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Born
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Time |
Age (hr) |
Bilirubin |
Serum/ Meter |
Nurse |
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Maternal Blood Type: ______
Baby Blood Type: ______
Coombs: ______
Risk Factors for Severe Jaundice
[ ] Positive Coombs Test
[ ] Jaundice in the first 24 hours
[ ] Sibling with history of jaundice
[ ] 35-38 week gestation
[ ] Exclusive breastfeeding
[ ] Asian ethnicity
[ ] Extensive bruising or
cephalohematoma
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