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Page 31
_Give the directions for preparing the food according to any of the
above formulas._
The nurse's hands, bottles, tables, and all utensils should be
scrupulously clean. First dissolve the milk sugar in boiling water,
filtering if necessary. Then add the milk and cream and lime-water,
mixing the whole in a pitcher. A sufficient quantity of food for
twenty-four hours is always to be prepared at one time. This is then
divided into the number of feedings required for the day, each feeding
being put in a separate bottle, and the bottle stoppered with cotton.
The bottles should then be cooled rapidly by standing, first in tepid
then in cold water, and afterward placed in an ice chest. If the milk
is to be pasteurized or sterilized, this should precede the cooling.
DIRECTIONS FOR FEEDING INFANTS
_How should the bottle be prepared at feeding time?_
It should be taken from the ice chest, and warmed by standing in warm
water which is deep enough to cover the milk in the bottle; it should
then be thoroughly shaken and the nipple adjusted; the nurse should
see that the hole in the nipple is not too large nor too small.
_How may the temperature of the milk be tested?_
Never by putting the nipple in the nurse's mouth. Before adjusting the
nipple, a teaspoonful may be poured from the bottle and tasted, or a
few drops may be poured through the nipple upon the inner surface of
the wrist, where it should feel quite warm but never hot; or a
thermometer may be placed in the water in which the bottle stands. A
dairy thermometer should be used, and the temperature of the water
should be between 98� and 105� F.
_What is a simple contrivance for keeping the milk warm during
feeding?_
A small flannel bag with a draw string may be slipped over the bottle.
_In what position should an infant take its bottle?_
For the first two or three months it is better, except at night, when
it may be undesirable to take the infant from its crib, that it be
held on the nurse's arm during the feeding; later it may lie on its
side in the crib provided the bottle is held by the nurse until it has
been emptied; otherwise a young infant readily falls into the bad
habit of alternately sucking and sleeping, and often will be an hour
or more over its bottle.
_How much time should be allowed for one feeding?_
Never more than twenty minutes. The bottle should then be taken away
and not given until the next feeding time. Under no circumstances
should an infant form the habit of sleeping with the nipple in its
mouth. A sleepy infant should be kept awake by gentle shaking until
the food is taken, or the bottle should be removed altogether.
_Should an infant be played with soon after feeding?_
On no account; such a thing frequently causes vomiting and sometimes
indigestion. After every feeding the infant should be allowed to lie
quietly in its crib, and disturbed as little as possible.
INTERVALS OF FEEDING
_How often should a baby be fed during the first month?_
Every two hours during the day and twice during the night, or ten
feedings during the twenty-four hours.
_At what age may the interval be made two and a half hours?_
Usually at five or six weeks.
_When may it be increased to three hours?_
Usually at two months.
_Why should not a child be fed more frequently?_
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