Which infant has the lowest risk of developing high levels of bilirubin?
a. The infant who developed a cephalohematoma
b. The infant who was bruised during a difficult birth
c. The infant who uses brown fat to maintain temperature
d. The infant who is breastfed during the first hour of life
ANS: D
The infant who is fed early will be less likely to retain meconium and resorb bilirubin from the intestines back into the circulation. Cephalohematomas will release bilirubin into the system as the red blood cells die off. Bruising will release more bilirubin into the system. Brown fat is normally used to produce heat in the newborn.
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