Question

A neonate was born 2 days ago. The mother is being prepared for discharge and voices concern because her neonate's birth weight has declined by 2 oz. She states that she'll continue to breast-feed but will supplement after each breast-feeding with 4 oz of formula. Which response by the nurse would be best?

Answer 1

Reassuring the mother that a small weight loss after birth is normal due to excess fluid loss is the best response. The nurse should also guide the mother on appropriate supplementing as neonates have a developing digestive system.

Step-by-step explanation:

The best response by the nurse to the mother's concern about her neonate's weight loss would be to reassure her that a weight decrease of about 2 ounces within the first few days after birth is quite normal. The weight loss can be due to the normal loss of excess fluid that neonates are born with, which they shed through resorption and urination. It's also important to note that it may take some time before breast-feeding is fully established. Supplementing with 4 ounces of formula after each breast-feeding session might be more than what the baby can handle at this age, as their digestive system is still developing. A tailored approach based on the baby's cues and hunger signs should be recommended instead.