Early clinical manifestations of bilirubin encephalopathy in the newborn include:
a. mental retardation.
b. absence of stooling.
c. lethargy or irritability.
d. increased or decreased temperature.
ANS: C
Clinical manifestations of bilirubin encephalopathy are those of nervous system depression or excitation. Prodromal symptoms consist of decreased activity, lethargy, irritability, hypotonia, and seizures. Newborns who survive may have evidence of mental retardation. Absence of stooling and increased/decreased temperature are not manifestations of bilirubin encephalopathy.
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