Author Question: Which intervention may decrease the incidence of physiologic jaundice in a healthy full-term infant? ... (Read 55 times)

appyboo · **on:** Jun 28, 2018

Which intervention may decrease the incidence of physiologic jaundice in a healthy full-term infant?

a. Institute early and frequent feedings.
b. Bathe newborn when the axillary temperature is 36.3 C (97.5 F).
c. Place the newborn's crib near a window for exposure to sunlight.
d. Suggest that the mother initiate breastfeeding when the danger of jaundice has passed.

Question 2

When should the nurse expect breastfeeding-associated jaundice to first appear in a normal infant?

a. 2 to 12 hours
b. 12 to 24 hours
c. 2 to 4 days
d. After the fifth day

kaillie · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Physiologic jaundice is caused by the immature hepatic function of the newborn's liver coupled with the increased load from red blood cell hemolysis. The excess bilirubin from the destroyed red blood cells cannot be excreted from the body. Feeding stimulates peristalsis and produces more rapid passage of meconium. Bathing does not affect physiologic jaundice. Placing the newborn's crib near a window for exposure to sunlight is not a treatment of physiologic jaundice. Colostrum is a natural cathartic that facilitates meconium excavation.

Answer to Question 2

ANS: C
Breastfeeding-associated jaundice is caused by decreased milk intake related to decreased caloric and fluid intake by the infant before the mother's milk is well established. Fasting is associated with decreased hepatic clearance of bilirubin. Zero to 24 hours is too soon; jaundice within the first 24 hours is associated with hemolytic disease of the newborn. After the fifth day is too late. Jaundice associated with breastfeeding begins earlier because of decreased breast milk intake.