Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A three-day-old full-term infant is observed with yellowish skin and sclera. Laboratory examination reveals a total serum bilirubin level of 15 mg/dl. The nurse determines that these symptoms suggest:
  1. Jaundice of prematurity
  2. Physiological jaundice
  3. Pathological jaundice
  4. Breastfeeding jaundice
Explanation
Answer: B - Normal physiological jaundice usually occurs after the first 24 hours of life and usually peaks between thethird and fifthday. Pathological jaundice in full-term babies is characterized by an increase in total serum bilirubin within the first 24 hours. It is commonly caused by an incompatibility of major blood groups or ABO. Breastfeeding jaundice occurs within the first week and peaks within two to three weeks of age.
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