A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, because the mother also has twin two-year-olds at home. The nurse should schedule the follow-up visit for the newborn on which of these days?
1. Within 48 hours of discharge
2. When the infant is one month old
3. Within two weeks of discharge
4. Within one week of discharge
1
Rationale 1: Newborns discharged before 48 hours old should be seen within 48 hours of discharge.
Rationale 2: A health supervision visit is routinely scheduled at one month of age regardless of age at time of discharge. Newborns should be monitored for jaundice, weight gain, umbilicus healing, and other problems; they should be evaluated 48 hours after early discharge.
Rationale 3: For an infant discharged at 24 hours, waiting two weeks after discharge increases the chance that several common newborn conditions can go undiagnosed (e.g., jaundice and failure to gain weight).
Rationale 4: Waiting one week after discharge of a 24-hour-old increases the chance that several common newborn conditions can go undiagnosed (e.g., jaundice and failure to gain weight).
Global Rationale:
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