A 4-day-old term infant is jaundiced, sleepy and has lost 11% of birth weight. The mother reports poor latch and only two wet diapers in 24 hours.

Question

A 4-day-old term infant is jaundiced, sleepy and has lost 11% of birth weight. The mother reports poor latch and only two wet diapers in 24 hours. Which of the following is the most appropriate next step?

Accepted Answer

Measure bilirubin urgently, assess feeding and hydration, and initiate phototherapy or supplementation as indicated

Answer

Reassure because all neonatal jaundice is benign

Answer

Stop breastfeeding permanently without lactation support

Answer

Delay assessment until 2 weeks

Answer

Give antibiotics for all jaundice

Breastfeeding jaundice with dehydration risk — MCCQE Part 1 MCQ

A 4-day-old term infant is jaundiced, sleepy and has lost 11% of birth weight. The mother reports poor latch and only two wet diapers in 24 hours. Which of the following is the most appropriate next step?