The mother of a 3-day-old infant calls the clinic and reports that her baby's skin is turning slightly yellow. The nurse should explain to the mother that:
1. Physiologic jaundice is normal, and peaks at this age.
2. The newborn's liver is not working as well as it should.
3. The baby is yellow because the bowels are not excreting bilirubin.
4. The yellow color indicates that brain damage might be occurring.
1
Rationale 1: Physiologic jaundice peaks at about the third day of life, as a result of the breaking down and excretion of red blood cells (RBCs).
Rationale 2: The liver of an infant is not fully mature at this point.
Rationale 3: The liver of an infant conjugates the bilirubin, which is then excreted through the bowels.
Rationale 4: A severely jaundiced infant can have a very high bilirubin level that can lead to brain damage. An infant with severe jaundice would have a high level of yellow skin color, but this infant is only slightly yellow.
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