MATERNAL NEWBORN NURSING

Direct Bilirubin – Water soluble, converted from indirect bilirubin by liver enzymes Hyperbilirubinemia – Jaundice occurs in the 2nd-3rd day of life in about 50% of newborns as the results of the breakdown of RBCs. Vitamin K – Given at birth. IM 0.23-0.5 ml. Infant doesn't have the intestinal flora to produce this vitamin in the first week of life. Promotes formation of clotting factors, 11,7,9, and 10. Meconium Stool – Begins to form during the 4th gestational month and is the first stool eliminated by the neonate. It is sticky, thick, black, and odorless. It is first passed within 24-48 hours. Transitional Stool – Begins around the 3rd day and can continue for 3-4 days. The stool transitions from black to greenish black, to greenish brown, to greenish yellow. Breastfed Stool – Yellow and semi formed. Later it becomes golden yellow with a pasty consistency and has a sour odor. Formula Fed Stool – Drier and more formed that breastfed stools. It is a paler yellow or brownish yellow and has an unpleasant odor. Diarrhea – Loose