Name of the teacher :-Ms.

Anupa Malakar

Name of the student :- Mr. Anik Deb

Group :-M.Sc nursing 1st semester

Subject :- Nursing education

Topic of micro teaching :- Role play

Previous knowledge :- group will have some previous knowledge

Venue :- M.sc.Nursing classroom

Method of teaching :- lecture cum discussion

Medium of instruction :- English

Date & time :-

Av aids :-leaflet , pamphlet , chart
GENERAL OBJECTIVE :- at the end of the discussion the group will able to acquire in depth knowledge
regarding new born nutrition
SPECIFIC OBJECTIVE :- after completion the topic the group will able to :-
 introduce the newborn nutrition
 define the newborn nutrition
 described the importance of new born nutrition
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Teaching Learning
Introduction Activity Activity

Newborn nutrition is of paramount importance, especially for Lecture cum listening

first-time mothers, known as primiparous mothers. During the discussion
early stages of life, infants rely solely on breast milk or
formula for essential nutrients, growth, and development. For
primiparous mothers, understanding the significance of
providing adequate nutrition to their newborns is crucial for
fostering healthy outcomes.

Breastfeeding is highly recommended for primiparous

mothers, as breast milk contains a perfect balance of nutrients
tailored specifically to meet the needs of the newborn. It not
only provides essential vitamins, minerals, and proteins but
also offers antibodies that boost the infant's immune system,
protecting them from infections and diseases.
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Primiparous mothers may require support and education on Teaching Learning

breastfeeding techniques, such as proper latching and Activity Activity
positioning, to ensure successful breastfeeding outcomes.
Additionally, maintaining a nutritious diet rich in fruits, Lecture cum listening
vegetables, lean proteins, and whole grains is essential for discussion
primiparous mothers to produce an adequate milk supply and
support their own health postpartum.

DEFINATION

Newborn nutrition for primiparous (first-time) mothers is

crucial for the healthy development of the infant. It typically
involves breastfeeding, which provides essential nutrients,
antibodies, and promotes bonding between the mother and
baby. Additionally, primiparous mothers may benefit from
support and guidance on breastfeeding techniques, proper
positioning, and maintaining a nutritious diet to ensure
adequate milk production and optimal infant growth and
development.
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IMPORTANCE Teaching Learning

Activity Activity
The importance of newborn nutrition for
primiparous mothers cannot be overstated. Here are
several key reasons why it is crucial: Lecture cum listening
discussion
Optimal Growth and Development:

Proper nutrition during infancy is critical for the

physical, cognitive, and emotional development of
the newborn. Breast milk, in particular, provides a
unique combination of nutrients that support
healthy growth and development.

Immune System Support:

Breast milk contains antibodies and other immune-

boosting factors that help protect newborns from
infections and illnesses. This is especially important
for primiparous mothers, as infants may benefit
from the additional protection during their
vulnerable early months.
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Bonding and Emotional Connection: Teaching Learning

Activity Activity
Breastfeeding promotes bonding and emotional
connection between the mother and baby. For
primiparous mothers, establishing this bond can be Lecture listening
particularly beneficial in building confidence and cum
easing the transition into motherhood. discussion

Maternal Health Benefits:

Breastfeeding has been associated with numerous

health benefits for mothers, including faster
postpartum recovery, reduced risk of certain
cancers, and decreased incidence of postpartum
depression. Ensuring proper nutrition for the
newborn can indirectly support the mother's health
and well-being.

Long-Term Health Outcomes:

Studies have shown that infants who are exclusively

breastfed for the first six months of life have lower
rates of obesity, diabetes, and other chronic diseases
later in life. By prioritizing newborn nutrition,
primiparous mothers can contribute to their child's
long-term health outcomes.
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ELEMENTS Teaching Learning

Newborn nutrition consists of several essential elements to Activity Activity
ensure the health and development of the infant Lecture listening
cum
Breast Milk or Formula: discussion

The primary source of nutrition for newborns is either breast

milk or infant formula. Breast milk provides the ideal
balance of nutrients and antibodies tailored to the baby's
needs, while formula is designed to mimic the nutritional
composition of breast milk.

Proteins:

Proteins are essential for growth and development, helping

to build and repair tissues. Breast milk and formula contain
proteins such as whey and casein, which are easily digestible
for infants.

Carbohydrates:

Carbohydrates are the main source of energy for newborns.

Lactose, found in breast milk and most infant formulas, is
the primary carbohydrate source and supports brain
development and growth.
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Fats: Teaching Learning
Activity Activity
Fats are crucial for brain development, energy, and the
absorption of fat-soluble vitamins. Breast milk and
formula provide essential fatty acids like omega-3 and Lecture listening
omega-6 for optimal development. cum
discussion
Vitamins and Minerals:

Newborns require vitamins and minerals for various

bodily functions, including bone development, immune
function, and overall growth. Breast milk and formula
contain adequate amounts of essential vitamins and
minerals, but supplementation may be necessary in
certain cases.

