The nurse has completed breast-feeding discharge instructions anddetermines the mother understands when she states which of the following?
Select all that apply.
1. “My calorie intake will need to increase by 1,000 calories per day.”
2. “Any drugs that I take may pass through to my breast milk.”
3. “Babies should have six to eight wet diapers per day after the first 3 days
4. “I have the phone number for the lactation consultant if I have questions.”
5. “Babies should be satisfied from the feeding for 5 to 6 hours after daytime feedings.”
Maternal intake will need to increase approximately 500 cal/daywhile breast-feeding. It is true that many drugs taken by the mother cross through breast milk.
When any medication is taken by the breast-feeding mom, themedication should be determined to be safe with the OB or pediatricians office.
Infants who have six to eight wet diapers per day have had an adequate intake of breast milk. If there are fewer, the mother should try to increase the frequency of the infant’s feedings.
Within the first 24 to 72 hours of life, there will be fewer wet diapers as the mother’s milk has not come in yet. Prior to discharge, clients should know how to access community resources to support breastfeeding.
After a mother’s breast milk is in at about the 3rd day after birth, the infant should be satisfied for approximately 1 ½ to 3 hours after feeding. There is a need for more frequent feedings with breast-fed infants than bottle-fed as the fat content in the breast milk is lower.
CN: Health promotion and maintenance; CL: Evaluate
Answer:2, 3, 4.