diaper