Question

Dabe is a 4 week old breastfed Male infant born at 39 weeks gestation by normal vaginal delivery. Mam states she is breastfeeding on demand about every 2 to 3 hours.
subjects
mom states patient still sleeps lot
voids several times a day
objective
birth weight 3.6kg
a week current weight 4kg
he has gained in ounces and then adequate
no immunizations

questions -

1....is gabe behind in immunizations?if yes which one

2....is gabe weight gain appreciate for his age?remember that a baby a loses at least 2 to 3 oz. from birth weight to discharge weight.

3....what safety teaching is appropriate for the nurse to provide to Gabe patients remember anticipate guidance.

Answer 1

1.After birth two vaccines are mandatory before discharge from hospital namely OPV and Hepatitis B.In certain countries BCG is also mandatory fir a new born. Here Gabe is behind and needs to be administered these immunization.

2. The newborn will loose weight in the first few days(5_7 day) or in less than two weeks they again gain weight this baby has gained weight in a week which is normal.This weight is appropriate for the week.

3.The following safety teaching are required

• Proper breast feeding every two to three hours or as demand feeds
• Change wet panties
• Swaddle the baby
• After feeding,ensure the baby is burped
• Do not leave the newborn alone
• Cord care
• Exposure of baby to sunlight in the morning for 10_20 minutes
• Report in case of any abnormality