The nurse is planning home visits to the homes of new parents and their newborns. Which patient should the nurse see first?
1. 3-day-old male who received hepatitis B vaccine prior to discharge
2. 4-day-old female whose parents are both hearing-impaired
3. 5-day-old male with whitish adherent discharge on the circumcision site
4. 6-day-old female with greenish discharge from the umbilical cord site
4
Rationale 1: This infant has no indications of unexpected findings.
Rationale 2: This infant is not at risk, but the appointment must be scheduled when the sign language interpreter is available.
Rationale 3: This is normal healing of a mucous membrane. The discharge should not be scrubbed off.
Rationale 4: Greenish or malodorous discharge from the umbilicus is not an expected finding. This family should be seen first because the child is experiencing a complication.
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