Which of the following neonatal signs or symptoms would the nurse expect to see in a neonate with an elevated bilirubin level?
a. Low glucose
b. Poor feeding
c. Hyperactivity
d. Hyperthermia
ANS: b
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a. Hypoglycemia is not a sign that is related to an elevated bilirubin level.
b. The baby is likely to feed poorly. An elevated bilirubin level adversely affects the central nervous system. Babies are often sleepy and feed poorly when the bilirubin level is elevated.
c. Hyperactivity is the opposite of the behavior one would expect the baby to exhibit.
d. Hyperthermia is not directly related to an elevated bilirubin level.
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