When should the nurse expect breastfeeding-associated jaundice to ...

[deesands]

When should the nurse expect breastfeeding-associated jaundice to first appear in a normal newborn?
 
  a. 0 to 12 hours
  b. 12 to 24 hours
  c. 2 to 4 days
  d. 4 to 5 days

Question 2

The newborn with severe jaundice is at risk for developing:
 
  a. encephalopathy.
  b. bullous impetigo.
  c. respiratory distress.
  d. blood incompatibility.

[olderstudent]

Answer to Question 1

ANS: C
Breastfeeding-associated jaundice is caused by decreased milk intake related to decreased caloric and fluid intake by the newborn before the mother's milk is well established. Fasting is associated with decreased hepatic clearance of bilirubin; 0 to 24 hours is too soon. Jaundice within the first 24 hours is associated with hemolytic disease of the newborn; 4 to 5 days is too late. Jaundice at this time may be due to breast-milk jaundice.

Answer to Question 2

ANS: A
Unconjugated bilirubin, which can cross the blood-brain barrier, is highly toxic to neurons. A newborn with severe jaundice is at risk for developing kernicterus or bilirubin encephalopathy. Encephalopathy is a highly infectious bacterial infection of the skin. It has no relation to severe jaundice and is the most likely complication of severe jaundice. A blood incompatibility may be the causative factor for the severe jaundice.

[deesands]

Thanks for the timely response, appreciate it

[Kedrick2014]

TYSM