A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A) "Your baby should wet 6 to 8 diapers per day":

This response is correct. One way to determine if a breastfed baby is getting enough milk is by monitoring the number of wet diapers. A newborn who is adequately breastfeeding typically wets at least 6 to 8 diapers per day, indicating sufficient fluid intake and adequate hydration.

B) "Your baby should sleep at least 6 hours between feedings":

This statement is inaccurate and does not provide an appropriate measure of whether the baby is getting enough breast milk. Newborns typically feed frequently, often every 2 to 3 hours, and it is normal for them to wake for feeds during the night. Using sleep patterns alone to assess feeding adequacy is not reliable and can lead to inadequate milk intake.

C) "Your baby should burp after each feeding":

While burping is a common practice after feeding to help prevent discomfort from trapped air, it is not an indicator of whether the baby is getting enough breast milk. Burping is more related to gastrointestinal comfort rather than feeding adequacy.

D) "Your baby should have a wake cycle of 30 to 60 minutes after each feeding":

This statement does not accurately assess feeding adequacy. While it's normal for babies to have awake periods after feeding, the duration of these wake cycles alone does not indicate whether the baby is getting enough breast milk. Monitoring diaper output and weight gain are more reliable indicators of feeding adequacy.

B) Vastus lateralis:

This is the correct site for administering IM injections to newborns, including vitamin K. The vastus lateralis muscle, located in the anterolateral aspect of the thigh, is the preferred site for IM injections in infants because it is well-developed, has few major blood vessels and nerves, and provides good absorption of the medication. It is recommended to divide the thigh into thirds and administer the injection in the middle third.

A) Ventrogluteal:

While the ventrogluteal site is commonly used for IM injections in adults and older children, it is not typically recommended for newborns due to the size of the muscle and potential risk of injury to underlying structures.

C) Dorsogluteal:

The dorsogluteal site is not recommended for IM injections in newborns due to the risk of injury to the sciatic nerve and other deep structures in the gluteal region.

D) Deltoid:

The deltoid muscle is not typically used for IM injections in newborns due to its smaller size and less-developed muscle mass compared to the vastus lateralis. It is more commonly used in older children and adults for certain vaccines and medications.