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Neonatal jaundice – phototherapy threshold — RACP Paediatrics MCQ

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EasyNeonatalNeonatal jaundice – phototherapy thresholdRACP Paediatrics

A term breastfed newborn has a bilirubin level that is above the phototherapy threshold on the gestational age-specific nomogram at day 3. The baby is well and feeding. DAT is negative. What is the most appropriate management?

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Correct answer: B — Commence phototherapy

When the serum bilirubin exceeds the phototherapy threshold on the nomogram, phototherapy should be commenced regardless of the apparent cause. The decision is based on the plotted bilirubin level against the treatment threshold graph. Feeding should continue during phototherapy. Serum bilirubin should be rechecked 6-12 hours after commencing phototherapy.

Reference: RCH Melbourne – 2023 – Jaundice in Early Infancy CPG; Safer Care Victoria – Neonatal Jaundice