護理師指導新手媽媽哺餵母乳。哪些指標顯示嬰兒攝取足夠的奶水?(選所有適合的)
A nurse is teaching a new mother about breastfeeding. Which indicators suggest the infant is getting enough milk? (Select all that apply.)
- AAt least 6 wet diapers per day✓ 正解每日至少 6 次濕尿布
- BBaby appears satisfied after feedings✓ 正解嬰兒在餵食後顯得滿足
- CThe baby cries frequently after feeding嬰兒在餵食後頻繁哭鬧
- DBaby has yellow, seedy stools✓ 正解嬰兒排出黃色、帶顆粒狀的糞便
- EBaby loses 15% of birth weight in the first week出生第一週體重減輕達出生體重的 15%
判斷新生兒母乳攝取量是否足夠,主要依據排泄狀況與行為表現。足夠的尿布量代表水分攝取足夠,而正常的糞便顏色與性狀則代表消化代謝正常。餵食後的滿足感也是關鍵指標。體重變化是長期評估指標,出生後前幾天正常的生理性脫水導致體重下降(約5-10%)是正常的,但若下降超過10%則需警覺。臨床護理師應教導媽媽記錄餵食次數與排泄量,而非僅憑感覺。
Determining whether a newborn is receiving enough breast milk is based primarily on elimination patterns and behavior. An adequate number of wet diapers reflects sufficient fluid intake, and normal stool color and consistency indicate normal digestive metabolism. Satiety after feeding is another key indicator. Weight changes are a long-term assessment parameter; the normal physiologic weight loss in the first few days after birth (approximately 5-10%) is expected, but a loss exceeding 10% warrants concern. The clinical nurse should teach mothers to record feedings and elimination rather than relying solely on subjective impression.