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.
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.
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