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MCH NEWBORN POSTPARTUM VISIT NORTH DAKOTA DEPARTMENT OF HEALTH DIVISION OF FAMILY HEALTH SON 19162 (Rev. 9-2010) (NEWBORN/INFANT) Name (Last, First, MI) Date of Birth Hospital Discharge Sex Race Age

How to fill out mch newborn postpartum visit

Point by point guide on how to fill out the MCH newborn postpartum visit:

1. Enter the date and time of the visit at the top of the form.
2. Fill in the personal information of the newborn, including name, date of birth, and gender.
3. Provide details about the mother, such as her name, date of birth, and contact information.
4. Record the newborn's weight, length, and head circumference.
5. Include any additional vital signs, such as temperature and heart rate.
6. Note any abnormalities or concerns observed during the visit.
7. Document the results of any screening tests conducted, such as hearing or blood tests.
8. Record the immunizations given to the newborn, including the type, dosage, and site of administration.
9. Enter any medications prescribed or recommended for the newborn's postpartum care.
10. Include any instructions or advice given to the mother regarding breastfeeding, newborn care, or postpartum recovery.
11. Sign and date the form to confirm the completion of the MCH newborn postpartum visit.

Who needs the MCH newborn postpartum visit?

1. Newborns who were delivered at a healthcare facility.
2. Infants born to mothers with high-risk pregnancies or medical conditions that require close monitoring.
3. Babies who experienced complications during delivery or shortly after birth.
4. Preterm infants or those with low birth weight.
5. Infants who have been discharged from the hospital but require ongoing medical care or follow-up.
6. Babies of mothers who received prenatal care through the Maternal and Child Health (MCH) program.
7. Families who are eligible for or enrolled in government-assisted healthcare programs, such as Medicaid.
8. Any newborns or mothers who require additional support or resources for postpartum care and well-being.

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