Final answer:
The nurse should suggest the mother to continue breastfeeding every 2 to 3 hours, monitor for jaundice, consult with the healthcare provider, and ensure adequate feeding to support the neonate's health and development.
Step-by-step explanation:
After a neonate's birth, it is normal for their weight to decrease slightly, which is noted in this case from 7 lb 3 oz to 7 lb. Additionally, an axillary temperature of 98° F (36.7° C) is a normal finding. However, the observation of slightly yellow sclerae may suggest the beginning of jaundice. Newborn jaundice is common and often appears due to the immaturity of the baby's liver, which causes a build-up of bilirubin. Breastfeeding frequently can help manage jaundice because it promotes bowel movements, which help eliminate bilirubin from the baby's body.
Given the findings, the nurse should advise the mother to:
- Continue breastfeeding: Encourage the mother to maintain the current frequency of breastfeeding to ensure adequate hydration and nutrition for the neonate.
- Monitor jaundice: Keeping an eye on the progression of the yellowing of the skin and/or sclerae is essential.
- Consult with the healthcare provider: It is important to follow up with a healthcare provider to evaluate the neonate's jaundice and overall health.
- Ensure adequate feeding: The mother should be reassured that breastfeeding every 2 to 3 hours is appropriate and can assist with weight gain and managing jaundice.
- Decreasing the frequency of breastfeeding is not recommended, as frequent feeding can help reduce bilirubin levels.
These suggestions aim to support the neonate's transition to extra-uterine life and promote healthy growth and development.