The primary care pediatric nurse practitioner performs a well baby examination on a 7-day-old infant who is nursing well, according to the mother. The nurse practitioner notes that the infant weighed 3250 grams at birth and 2990 grams when discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is correct?

Question

Quizplus · Accepted Answer

The infant's weight loss of 260 grams (3250-2990) in the first two days of life is normal, but the weight gain of only 90 grams (3080-2990) between day 2 and day 7 is concerning. Infants should regain their birth weight by 2 weeks of age. Therefore, scheduling a weight check in 1 week is the best choice to monitor the infant's weight gain and ensure adequate intake. Referring to a lactation consultant may also be helpful, but it is not the best choice in this scenario. Supplementing with formula should not be recommended without further assessment and evaluation of breastfeeding. Follow up at the 2-month checkup is too long to wait to address potential feeding issues.

The Primary Care Pediatric Nurse Practitioner Performs a Well Baby