A community nurse is visiting a new mother and her newborn in their home. The mother is concerned that her baby is not gaining enough weight. To encourage proper weight gain, the mother should be instructed to:
1. Dilute formula with water.
2. Offer 12–32 ounces of formula every 24 hours.
3. Offer formula every 6–8 hours.
4. Provide skim milk exclusively.
2
Rationale:
1. When formula is overdiluted, the infant will not receive adequate nutrients to ensure proper weight gain.
2. From birth to 2 months of age, the newborn should take between 6 and 8 feedings consisting of approximately 2–4 ounces of formula per 24 hours.
3. Formula-fed newborns should be fed every 3–4 hours, but should not go longer than 4 hours between feedings.
4. Skim milk should not be offered to newborns before 1 year of age.
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