Which of the following would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?
A) Physiologic jaundice results in kernicterus.
B) Pathologic jaundice appears within 24 hours after birth.
C) Both are treated with exchange transfusions of maternal blood.
D) Physiologic jaundice requires transfer to the NICU.
B
Response:
Pathologic jaundice appears within 24 hours after birth; physiologic jaundice commonly appears around the third to fourth days of life. Kernicterus is more commonly associated with pathologic jaundice. An exchange transfusion is used only if the total serum bilirubin level remains elevated after intensive phototherapy. With this procedure, the newborn's blood is removed and replaced with nonhemolyzed red blood cells from a donor. Physiologic jaundice often is treated at home.
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