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12. Purpose, Equipment, and Procedure for Infant Bottle Feeding

a. Purpose

1) To supply proper nourishment to the baby.   2) To provide fluid intake in adequate amounts. b. Equipment 1) Formula at room temperature   2) Two diapers and ointment as instructed by client c. Procedure (Bottle-fed infants usually demand feedings every 3 to 4 hours.) 1) Wash hands and dry thoroughly.   2) Change the diaper.   3) Wrap the infant in a receiving blanket and put a bib on him or her (a clean diaper can be used as a bib).   4) Wash your hands after changing the diaper.   5) Position the baby in a sitting position for feeding.   (a) Hold the bottle at such an angle that the nipple is always full to avoid the swallowing of air.   (b) Burp the baby after taking 1/2 to I ounce.   6) Position the baby for burping, using one of following techniques.   (a) Keeping baby in an upright position, place the baby's chin in the palm of your hand and gently pat the baby on the back with your other hand.   (b) Place a clean diaper on your shoulder and hold the baby in an upright position with the head resting on your shoulder securely and gently pat the baby on the back until he or she burps.   7) Change the diaper and crib sheet if necessary.   8) Place the baby on his or her abdomen in the crib unless otherwise instructed.   9) Chart the date, time, intake, stools, and urine on the Homemaker's Progress Note.   10) Rinse and discard the bottles; clean up the work areas.   11) Wash and dry your hands thoroughly.   12) Report any feeding difficulties to the client and document on the Homemaker's Progress Note.
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