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Diapers! I got my MOH 3 packs of diapers and it has helps her sooo much. I did more for her like I made her some blankets, got her some onesies, little toys. Hope this helps.
No clothes!!!
The most useful things are stuff like burp clothes, bibs and receiving blankets. Those are also things you can't really have too many of. Diapers, wipes, baby shampoo/lotion all fit into this category too. If she's nursing, you can do something like nipple cream and breast pads. Why not put together a small little gift basket and include a few things?
Another route would be to get her something for herself. My college roommate got me satin PJs and some yummy lotions as a baby shower present. You could just as easily get her a small spa gift card, make a mani/pedi kit, or give her a gift card to somewhere like Victoria's Secret/Sephora/Bath and Body Works/etc.
I would get her diapers as others have said, but get a size up. The baby will grow fast and she will probably get diapers from other people for her newborn so I am sure she will love to have a stash of diapers for the next size up... when people stop giving you baby presents.
You guys are amazingly helpful!! Thanks so much!! Keep 'em coming!!
Think of the most un-pretty present, and get that. Seriously!
She will get dozens of fluffy bonnets and boots and singlets and socks and toys and when it comes down to it, most of these pretty items get worn once, puked/pooped on and then they get ruined, lol!
I've had a baby, trust me!
Get some diapers in a size up like lefeymw said, and maybe some top quality all natural baby products. Splurge out and get quality, chemical free natural ones. There are SO many cheap and nasty baby products that are just packed with un-pronouncable ingredients and are made in China. When I had a shower I did receive quite a few bottles like that and I never used them.
Diapers, sizes 2 and 3 (everybody buys newborn and 1), wipes, gift cards to get essentials later on, like formula. They're not the "fun" gifts, but they will be used!
Make a diaper cake, it's inexpensive, soo easy to make and trust me, will be a hit! Here's link to show an example http://www.youtube.com/watch?v=PuibjjzW93I&feature=related

A diaper cake is a great idea! And a gift card would be really helpful too. I agree with no clothes, so many people will give her clothes and babies outgrow them so quickly.
I agree Diapers are needed. Also burping clothes, onesies...those can be rolled up and stuffed in diaper cake. Other instruments that are inexpensive to include in diaper cake...baby thermometer, rash cream, socks, socks, socks. GOOD LUCK.
if she is planning on breastfeeding, nipple cream and breast pads.
i know it is a very unglamorous present, but those are the things that women really need that no one wants to buy them.
she will get dozens (if not more) of outfits and pink frilly things (if it's a girl) so get her something useful!
bottles, pacifiers, burp cloths, receiving blankets, diaper rash cream/baby shampoo, and other practical items would work great too.
Cloth diapers to use as burp cloths, a gently used Ergo or similar carrier (I have given a couple as gifts and a month or two after regular use the mom's call and send pcitures because they can clean their house while the baby naps in the carrier, they can shop without a stroller, etc...)
Oooh, a new favorite, the mesh teething sacks... teething happens quickly in the grand scheme of things and it is helpful to have some teething tools on hand...
Pick something off the registry or even a g.c to Baby R Us. Also, sometimes a keepsake gift is nice. For example, baby bracelet or bunnykins place setting.
get a diaper genie and some Diapers all mothers love them I have never heard a complaint. I loved it for my two little men.
I would disagree and say no diapers. Some parents have a preference for one kind of diaper over another plus you can never tell whats the best size to get since some babies speed through certain sizes. I would get a gift card. You can never go wrong with that.
when my friend had her 2nd baby I got her a big box of pampers for newborns that also came with wipes. I remember her liking this brand for the first kid so i figured it would be useful and the baby would need them. I also got a box of onsies.
I agree with the no diapers, unless you know specifically what kind they want. I know of a few couples that did cloth diapering, and they ended up with a lot of disposable ones that they had to return after their showers. And agreeing with @bells: you don't know what brand or size they need. Do they have a registry?
Yes, she has a registry, and I have looked at it. She had some things that I would get, but some of it doesn't seem practical. Some of the things that she picked (she's registered at Wal Mart) had very low ratings, etc.
I am going to check with her on a diapers brand. Thanks for all of the advice ladies. Keep it coming if you'd like.
@regberadaisy: Here is a link
http://www.amazon.com/Munchkin-Pack-Fresh-Feeder-Colors/dp/B000GK5XY2
They are great because you can put frozen fruits/veggies in them and not worry about the baby choking on pieces that break off, they are a little bit of a pain to clean, but they definitely get colder than the refrigerate only teething rings. My nieces and nephew found a lot of relief with them... I have given 3 sets out to new parents recently and everyone seems to really like them.
I'd stick to the registry, no matter what the ratings are, because those are things that she needs. And most likely, she'll end up buying a lot of what she doesn't get.
One thing that I like to do is put together a little emergency kit for mama and baby: diaper cream, alcohol swabs, generic baby tylenol, saline spray, thermometer, nipple cream, breast pads, etc. Those aren't glamorous to give, but those are things that she will use and need.
i bought cute baby things for the shower (swaddle blanket and a lion that makes soothing sleep noises), but now that baby is due next week i got her the BEST gift! she's been saying for months she can't wait to share a bottle of wine. well, i found these:

so her "push" present from me will be a bottle of wine and these :)
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Okay, I have no children and haven't really been around babies too terribly much. My friend is having a baby shower in FOUR DAYS and I was wondering...
What is the most difficult part of caring for a newborn, and what did you get that made it easier? She will be a single parent, so I'm trying to be extra thoughtful, but I am on a budget. Any thoughts and feedback are appreciated.
Thanks!!