A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions would the nurse provide to the mother?
  1. Switch to bottle feeding the baby during the period of high bilirubin levels and to feed less frequently
  2. Stop the breast feedings and switch to bottle feeding permanently
  3. Provide bottled water feedings between the breastfeeding sessions
  4. Continue to breastfeed every 2 to 4 hours
Explanation
Answer: D - Breastfeeding should be initiated within two hours after birth and every 2 to 4 hours thereafter. The infant should not be feed less frequently. It is not necessary to stop breast feeding for permanently.
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