FEEDING

Maddie Newman

Introduction
Presented by : Maddie Newman
Mentor: Valerie Gray
Clear Lake Regional

Neonatal Intensive Care Unit

ISM Teacher: Mrs. Click
Independent Study Mentorship- Fall 2016

What is Independent Study

Mentorship? (ISM)
Independent Study Mentorship is a collegiate level course for students who are
wanting to have hands on experience in a field of work. The students in the program
have a mentor for the course of a semester. They shadow them at their work place to
gain information about their selected topic and other information the student learns.
Within the class we have multiple assignments to help us get to our final project, and
things that allow us to better understand our selected profession

My Mentor
My mentor is Valerie Gray
She has her Bachelors in Nursing
She graduated from UTMB Nursing School in Galveston in 1993

She currently works at Clear Lake Regional

My Mentorship Cite
Clear Lake regional Medical Center
Specifically in the Neonatal Intensive Care unit on the 3rd floor in the Central tower

Clear Lake Regional Medical Center Logo. 2010. Clear Lake.

Glass Door. Web. 10 Oct. 2016.
<https://www.glassdoor.com/Reviews/Clear-Lake-RegionalMedical-Center-Reviews-E121022_P4.htm>

Clear Lake Regional Medical Center. 2016. Clear Lake.

Chaparral Insulation Company. Web. 10 Oct. 2016.
<http://chaparralinsulation.com/clear-lake-regionalmedical-center>.

Why this topic?

I choose the topic of feeding because its something that is vital towards all stages of
life. Its also very underestimated the amount of work and effort that goes into feeding a
baby, even more so with a baby in the NICU.

Feeding Tubes
While in the NICU most babies are trying to still grow due to being premature , and also fighting
of diseases. Its common that these are done though the nose or the mouth straight to the
stomach. Tubes are commonly placed using an X-ray machine for correct placement , either
in the stomach for normal feedings or small intestine for slower feedings.

Tube Feedings
Tube feedings are done with a syringe filled with either breast milk or formula ( in ccs)
then connect to a tube, like the ones in the picture below, which will connect to
another tube that is comes out of the babies mouth or nose.

Complications of Feeding Tubes

It normal for babies for develop a nasal infection or irritation of the nose, mouth or
stomach. Minimal bleeding can occur within the stomach wall because of irritation
from the tube. The tubes may also lower the babies heart rate, breathing rate and
cause trouble if the baby tries to spit up.

Feeding Tube - Infants: MedlinePlus Medical Encyclopedia. Feeding Tube - Infants:

MedlinePlus Medical Encyclopedia, ADAM Inc., 14 June 2014, 02,Oct,2016
https://medlineplus.gov/ency/article/007235.htm.

Types of Bottles

The bottle above is

commonly used when a
baby starts on bottle
feeds at 32 weeks or
once they are healthy
enough or strong
enough to start rooting.

NICU Bottles. 2010. NICU Stay. Web.

10 Oct. 2016.
<https://bissingfamily.com/category/
nicu-stay/>

The picture above shows different nipples that

are used. Each baby takes to different types of
nipples so the hospital has a variety of types that
are used. Each one is a different size and/or
shape.

Castelo, Conrad. Bottle-feeding NICU. 2009. Suggest-Keywords. Web.

10 Oct. 2016. <http://www.suggestkeywords.com/Ym90dGxlLWZlZWRpbmcgbmljdQ/>

Oral Feedings

A baby at normal gestational age for feeding is 32 weeks, this is the age that babies
start to have the rooting effect. The babies are rated on a scale called Early Feeding
Skill(efs) to see if they can start full bottle feeds. Bottle feeds creates a physiologically
and behaviorally challenges. They develop more motor skills and more alertness.
Starting bottle feeds is a positive movement toward getting discharged, and becoming
stronger and healthier. The nurses may allow the parents to start kangarooing for the
baby to get used to the smell of the parents and later start feeding them.
Thoyre, Suzanne M., Catherine S. Shaker, and Karen F. Pridham. "The Early Feeding Skills Assessment for
Preterm Infants." Neonatal Network : NN. U.S. National Library of Medicine, 2005. Web. 02 Oct. 2016.,
https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2828611/, Ogunlesi, and Ogunfowora. The Influence of
Method, Timing of Onset and Duration of Enteral Feeding on the Duration of Hospitalization of Newborn
Infants in a Nigerian Special Care Baby Unit. Fact on File, National Institutes of Health, 1 Jan. 2015, 02,
Oct, 2016
http://online.infobase.com/hrc/search/journalarticle/11?extarticleid=5307&sourceid=1&q=neonatal%2
0feeding.

