A 1-week-old infant is in the pediatric clinic. The birth weight was 8 lb, 1 oz (3.65 kg). Today the infant weighs 7 lb (3.17 kg). The mother breastfeeds exclusively. What action by the nurse is best?
A.
Assess the mother's breastfeeding technique.
B.
Document the finding and alert the provider.
C.
Reassure the woman that weight loss is normal.
D.
Refer the mother to a lactation consultant.
ANS: B
Newborns often lose 5-10% of their birth weight during the first week of life. However, a weight loss greater than 10% needs further evaluation. This baby has lost just over 10% of birth weight. The nurse should document the finding and alert the health-care provider. Assessing breastfeeding technique and referral to a lactation consultant may be appropriate depending on the etiology of the problem. The nurse should not reassure the mother that the weight loss is normal because it is excessive for the first week of life.
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