顯示具有 Pediatrics-Newborn 標籤的文章。 顯示所有文章
顯示具有 Pediatrics-Newborn 標籤的文章。 顯示所有文章

星期四, 2月 20, 2014

Neonates - General

1. Nutrition
    A. 110 ~115 kcal/kg/day,growth rate: 30 g/day
    B. Newborns usu. begin feeding within 6 hrs of life
    C. Breastfed or formula fed Q3H~Q4H thereafter
         a. The more often baby sucks on the nipple, the more milk will be produced.
    D. If the child stops losing weight by 5 ~7 days, and begins to gain by 12 ~14 days, then feeding is okay.
    E. No juice or water before 6 months
    F. Solid food should be introduced btw 4-6 months。New foods needs to be introduced individually and a week apart to identify allergies and intolerance.
        a. Bland to sweetest: Veggies --> green to orange --> fruits  
        b. Ready for solid foods?
            1) Hand-to-mouth coordination
            2) ↓ tongue protrusion reflex
            3) Sits with support
            4) Improved head control
            5) Drooling
            6) Opens mouth to spoon

2. Insufficient Feeding of Infant
    A. < 6 wet diapers/day after age 1 wk,1 diaper/day for 1st wk
    B. Continual hunger and crying
    C. Continually sleepy and lethargic baby
    D. <7 feeds/day  
    E. Long intervals btw feedings
    F. Sleeping through the night w/o feeding
    G. >10% wt loss
    H. Increasing jaundice