A new mother wants to be discharged with her infant as soon as possible. Before discharge, what should the nurse be certain of?
a. The infant has voided at least once.
b. The infant does not spit up after feeding.
c. Jaundice, if present, appeared before 24 hours.
d. A follow-up appointment with the practitioner is made within 48 hours.
ANS: D
The American Academy of Pediatrics recommends that newborns discharged early receive follow-up care within 48 hours in either a primary practitioner's office or the home. The child should void every 4 to 6 hours. Spitting up small amounts after feeding is normal in newborns; it should not delay discharge. Jaundice within the first 24 hours of life must be evaluated.
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