Critical Congenital Heart Disease (CCHD) screening: Right wrist 99%; Left foot 93%
State metabolic screen: Completed
Hearing screen: Passed

0000 Breastfed 6 minutes on the right, 8 minutes on the left breast with frequent swallows and good latch. 10 mL urine.
0300 Breastfed 4 minutes on the right breast, 4 minutes on the left breast. Good latch, frequent swallows. Diaper was dry.
0600 Breastfed 7 minutes on the right breast, 5 minutes on the left breast. Good latch, frequent swallows. 15 mL urine

Skin: Warm, dry, jaundice
HEENT: Mucous membranes moist and intact; No cleft lip or palate; No nasal flaring
Cardiovascular: Peripheral pulmonary stenosis murmur noted. All pulses palpable. Capillary refill 2 seconds
Respiratory: Occasional tachypnea. Mild subcostal and intercostal retractions. Abdominal muscle use. Breath sounds clear to auscultation.
Abdomen: Soft and nondistended. Abdominal cord clamp is off, cord is drying well. Bowel sounds present and active. Anus patent; has passed meconium.
Genitourinary: Bloody vaginal discharge noted.
Social: Mom and dad rooming in, providing all care for the child.