new born nursery counseling Flashcards
travel
car seat, face rear, middle of back seat
stay in car seat until 2 years of age
umbilical cord
fall off in 2-4 weeks
take moistned qtip, no etoh
normal for a little bleeding when it falls off
omphalitis
bathing
no sweat in 1st week
moist cloth to folds
when cord falls off, can put baby in shallow warm water
sleeping
back
avoid excess bedding
sleep in crib in parents room
breast feeding
day for milk to come in, thin yello wcolostrum to white color 2-4 d
10-15 min q3h, 10-12x day
spread out times with age
don’t supplement
how to tell if baby is getting enough milk
stool change
urine change
breast changes
see and hear baby swallow
stool change
dark, tarry –> yellow green stools on d2-5
breast milk loose, yellow seedy mustard
every time you nurse with BF after 4-5d
4 stools/24 hr period
urine change
day 3: minimum of 3 wet diapers
day 5-6: 6-8 wet diapers
urine should be dilute and colorless
breast changes
breast should be less full after feeding
can see milk coming from opposite breast
formula feeding
every 3-4 hrs, 2-3ox/feed or 12-24ox/24hr no longer than one 5 hour stretch follow instructions don't let sit out for more than one hour if not city wate,r boil for 3 minutes burp after every oz 6-8 wet diapers, one BM
Screening
meabotlic heel stick 1-2d after birth
identify 29 disorders, results in about 2 weeks
algo screening test, KY clinic audiology
next visit to doctor
within 1-2 weeks of birth
set up appointment before you leave
call the doctor if
rectal temp 100.4 jaundice omphalitis breahting battern misses 2 feeds sleepier
circumcisions
clean with mild soap and water
vaseline with diaper change
pull back cut edge 1-2 a day
normal to appear read and yellow,s tringy discharge
