When should the nurse expect breastfeeding-associated jaundice to first appear in a normal newborn?
a. 0 to 12 hours
b. 12 to 24 hours
c. 2 to 4 days
d. 4 to 5 days
ANS: C
Breastfeeding-associated jaundice is caused by decreased milk intake related to decreased caloric and fluid intake by the newborn before the mother's milk is well established. Fasting is associated with decreased hepatic clearance of bilirubin; 0 to 24 hours is too soon. Jaundice within the first 24 hours is associated with hemolytic disease of the newborn; 4 to 5 days is too late. Jaundice at this time may be due to breast-milk jaundice.
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