‘EduNewbornInstructions

-PKU and bilirubin obtained prior to discharge
-Breast feeding every 2-3 hours during the day and every 3-4 at night
-Follow up in 2 days for weight and color check
-Sleep position side or back to decrease risk for sudden infant death syndrome
-Call if any issues with feeding, lethargy, or other concerns
-Sun expose in a warm room 3 times a day for 15-20 minutes for the next 3-4 days to reduce risk of jaundice
-Get 2nd PKU/Metabolic screen done at the clinic between 8-14 days of life
-Supplement infant's vitamin D with 400 IU once daily
-Monitor umbilical cord site (and circumcision site if applicable) for evidence of infection such as redness, warmth, discharge

NEWBORN WARNING SIGNS AND REPORTABLE SYMPTOMS:
·      Blue or pale colored skin (Blue lips are a 911 call!)
·      Difficulty Breathing
·      Yellow skin or eyes
·      Patches of white found in baby’s mouth (possible dehydration or yeast)
·      Eating poorly or refusing to eat
·      No stool for 48 hours or less than 6 wet diapers a day by one week old
·      Redness, drainage or foul odor from the umbilical cord
·      Temp of 100 or higher
·      Repeated vomiting or several refused feedings in a row
·      Crying excessively with no known cause
·      Behavior changes "not his/her usual self"
·      An unusual or severe rash 
·      Frequent or successive stools and excess water or foul odor.
·      Congested cough, runny eyes or nose