A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check until the infant is 10 days old, and she is worried about whether breastfeeding is going well
Effective breastfeeding is indicated by the newborn who:
a. Sleeps for 6 hours at a time between feedings.
b. Has at least one breast milk stool every 24 hours.
c. Gains 1 to 2 ounces per week.
d. Has at least six to eight wet diapers per day.
ANS: D
After day 4, when the mother's milk comes in, the infant should have six to eight wet diapers every 24 hours. Sleeping for 6 hours between feedings is not an indication of whether the infant is breastfeeding well. Typically infants sleep 2 to 4 hours between feedings, depending on whether they are being fed on a 2- to 3-hour schedule or cluster fed. The infant should have a minimum of three bowel movements in a 24-hour period.
Breastfed infants typically gain 15 to 30 g/day.
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