Water:

While breast milk and formula provide hydration,

newborns may still need additional water, especially in
hot climates or during illness. It's essential to ensure
proper hydration, but water should not be given to
newborns younger than six months old unless advised by
a healthcare professional

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s
Introduction of Solid Foods: Teaching Learning
Activity Activity
Around six months of age, infants may begin to Lecture listening
transition to solid foods alongside breast milk or cum
formula. Introducing nutrient-rich foods gradually and discussion
following recommended feeding guidelines is crucial
for proper nutrition and development.

Feeding Frequency:

Newborns typically need to feed frequently, often

every 2-3 hours, to meet their nutritional needs and
support growth. Primiparous mothers should be
encouraged to feed on demand and recognize hunger
cues in their infants.

ESSENTIAL REQUIREMENT
Calories
• Recommended daily Calorie for newborn is 100-135
kcal/ kg / day

• The calorie requirement for preterm, EVLBW and

SGA infants is higher (120- 150kcal/ kg / day )

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 Teaching Learnin
Protein Activity g
Activity
• Necessary for formation of new cells.
• Generally, Newborn needs more protein per unit of weight Lecture listening
than adult cum
• Preterm needs more protein per body weight per day than discussion
term newborn.
• 2.2 g/kilogram of body weight.

Fluid

• Metabolism rate is high.

• Newborns use 45 to 50kcal/kg.

Requires a large amount of water.

• Body surface area is large in relation to body mass. Lose

water by evaporation.
• Extracellular body wt. is 30 to 35% so lose depletes quickly.

Fluid requirement for newborn is 150 to 200mL / k * g per 24

hours.
• Supplied completely by breastfeeding or formula-feeding.

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 Calcium Teaching Learning
• For bone growth.. Activity Activity
• If newborn sucks well a low level seldom occurs.
• Requirement: 210mg / d * ay
Iron Lecture listening
• Term infants of a mother who had adequate iron intake cum
during pregnancy will be born with iron stores lasting for 3 discussion
months, until newborn begins to produce haemoglobin.
• Most mothers do not get adequate iron in their diet a
supplement is recommended for formula fed infants for 1
year.

Fluoride
• Essential for teeth.
• Fluoride supplement 0.25mg / d * ay may be given at 6
month of age. (can be detrimental or stain teeth)

Vitamins
• Unnecessary for bottle fed infants because vitamins A,C,
and D are in the formula.
• Vitamins are naturally in breast milk.
• May need exposed to sunlight for D or mother can take 400
U daily.
• Not given to infants until 6 months of age.

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 Expected weight gain Teaching Learning
Activity Activity
• Most term babies regain their birth weight by the 10th day of Lecture listening
life. cum
• Most babies gain about 20 - 30gm / day after the first week. discussion
• Most infants will double their birth weight during the first 4
months and triple it during the first year
TYPE OF FEEDING
Breast feeding,
formula feeding

BREAST-FEEDING
Breast-feeding is the recommended method for feeding
newborns.
The American Academy of Pediatrics (AAP) advocates
exclusive breast-feeding until 6 months of age and continuation
of breast-feeding until at least 12 months of age.

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 Advantages of Breast-feeding Teaching Learning
Activity Activity
The advantages for the woman:
Lecture listening
include more rapid uterine involution and less bleeding in the cum
discussion
postpartum period, a quicker return to her pre pregnancy weight
level, and decreased incidence of ovarian and premenopausal
breast cancers
The advantages for the newborn:

 Breast milk provides immunologic properties from the

woman that help protect the newborn from infections
and strengthen the newborn's immune system.
 Breastfeeding also provides a unique experience for
maternal-newborn bonding.
 There is a decreased risk in overfeeding of the breast-fed
newborn, which results in a lower incidence of
overweight infants.
 Breast-fed infants tend to have lower incidences of otitis
media, diarrhea, and lower respiratory tract infections.
 Breastfeeding also provides a possible protective effect
against certain conditions or diseases, such as sudden
infant death syndrome, insulin- dependent diabetes, and
allergic diseases.

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 Composition of Breast Milk Teaching Learning
The breast starts to produce colostrum, a thick and yellowish Activity Activity
gold substance, during the second trimester. Lecture listening
cum
Colostrum is higher in antibodies than breast milk and has a discussion
lower fat and higher protein content than what is found in
breast milk.

There is between 2 and 20 mL of colostrum present for each

feeding until the woman's milk comes in about the 3rd day
Composition of Breast Milk. Colostrum

The woman's milk usually comes in between 3 and 5 days.

Breast milk has 20 calories per ounce on the average.
Breast milk has two different compositions: foremilk and
hind milk.
Foremilk is very watery and thin and may have a bluish tint.
This is what the infant first receives during the nursing
session.
As the session progresses, the milk changes to hind milk.
Hind milk is thicker and whiter.

