A first-time dad is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation of physiologic jaundice, which of the following points should be included?
a. Physiologic jaundice occurs during the first 24 hours of life.
b. Physiologic jaundice is caused by blood incompatibilities between the mother and infant blood types.
c. The bilirubin levels of physiologic jaundice peak at 5 to 6 mg/dl between the second and fourth days of life.
d. This condition is also known as "breast milk jaundice."
C
Pathologic jaundice occurs during the first 24 hours of life. Pathologic jaundice is caused by blood incompatibilities, causing excessive destruction of erythrocytes, and needs to be investigated. Physiologic jaundice becomes visible when the serum bilirubin reaches 5 to 7 mg/dl, which occurs when the baby is approximately 3 days old. This is within normal limits for the newborn. Breast milk jaundice occurs in one third of breastfed infants at 2 weeks of age and is caused by an insufficient intake of fluids.
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