This is critical and should include a careful look by a physician or nurse practitioner. Preferably the same doctor who will see the baby as an outpatient will also see the baby in the hospital. The circumcision site should not bleed for at least two hours after the procedure. Jaundice should not be present in the first 24 hours and should not be prominent at discharge. The feedings should also show signs of improvement if they are not going well.
Baby urinates regularly and has passed at least one stool.
Temperature, heart rate, breathing rate, and blood pressure are normal in an open crib. Metabolic screening tests have been performed as required by State Law. If these are obtained before 24 hours of age, they need to be repeated at several days of age. Initial hepatitis B vaccine is administered or scheduled. Mother has been trained in breast or bottle feeding, skin care, recognizing signs of illness, and infant safety.