What newborn discharge teachings

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Reference no: EM133923618

Question

Overview (Baby Boy Nelson has returned to his mother's room)

Baby Boy Nelson has just finished breastfeeding. Dr Lopez, the pediatrician, examines the newborn and writes the following orders:

• Energix-B 10 mcg IM X 1 prior to discharge

• Discharge home with mother

• Follow up in office in 2 days

• Diet: Breastfeed every 2-3 hours on demand or Formula of choice 1-3 ounces every 3-4 hours

• Notify pediatrician if infant has:

o A temperature > 100.4

o Less than 6 wet diapers in 24 hours

Page 3 of 3

Physiologic State Phase 2 (Newborn)

T = 98.8 F axillary

BP = 58/38 mean 48 Left leg

P = 136

RR = 38

O2 Sat = 99% (room air)

• Activity: Quiet, awake

• Fontanelles soft and flat

• Eyes symmetrical

• Nares patent

• Clavicles intact

• Heart sounds: Regular

• Lung sounds: Clear

• Bowel sounds: Active

• Extremities: Flexed, with good tone

• Pulses: 2+ and equal (brachial & femoral)

• Reflexes: Moro, suck, gag, rooting, palmer &

plantar grasp, Babinski, present

• No hip click noted

• Spine intact

The following tests/screenings are ordered on all infants prior to discharge:

• Critical Congenital Heart Disease (CCHD) Screening after 24 hours of age

• Transcutaneous Bilirubin and/or Total Bilirubin prior to discharge

• Hearing Screen

• Universal Metabolic Screening aka Metabolic Screening

1. What is the importance of completing these tests?

2. What newborn discharge teachings would be appropriate for Baby Boy Nelson?

Reference no: EM133923618

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