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BRMH NEONATAL INTENSIVE CARE 17000 Medical Center Dr Baton Rouge LA 70816 Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72010142213 Adm: 2/14/2020 02/14/2020 - Admission (Discharged) in O'Neal - NICU (continued) Healthy infants without medical conditions should be placed on their backs for sleeping, without extra pillows or blankets. Feedings: Breast: Feed your baby 8-10 times in 24 hours. Some babies nurse more often. Allow the baby to feed as long as desired. Many babies feed from one breast at a time during the first few days. Avoid pacifiers and artificial nipples for at least 3-4 weeks. Bottle: Feed your baby an iron-fortified formula 8-12 times in 24 hours. The baby may take 1-3 ounces at each feeding. Hold your baby close and never prop bottles in the mouth. Burp your baby after feeding. Formula Feeding Guide given and reviewed. Discussed proper hand washing, expiration time of formula, position of nipple and bottle while feeding, baby led feeding and satiety cues. Patient verbalized understanding and verbalized appropriate recall. Cord Care: The cord will fall off in 1-4 weeks. Clean the base of the cord with alcohol at least once a day or with diaper changes if there is drainage. Do not submerge your baby in tub water until the cord falls off. Diaper Changes: Always wipe from the front to the back. Girls may have a vaginal discharge (either mucous or bloody). Babies will have at least one wet diaper for each day old he/she is until the sixth day when he/she will have about 6-8 wet diapers a day. As your baby begins to feed, the stools will change from greenish black to brown-green and then to yellow.

Breastfed Babies: Should have 3 or more transitional to yellow, seedy stools & 6 or more wet diapers by day 4-5.

Formula-fed Babies: May have stools that look seedy and change to pasty yellow, green, or brown.

Bathing: Bathe your baby in a clean area free of drafts. Use a mild soap. Use lotions & creams sparingly. Avoid powders & oils. Safety: The use of car seats & seat restraints is mandatory in the state of Louisiana. Follow infant abduction prevention guidelines.

Notify pediatrician for: *signs of illness (vomiting, diarrhea, excessive irritability) *difficulty breathing *color changes (looks blue, gray, or yellow) *temperature changes (less than 97 degrees or greater than 100.4 degrees axillary) *feeding problems *behavior changes (any behavior that worries you) *no stools within 48 hours of feeding *foul odor or drainage from cord or circumcision *refuses to eat >1 feeding

Electronically signed by Interior T Holmes, RN at 2/20/2020 1:23 AM

Follow-up Information

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