A new mother asks the nurse how to determine if the baby is receiving enough breast milk. What response should the nurse make to the mother?
A) "The infant should not become constipated.".
B) "The infant should sleep at least 3 hours between feedings.".
C) "You need to weigh the infant before and after each feeding.".
D) "The infant should gain weight and have six wet diapers daily.".
D
Feedback:
Acceptable criteria during the first week of life are wetting six to eight diapers within 24 hours or losing no more than 10% of birth weight. After the first week, weight gain and voiding six to eight times each 24 hours are good criteria to use. The infant will not become constipated when ingesting breast milk. Sleeping is individual for each baby and cannot be used to determine an adequate nutritional intake. Weighing the infant before and after feedings is not recommended.
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