CNM Certified Nurse Midwife

Category - Newborn

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A nurse midwife is monitoring the newborns for jaundice. Which of the following newborns has the least risk of developing jaundice caused by extensive bruising?

A newborn with cephalhematoma.
A newborn with a birth weight of 8 pounds.
An infant born to a mother through vaginal breech delivery.
An infant born at 32 weeks’ gestation.

Explanation

Answer: B - A newborn with a birth weight of 8 pounds has the least risk of developing jaundice. About 50% of newborns develop physiological jaundice, which involves the breakdown of fetal red blood cells. Large infants, infants born through vaginal breech delivery and immature infants are at risk for jaundice caused by extensive bruising.

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