Podcast
Questions and Answers
What is the primary goal of newborn care within the first 24 hours?
What is the primary goal of newborn care within the first 24 hours?
What is the recommended method to prevent hypoglycemia in newborns?
What is the recommended method to prevent hypoglycemia in newborns?
What is a sign of good attachment while breastfeeding?
What is a sign of good attachment while breastfeeding?
How often should a healthy newborn ideally feed in a 24-hour period?
How often should a healthy newborn ideally feed in a 24-hour period?
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What is the maximum time breastmilk can be consumed when stored in a room at 25°C?
What is the maximum time breastmilk can be consumed when stored in a room at 25°C?
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Study Notes
Newborn Care: First 24 Hours/7 Days
- Goals: Establish and maintain homeostasis, ensuring stable physiological status.
- Observation: Twice daily monitoring for abnormalities.
- Anthropometrics: Normal weight range 2.5-3.9 kg; 2.9 kg is average.
- Warm Chain: Room temperature should be maintained at 25°C.
Breastfeeding
- Initiation: Initiate breastfeeding within the first hour after birth to prevent hypoglycemia.
- Techniques: Essential for proper latching.
- Latching Signs: More areola visible above the mouth, wide-open mouth, outward-turned lower lip, correct positioning, effective sucking.
- Post-feeding: Burp the baby to prevent regurgitation.
- Infant Preparation: Ensure alertness; baby's head and body are straight; mother supports the entire baby.
- Feeding Duration: Healthy newborns should feed on demand (whenever the baby cries).
- Feeding Intervals: 2-3 hours interval, but feed sooner if needed. Crying is a late sign of hunger.
- Feeding Frequency: Feed 8-10 times in the first 24 hours. Night feeds are crucial.
- Post-birth Expectations: Passing urine 6-8 times a day (fewer times indicates dehydration)
- Weight Gain: Expected weight gain: 25-30 g per day after the first 7 days (normal physiological weight loss). Crosses birth weight within 2 weeks.
- Baby Sleep: Baby should sleep well during intervals.
Breast Milk Expression & Storage
- Procedure: Express milk in a clean dry area. Thaw in lukewarm water.
- Expiry: Thawed milk should be used within 24 hours, or 4 hours in the refrigerator.
- Discard: Expired milk should be discarded.
- Room Temperature: 25°C, 6-8 hours (maximum time for consumption).
- Insulated Thermal Bag: 24 hours.
- Refrigerator: 4°C, 5 days.
- Freezer Compartments: -14°C, 2 weeks.
- Freezer with Separate Door: -18°C, 3-6 months.
- Chest Freezer: -20°C, 6-12 months.
Complications
- Breast Pain/Sore Nipples: Expected findings during initial breastfeeding period. Sore/cracked nipples is a possible portal of entry for mastitis organisms.
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Description
This quiz covers essential practices for newborn care during the first week of life, including vital observations, anthropometric standards, and techniques for breastfeeding. Learn about the importance of homeostasis, proper latching, and feeding intervals to ensure a healthy start for your baby.
