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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