In conjunction with phototherapy, which intervention is most effective in reducing the indirect bilirubin in an affected newborn?
a. Increase the frequency of feedings.
b. Increase oral intake of water between feedings.
c. Offer an exchange transfusion.
d. Wrap the infant in triple blankets to prevent cold stress.
A
Feedback
A Frequent feedings prevent hypoglycemia, provide protein to maintain albumin
levels in the blood and promote gastrointestinal motility and removal of bilirubin
in the stools. More frequent breastfeeding should be encouraged.
B Avoid offering water between feedings, because the infant may decrease their
milk intake. Breast milk or formula is more effective at removing bilirubin from
the intestines.
C Exchange transfusions are seldom necessary; but, may be performed when
phototherapy cannot reduce high bilirubin levels quickly enough.
D Wrapping the infant in blankets will prevent the phototherapy from getting to the
skin and being effective. The infant should be uncovered and unclothed.
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