Complications of Bottle Feedings

While bottle feedings the baby may get tired and become distressed, this s commonly
prevented by only letting the baby eat fro 30 minutes. The baby may also have less
breaths due to sucking in milk. The oxygenation is most common to drop within the first
few minutes while the baby gets used to breathing and eating at the same time, this is
called apnea and can lead to hypoxemia. There may also be Negative
cardiorespiratory responses when the baby focuses on the eating aspect more then the
heart function.
Thoyre, Suzanne M., Catherine S. Shaker, and Karen F. Pridham. "The Early Feeding Skills
Assessment for Preterm Infants." Neonatal Network : NN. U.S. National Library of Medicine,
2005. Web. 02 Oct. 2016., https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2828611/.

Demonstration of Feeding
Im going to get conformation from the mother of the baby I plan on using on 10/09/16
I plan on filming 10/23/16
I have to get the correct bottle to be used by the mother of the baby that I will filming
with
the filming with be done by my mom and done at the watershed church

Conclusion
Within this presentation we covered the topic of different feeding types and there
complication.
I plan on asking for questions after each type of feedings ( the tube than after the
bottle)

Thank You!
I want to thank my mom who has helped me and encouraged me to continue going ,
my dad who has been a rock when I thought it was all to much and wanted to give
up and my brother who made me laugh when I was having a rough day.
I also want to thank my mentor, Valerie Gray, who has so willingly allowed me to
shadow her this semester, and answered all my random questions , and helped me
learning more about the Neonatal Intensive Care Unit.
I want to thank Mrs. Click, my ISM teacher, who has given me the opportunity to be in
the field of work that I want to work in after college and has given me the tools and
work to make me successful for this year.

Work Cited
Ogunlesi, and Ogunfowora. The Influence of Method, Timing of Onset and Duration of Enteral Feeding on the Duration
of Hospitalization of Newborn Infants in a Nigerian Special Care Baby Unit. Fact on File, National Institutes of Health, 1
Jan. 2015, 02, Oct, 2016
http://online.infobase.com/hrc/search/journalarticle/11?extarticleid=5307&sourceid=1&q=neonatal%2 0feeding.

Feeding Tube - Infants: MedlinePlus Medical Encyclopedia. Feeding Tube - Infants: MedlinePlus Medical Encyclopedia,
ADAM Inc., 14 June 2014, 02,Oct,2016 https://medlineplus.gov/ency/article/007235.htm.

Thoyre, Suzanne M., Catherine S. Shaker, and Karen F. Pridham. "The Early Feeding Skills Assessment for Preterm
Infants." Neonatal Network : NN. U.S. National Library of Medicine, 2005. Web. 02 Oct. 2016.,
https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2828611/.
"Feeding Your Baby in the NICU." Home. March of Dimes, Aug. 2014. Web. 02 Oct.
2016.http://www.marchofdimes.org/baby/feeding-your-baby-in-the-nicu.aspx
NICU Bottles. 2010. NICU Stay. Web. 10 Oct. 2016. <https://bissingfamily.com/category/nicu-stay/>
Castelo, Conrad. Bottle-feeding NICU. 2009. Suggest-Keywords. Web. 10 Oct. 2016. http://www.suggestkeywords.com/Ym90dGxlLWZlZWRpbmcgbmljdQ/

Clear Lake Regional Medical Center Logo. 2010. Clear Lake. Glass Door. Web. 10 Oct. 2016.
https://www.glassdoor.com/Reviews/Clear-Lake-Regional-Medical-Center-Reviews-E121022_P4.htm

Clear Lake Regional Medical Center. 2016. Clear Lake. Chaparral Insulation Company. Web. 10 Oct. 2016.
<http://chaparralinsulation.com/clear-lake-regional-medical-center>.