A new mother at 36 hours post-delivery has asked to be discharged to home. The nurse explains that criteria for discharge before the newborn is 48 hours old include:
1. The newborn's respiratory rate is less than 60 breaths/min.
2. Singleton birth at a minimum 37 weeks' gestation.
3. The newborn has passed at least three spontaneous stools.
4. The newborn has normal and stable vital signs for 24 hours before discharge.
1
Rationale 1: Minimal criteria include a respiratory rate in the newborn less than 60 breaths/min.
Rationale 2: Minimal criteria include a singleton birth at 38–42 weeks' gestation.
Rationale 3: Minimal criteria include the newborn's passing at least one spontaneous stool.
Rationale 4: Vital signs must be normal and stable for 12 hours prior to discharge.
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