Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
The quantity of all these foods may be increased as the child gets
older, and by the end of a year the diet is broadened still further.
Beside a quart of whole milk, it may have thickened soups, vegetables,
such as cauliflower, spinach, carrots, creamed celery and a little baked
potato. Fruits, orange juice, grape fruit juice, prune sauce, apple
sauce and scraped apple may be given, but no bread. In place of bread,
use toast, Huntley and Palmer wafers and biscuits, and soda or oatmeal
crackers. Sweet desserts should be avoided, but flavored junket or
simple custard is unobjectionable.
No meats are permitted until the child is eighteen months old, except,
perhaps, a little crisp bacon, or a bone to suck.
None of these supplemental foods should be given between meals, but
always at the feeding hour. The above list supplies a dietary so varied
that no child will tire of it.
In reporting the condition of the infant to the physician, the following
form may be used to advantage. It is a clear cut, concise summary of
what he wishes to know.
Infant’s Daily Report
1. _Food_: Does baby take it all? Is he satisfied?
2. _Bowel movements_: How many in last 24 hours? What is the color?
Are they hard, soft, or watery? Any odor? Any curds? Any slime?
Any blood? Any colic? Much gas?
3. _Does baby vomit?_ When? How much?
4. _Does baby sleep well?_ _Is he good natured?_
5. _Any fever?_ _What is the weight?_
=Significant Symptoms and Conditions.=—In an artificially fed baby, the
normal condition of the bowels is constipation. The stools are formed,
alkaline in reaction, rather hard, and usually only one a day.
The stools should have a characteristic color, according to the food
taken. Thus:
_Sugar or starch_ will color the movement a dark brown, like vaseline.
_Too much fat_ gives a pale yellow stool, almost white, like putty.
_Eiweiss_ feedings show as a pale yellow, somewhat like the fatty
stools, but constipated.
_Barley water_ gives a brown liquid stool.
_Starvation stools_ are thin, slimy, dark brown or green.
_The consistency_ of the movements is also important.
Too much sugar or starch means diarrhœa, with thin, green, acid stools,
and much gas and regurgitation, or, sometimes foamy, mucous discharges.
_Diarrhœa_ may also be due to indigestion. Mucus in the stools usually
signifies intestinal irritation.
_Constipation_ may exceed the normal limits of the artificially fed
child when the food contains too much fat.
_Bad odors_ of the stools result from putrefaction.
_Colic_ means imperfect digestion with gas. There is less colic when the
intervals between the feedings are lengthened.
_Curds_ are of two kinds. The soft friable ones due to fat, and the hard
bean-like masses of protein. Curds occur with feedings of raw milk only,
and though associated with symptoms of indigestion, they signify
overfeeding. If the sugar content of the food is low, the child will
gain very slowly.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account