A mother of a 10-day-old infant calls the clinic and reports that her baby is having loose, green stools. The mother is breastfeeding her infant. Which of the following is the best nursing action?
a. Instruct the woman to bring her infant to the clinic.
b. Instruct the woman to decrease the amount of feeding for 24 hours and to call if the stools continue to be loose.
c. Explain that this is a normal stool pattern.
d. Instruct the woman to eat a bland diet for the next 24 hours and call back if the stools continue to be loose and green.
ANS: a
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a. The loose, green stools indicate that the baby is having diarrhea. The infant needs to be evaluated by the primary health provider, because prolonged diarrhea can lead to dehydration and electrolyte imbalance.
b. The baby is having diarrhea. Decreasing the amount of feeding can further dehydrate the baby.
c. This is not a normal stool pattern; the baby is having diarrhea.
d. This neonate needs to be evaluated first, before determining a treatment plan.
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