The recommended caloric intake for a newborn is 110 Kcal/kg/day.

How many Kilocalories per day should your 7.9 pound baby receive? List only numeric value.

Round to a whole number.

Choice A rationale

Assigning all newborn care to the father does not address the mother's apparent emotional distress or promote her direct involvement, which is crucial for establishing the initial maternal-infant bond. The priority is to explore the mother's feelings and underlying reasons for her withdrawal to facilitate a healthy attachment and provide appropriate support.

Choice B rationale

The initial priority is a therapeutic assessment to understand the mother's perspective. Avoiding eye contact, hesitating to hold the infant, and expressing frustration are behaviors suggestive of anxiety, fear, or potential postpartum blues. Exploring these feelings first, with a nonjudgmental approach, provides the foundation for building trust and planning further necessary interventions.

Choice C rationale

While documentation and social service consultation may be necessary later, the immediate step should be a direct, nurse-led intervention to address the risk of poor bonding and potential feeding complications (like 5 hours since last attempt) by engaging with the mother. Immediate psychosocial support is a nursing responsibility before a referral.

Choice D rationale

Taking the newborn to the nursery is a separating intervention that should be avoided unless the infant's safety is compromised. The goal is to keep the dyad together and facilitate bonding. Removing the baby validates the mother's avoidance and hinders the development of her maternal confidence and attachment to the infant. —.

Choice A rationale

Newborns, especially breastfed ones, need to feed frequently, usually 8 to 12 times in 24 hours or every 2 to 3 hours, not every 4-6 hours. Frequent feeding is essential because breast milk is easily digested, and the newborn's stomach capacity is small. Delaying feedings can lead to insufficient caloric intake, potentially causing hypoglycemia, inadequate weight gain, and lower milk supply development. —.

Choice B rationale

Keeping a baby swaddled during breastfeeding can hinder feeding by restricting arm and hand movement. This restriction prevents the infant from using their hands for self-attachment or tactile stimulation, which are cues that promote effective latch and suckling. The baby should be unwrapped to allow this sensory input and maximize the opportunity for an optimal feeding experience. —.

Choice C rationale

Demand feeding or cue-based feeding, which involves feeding the infant whenever they exhibit signs of hunger (e.g., rooting, sucking, hand-to-mouth movements), is the recommended practice for successful breastfeeding. This approach ensures the baby receives adequate nutrition and stimulates the mother's breasts to produce a milk supply that matches the baby's individual needs, following the principle of supply and demand. —.

Choice D rationale

Fussiness or perceived dissatisfaction should not automatically lead to formula supplementation or switching, as this can interfere with the establishment of the mother's milk supply and the baby's ability to regulate intake. Instead, the mother should ensure a proper latch and continue to offer the breast frequently, seeking professional lactation support before introducing formula. —. ##