1. FEEDING
   1. Lactating=2500kcal/day Non-nursing=1800-2000kcal/day
   2. Wash hands before beginning feeding
   3. Rooting & Suck reflex can be assessed
   4. Knowledge deficit, Fear, Readiness for enhanced learning
   5. Nurse from both breasts- 1st one= at least 10min
   6. Alternate breasts every feeding
   7. Newborn 8-12 X q 24h
   8. Baby may go through growth spurts and want to feed q 1/2-3hrs=normal
   9. Nicotine & alcohol cross into breast milk
   10. Engorgement-nurse often, heat, massage milk out of breast
   11. Topic
2. PHYSICAL CHARACTERISTICS
   1. Apgar score: HR/RESP/MUSCLE TONE/REFLEX/COLOR 0-10
   2. Estimation of GA-sole creases/breast tissue/lanugo/test. descent/labial dev.
   3. Ear form-low=defect
   4. Cephalic size-large in comparison- 12.5-14.5 in.
   5. Flexed position of extremities and hands is normal
   6. Weight- avg. 7.8; 7oz q week
   7. Resp-30-60min BP-80-60/40-45mmHg, Pulse- 120-160
   8. Temperature-97.7-99.4 Axilllary; sudden drop is normal; should stabilize in 8-12 hrs
3. REFLEXES
   1. Neuro status
   2. Babinski=toes exted out (heel to toe)
   3. Blink= eyelids close (light)
   4. Papillary=pupils constrict (light)
   5. Rooting=head turns towards touch and mouth opens (gone @ 4 mo.)
   6. Sucking= should be rhythmic
   7. Abdominal=ABD muscles contract w/ touch across stomach
   8. Tonic neck=head turns to side, arm/leg flexed unilateraly, arm/leg extended unilateraly (sleep)
   9. Grasping=fingers close around object
   10. Startle withdraw=leg flexes d/t noise or pinprick to foot
   11. Plantar/toe-grasping=toes flex when pressure applied to ball of foot
   12. Step/walk=stepping mvts. when placed in upright position
4. BEHAVIORS
   1. Normal=facial grimaces, symetric AB=cannot suck,grimace,or close eyes
   2. Normal=eyes blink w/ light AB=cannot blink
   3. Normal=gag/swallow reflex AB=no gag/swallow reflex
   4. Should have strong cry