護理師教導新手媽媽母乳哺育。哪些表現顯示嬰兒攝取了足夠的乳汁?(選所有適合的)
A nurse is teaching a new mother about breastfeeding. Which findings indicate the infant is getting enough milk? (Select all that apply.)
- AThe infant has 6 to 8 wet diapers in a 24-hour period.✓ 正解嬰兒在24小時內有6到8片濕尿布。
- BThe infant is sleepy and difficult to wake for every feeding.嬰兒嗜睡且每次餵食時難以喚醒。
- CThe mother's breasts feel softer after the feeding.✓ 正解餵乳後母親的乳房感覺較柔軟。
- DThe infant gains approximately 5 to 7 ounces (140-200g) per week.✓ 正解嬰兒每週增重大約5到7盎司(140-200克)。
- EAudible swallowing is heard during the feeding.✓ 正解餵乳期間可聽到吞嚥聲。
判斷母乳哺育是否充足,應綜合評估嬰兒的排泄、體重變化及餵奶過程的生理指標。每日 6-8 片濕尿布是水分攝取足夠的關鍵指標。餵奶後乳房變得鬆軟表示乳汁已排出,吸吮時出現吞嚥聲(Swallowing)則是攝取乳汁的直接證據。體重穩定增加是評估生長發育的最客觀標準。若嬰兒過度嗜睡,應警惕脫水或攝取不足,需進一步評估。
To judge whether breastfeeding is adequate, the nurse should integrate assessments of the infant's elimination, weight changes, and physiologic indicators during feeding. Six to eight wet diapers per day is a key indicator of adequate fluid intake. Breasts that feel softer after a feeding indicate that milk has been transferred, and audible swallowing during the feeding is direct evidence of milk intake. Steady weight gain is the most objective standard for evaluating growth and development. If the infant is excessively sleepy, the nurse should be alert to possible dehydration or inadequate intake and perform further assessment.