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NEWBORN
I.
V. SCREENING
A. Prenatal screening test results should be
reviewed and documented on the infant's
chart at the time of delivery.
Maternal prenatal screening tests
typically include the following:
1. Blood type, Rh, antibody screen.
2. Hemoglobin or hematocrit.
3. Rubella antibody.
E. Glucose screening
1. Infants should be fed early and
frequently to prevent hypoglycemia.
2. Infants of diabetic mothers ,SGA and LGA
infants should be screened for
hypoglycemia in the immediate neonatal
period .
F. Bilirubin screening
1. Before discharge, all newborns should
be screened for the risk of subsequent,
significant hyperbilirubinemia.
VIII. FEEDINGS.
The frequency, duration, and volume of each
feed will depend on whether the infant is
breast-feeding or bottle-feeding.
A. The breast-fed infant should feed as soon
as possible after delivery, preferably in
the delivery room and feed 8 to 12
times/day.
Consultation with a lactation specialist
during the postpartum hospitalization is
strongly recommended for all breastfeeding mothers
3. Administration of acetaminophen
before the procedure is not an effective
adjunct to analgesia.
E. Circumcision in the newborn can be
performed using one of three different
methods:
1. Gomco clamp.
2. Mogen clamp.
3. Plastibell device.
F. Oral or written instructions explaining
post circumcision care should be given to
all parents
X. DISCHARGE PREPARATION
A. Parental education on routine newborn care
should be initiated at birth and continued until
discharge. Written information in addition to
verbal instruction may be helpful and in some
cases it is mandated. A review of the following
newborn issues should be done at discharge:
1. Observation for neonatal jaundice.
2. Routine cord and skin care.
3. Routine postcircumcision care (when
indicated).
XI. FOLLOW-UP