A nurse is collecting data from a 3-year-old child during a well-child visit.

Which of the following findings should alert the nurse to a possible developmental delay?

90 mL.According to the CDC, babies who are only getting infant formula and no breast milk need about2.5 ounces (75 mL) of formula per pound of body weight each day.

A newborn who weighs 3 kg (6 lb 10 oz) would need about15 ounces (450 mL) of formula per day, divided into 8 to 12 feedings.

This means that at each feeding, the newborn would consume about90 mLof formula.

Choice A is wrong because30 mLis too little for a newborn who weighs 3 kg.

This would only provide about10 ounces (300 mL) of formula per day, which is not enough for adequate growth and development.

Choice B is wrong because60 mLis also too little for a newborn who weighs 3 kg.

This would only provide about20 ounces (600 mL) of formula per day, which is still below the recommended amount.

Choice D is wrong because120 mLis too much for a newborn who weighs 3 kg.This would provide about40 ounces (1200 mL) of formula per day, which is more than the maximum amount of32 ouncesthat most babies need before they start solids.

Overfeeding can cause problems such as spitting up, gas, and obesity.

Hold the newborn in a semi-upright position during feeding.This prevents the formula from flowing back into the baby’s ears and causing infections.It also helps the baby swallow less air and reduces the risk of choking.

Choice A is wrong because warming the formula in a microwave oven can create hot spots that can burn the baby’s mouth.The formula should be warmed by running it under warm tap water or placing it in a bowl of warm water.

Choice B is wrong because discarding any unused formula after 2 hours at room temperature is too long.Bacteria can grow rapidly in warm milk that is left sitting out and unused.The formula should be discarded after one hour at room temperature or within 24 hours if refrigerated.

Choice D is wrong because burping the newborn after finishing each ounce of formula is not necessary.Burping can interrupt the feeding and make the baby lose interest in finishing the bottle.The baby should be burped only when they show signs of discomfort or after finishing the feeding.

Normal ranges for formula intake vary depending on the baby’s age, weight and appetite.In general, newborn babies need around 150 to 200 ml per kilo of their weight a day until they’re 6 months old.The baby should be fed when they show signs of hunger, such as rooting, sucking or crying, and not forced to finish the bottle if they are full.