A 5-day-old term baby is brought in with jaundice. He is breastfed, otherwise well, feeding adequately and afebrile. Jaundice extends to the legs. The...

Question

A 5-day-old term baby is brought in with jaundice. He is breastfed, otherwise well, feeding adequately and afebrile. Jaundice extends to the legs. There is no haemolysis on blood tests. What is the most appropriate next step?

Accepted Answer

Measure total serum bilirubin and plot on the newborn bilirubin nomogram

Answer

Reassure and arrange review at 2 weeks only

Answer

Start phototherapy urgently without any further tests

Answer

Start exchange transfusion

Answer

Stop breastfeeding immediately

uk-plab-1 MCQ (SBA): Neonatal jaundice

A 5-day-old term baby is brought in with jaundice. He is breastfed, otherwise well, feeding adequately and afebrile. Jaundice extends to the legs. There is no haemolysis on blood tests. What is the most appropriate next step?