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 Nursing Care of the Breast-feeding Woman Teaching Learning
Activity Activity
 Assessing Breast-feeding Readiness Lecture listening
 Assisting With Breast-feeding Technique cum
 Positioning the Newborn. (Cradle Hold, Football discussion
Hold, Side-Lying Position, Latching On.
 Assessing the Breast-feeding Session
 Assessing Newborn Fluid Intake
 Teaching About Breastfeeding Special Concerns

FORMULA FEEDING
Artificial nutrition, that is, infant formula or another type of
animal milk, has been given to infants since ancient times

Advantage
 Some women feel it is easier to formula feed than to
breast-feed their infant.
 Formula feeding also allows others to be involved in
the infant's care by feeding the infant and preparing
the formula and bottles for feeding.
 For many women it is easier to quantify how much
the infant has consumed with formula feeding

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Disadvantages Teaching Learning
Activity Activity
 It is inferior nutrition and has none of the Lecture cum listening
immunologic properties provided by breast discussion
milk.
 Formula is harder for the newborn to digest
than breast milk.
 There is a higher correlation between
infants who are formula fed and some
illnesses, such as otitis media and allergies.
 Infant formula also is expensive.

Nursing care of formula feeding women

Education:
Providing thorough education on formula
preparation, feeding techniques, proper storage, and
signs of infant hunger or discomfort.

Support:
Offering emotional support and encouragement,
especially if the mother faces challenges or feels
guilty about not breastfeeding.
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Monitoring: Teaching Learning
Regularly assessing the infant's growth, feeding patterns, Activity Activity
and overall health to ensure they are receiving adequate
nutrition
Lecture cum listening
discussion
Guidance:
Advising on feeding schedules, appropriate formula types
based on the infant's needs, and introducing solid foods at
the appropriate time.

Addressing concerns:
Listening to and addressing any concerns or questions the
mother may have regarding formula feeding, infant care,
or her own health postpartum.

Encouraging bonding:
Emphasizing the importance of skin-to-skin contact,
cuddling, and interaction during feeding times to promote
bonding between the mother and infant.
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Promoting self-care: Teaching Learning
Encouraging the mother to prioritize self-care, including adequate Activity Activity
rest, nutrition, hydration, and seeking support from family
members or support groups if needed. Lecture listening
cum
SUMMARY discussion

Primiparous mothers may require support and education on

breastfeeding techniques, such as proper latching and positioning,
to ensure successful breastfeeding outcomes. Additionally,
maintaining a nutritious diet rich in fruits, vegetables, lean
proteins, and whole grains is essential for primiparous mothers to
produce an adequate milk supply and support their own health
postpartum

Conclusion
The woman's decision to breast-feed is influenced by several
factors. Some of these factors include culture, age, education, past
experience with breast-feeding, and the woman's intent to return
to work or school.
Maternal advantages of breast-feeding include more rapid uterine
involution, less bleeding in the postpartum period, and less
ovarian and premenopausal breast cancers.
Newborn advantages to breast-feeding include a strengthened
immune system, fewer overweight infants, and lower incidences
of certain infections, such as otitis media, diarrhea, and lower
respiratory tract infections.
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Summarize Teaching Learning
Activity Activity
Role-playing is an activity for children where they have to
13. decide what and with whom to play and also the rules of Lecture listening
cum
the game. These fun activities help to develop learning, discussion P
1 Conclusio What is the
minute n of role thinking, understanding, decision-making, and problem- R Conclusion
play O of role play?
solving skills in them from an early age, role plays
J
provide students with the opportunity to
E
• Take part in activities which mirror career-related C
scenarios. T
O
• Understand the use of role playing sessions.
R
• Match learning objectives.
• Be relevant to real-world situations.

Conclusion
Role -play is a valuable resource in learning .
Write a role play can be very interesting if the simple rules are
followed carefully .
To achive set objectives, role -play should be based on the skills
or principles you want to achive .
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Teaching Learning
Activity Activity

Lecture listening
cum
discussion
Assignment :- write down the assignment on methods & purpose of role play.

Bibliography

1. Raj. D. Elakkuvana Bhaskara ‘’text book of nursing education”. 2 nd Edition. EMMESS publishers. Mahalakshmipuram.
Bangalore. Page no.190
2. 2, Basher Shebeer P. “Text Book of nursing education”. EMMESS publisher. Mahalakshmipuram. Bangalore. Page
no.177-179
3. Sudha R. "Nursing Education principal and Concepts". 1 edition. New Delhi: JAYPEE Publisher; 2013. P. 306-309
4. Sodhi JK, Kaur S. "Comprehensive Textbook of Nursing Education". 1" edition. London: JAYPEE Publisher, 2017.
P.391-396
5. 4. D Elakkuvana Bhaskara Raj. "Text Book of Nursing Education". 2nd edition. New Delhi: EMMESS medical
publisher; 2019. P. 361-380