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Wed, 5 Sep 2018 09:19:45 -0500 |
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Lizzy,
You did well!
Here are what I consider the important points (from someone with 40 yrs
experience!):
- you identified the risk factors - early baby, traumatic delivery,
early discharge, low hemoglobin, sleepy, jaundice
- you identified ineffective feeding - sleepy, not persevering, a little
floppy, ? urates, stooling not progressing
- You are ensuring baby is well fed and gets STS (supplement IF needed)
- you are ensuring mother is expressing often - and she's doing both
mechanical/hand expressing
- you are validating mother's efforts (this is hard work but baby needs
you)
- you are supporting mother
- you are arranging frequent monitoring of baby - wt checks, output,
jaundice monitoring - I like daily or every other day until things go well
Great job!
Laurie Wheeler RN MN IBCLC
MISSISSIPPI USA
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