Discuss the prevention and treatment of severe jaundice.
What will be an ideal response?
The American Academy of Pediatrics (AAP) guidelines for the management of hyperbilirubinemia in healthy term newborns include a detailed algorithm for the management of jaundice in the newborn nursery and guidelines for initiating phototherapy. Phototherapy involves placing the newborn under special fluorescent lights that, like sunlight, assist in removing jaundice from the skin. The light is absorbed by the bilirubin, changing it to a water-soluble product, which can then be eliminated without having to be conjugated by the liver. The benefits of early and frequent breastfeeding in the first days of life for prevention of hyperbilirubinemia through maintaining hydration and stimulating the passage of stool are well documented. The passage of stool in the newborn is important because there are 450 mg of bilirubin in the intestinal tract meconium of the average newborn. To avoid reabsorption of bilirubin from the gut into the serum, passing meconium in the stool is critical.
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If an IDDM tells you she eats meals on an irregular schedule, you should:
a. obtain more information about her usual eating habits b. explain that insulin therapy is related to intake c. do nothing if blood sugar levels are okay d. ask her to complete a detailed food record
Seafood is a potential source of foodborne illness for all of the following reasons EXCEPT:
a. seafood can be contaminated with mercury. b. fish contains omega-3 fatty acids. c. shellfish can be contaminated with "red tide." d. fish can carry ciguatera poisoning.
A new weight loss program includes recommendations that are likely to be unsafe and not result in long-term weight loss and maintenance. Which of the following recommendations is a component of this particular weight loss program?
A. The person finds ways to incorporate more physical activity into his or her daily routine. B. The person keeps a daily food intake record to identify "problem foods." C. The person measures his or her waistline weekly. D. The person only eats foods that begin with the letters R, K, and M.
What other types of foods could he substitute to prevent nutritional problems while reducing his risk for blood clots?