(LIPPINCOTT PRACTICE AND LEARN)
Q AND A
Zaravbasksvbthevbnursevb"whenvbcanvbhevbhavevbavbbottle?"vbWhatvbcriteriavbwillvbthevbnurse
vbusevbtovbdecidevbthevbbabyvbisvbreadyvbforvbhisvbfirstvbbottle
a.vbstablevbvitalvbsignsvb
b.vbpassagevbofvbmeconiumvb
c.vbbowelvbsoundsvbpresentvb
d.vbglucosevb>45mg/dlvb
e.vbpresencevbofvbsuckingvbreflexvb-vbanswer--a.vbstablevbvitalvbsignsvb
c.vbbowelvbsoundsvbpresentvb
e.vbpresencevbofvbsuckingvbreflexvb
Rationale:vbpassagevbmayvbnotvboccurvbuntilvbhoursvbaftervbbirthvbandvbwouldvbdelayvbfeedi
ngvbunncessarily
ThevbnursevbwalksvbZaravbthroughvbthevbstepsvbofvbbottlevbfeedingvbhervbson.vbPlacevbthevb
stepsvbinvbcorrectvbsequencevb
1.vbholdvbthevbbabyvbinvbsemi-uprightvbpositionvb
2.vbinsertvbthevbnipplevbonvbtopvbofvbthevbbaby'svbtoungevb
3.vbtouchvbthevbroofvbofvbthevbmouthvbwithvbthevbnipplevbtovbstimulatevbthevbsuckingvbreflexvb
4.vbTipvbthevbbootlevbtovbkeepvbthevbnipplevbfilledvbwithvbmilkvb
5.vbBurpvbthevbbabyvb-vbanswer--1.vbholdvbthevbbabyvbinvbsemi-uprightvbpositionvb
2.vbinsertvbthevbnipplevbonvbtopvbofvbthevbbaby'svbtoungevb
3.vbtouchvbthevbroofvbofvbthevbmouthvbwithvbthevbnipplevbtovbstimulatevbthevbsuckingvbreflexvb
4.vbTipvbthevbbootlevbtovbkeepvbthevbnipplevbfilledvbwithvbmilkvb
5.vbBurpvbthevbbabyvb(aftervbaboutvb1vboz)
Aftervbthevbbabyvbstartsvbactively,vbthevbnursevbplansvbtovbdiscussvbselfvbcarevbforvbthevbbottl
evbfeedingvbmother.vbWhichvbofvbthevbfollowingvbshouldvbthevbnursevbdiscuss.vbWhichvbofvbt
hevbfollowingvbshouldvbthevbnursevbdiscussvbwithvbZaravb
a.vbwearvbavbsnug-fittingvbbravborvbbreastvbbinder
b.vbavoidvbstimulationvbofvbthevbbreastsvb
c.vbusevbcoldvbpacksvbonvbthevbbreastsvbifvbtheyvbfeelvbfull
d.vbcallvbthevbprovidervbifvbyouvbfeelvbwarm,vbpainfulvblumpsvbinvbyourvbbreasts,vbhavevbavbfe
ver,vborvbfeelvbtiredvbandvbachyvb
e.vbyourvbmilkvbwillvbcomevbinvb2-5vbdaysvbaftervbbirth,vbevenvbifvbyouvbarevbbottlevbfeedingvb-
vbanswer--a.vbwearvbavbsnug-fittingvbbravborvbbreastvbbinder
b.vbavoidvbstimulationvbofvbthevbbreastsvb
c.vbusevbcoldvbpacksvbonvbthevbbreastsvbifvbtheyvbfeelvbfull
d.vbcallvbthevbprovidervbifvbyouvbfeelvbwarm,vbpainfulvblumpsvbinvbyourvbbreasts,vbhavevbavbfe
ver,vborvbfeelvbtiredvbandvbachyvb