Conversation: The conversation between human and AI assistant.
[|Human|] Jesus is the firstborn son of Roberto and Marie Valez the parents are very excited about the birth of their new son .They have brought jesus into their nurse practitioner today for his first examination 3 days after his birth jesus was 7 lbs 2 oz at birth and 19 in. His apgar score were 8 and 9 .There were no complications with his mother s pregnancy or his delivery. Jesus andhave noticed that he has lost some weight since coming home. Marie is breastfeeding jesus and is concerned that she is doing something wrong. They also have several questions about Jesus. A)what can the nurse practitioner tell marie regarding her concerns about Jesus weight loss b)what questions should the nurse practitioner ask regarding jesus nutrition and what information can he or she offer to Marie regarding breastfeeding. C)what anticipatory guidance can the nurse practitoner offer to Roberto and Marie regarding jesus growth and development over the next several weeks. ?
[|AI|]  Hi, (a) a term healthy newborn usually loses 7 to 10% of his birth weight in first 15 days of life due to excessive diuresis. After this he begins to gain weight and reaches the birth weight by around 1 month of postnatal age.(b) the child should be exclusively breastfed till 6 months of age with 6-8 feed in the morning and compulsory night feeds with each feed lasting for 10 to 15 minutes and the mother should completely empty her one breast before moving the child to her other breast. The child will pass stools 6-8 times in a day which can be of loose consistency also and greenish to yellowish colored. The child has to kept warm and take care not to over-cloth the child. Immunize the child routinely. De worms the child every 6 monthly(not routinely indicated).(c) Once the child regains his birth weight, he will have a linear growth with triple the birth weight after 1 year of age. Vitamin D supplementation can be given to the child for 6 months. After 6 months, weaning in form of supplementary feed should be started. Thanks and regards.