A nurse midwife is assessing a client and her infant one week after delivery. The infant’s birth weight was 7.5 pounds. Which of the following findings indicate that the infant is getting enough milk?

I.The mother reports that the infant is wetting 6 to 8 diapers a day.
II.The mother informs the nurse midwife that the infant appears content between feedings.
III.The infant’s weight is 6.8 pounds.
IV.The mother reports that the infant quietly swallows during breastfeeds.
  1. I and II
  2. I, II and III
  3. I, II and IV
  4. All of the findings indicate sufficient milk intake.
Explanation
Answer: B - The signs indicating that an infant is getting enough breast milk include wetting of 6 to 8 diapers a day, appearing content between feedings and losing no more than 10% of birth weight during the first week of life. The mother is effectively breastfeeding the infant if the mother hears a suck-suck-swallow pattern when feeding the infant.
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