A full-term neonate who is 30 hours old has a bilirubin level of 10 mg/dL. The neonate has a yellowish tint to the skin of the face
The mother is breastfeeding her newborn. The nurse caring for this neonate would anticipate which of the following interventions?a. Phototherapyb. Feeding neonate every 2 to 3 hoursc. Switch from breastfeeding to bottle feeding
d. Assess red blood cell count
ANS: b
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a. Phototherapy is considered when the levels are 12 mg/dL or higher when the neonate is 25 to 48 hours old. Neonates re-absorb increased amounts of unconjugated bilirubin in the intestines due to lack of intestinal bacteria and decreased gastrointestinal motility.
b. Adequate hydration promotes excretion of bilirubin in the urine.
c. Colostrum acts as a laxative and assists in the passage of meconium.
d. Assessing RBC is not a treatment for hyperbilirubinemia.
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