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Physiological jaundice — DRCOG MCQ

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HardNeonatal CarePhysiological jaundiceDRCOG

A thriving term breastfed infant remains jaundiced at 17 days. Stools are yellow and urine is not dark. What is the best investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CMeasure fractionated bilirubin and complete the prolonged-jaundice assessment

Explanation lettering: B = shown as A · D = shown as B · E = shown as D · A = shown as E

C is correct. Jaundice beyond 14 days in a term infant requires fractionated bilirubin and a targeted assessment; pigmented stools reduce but do not eliminate cholestasis risk. D is diagnosis by assumption. E is unnecessary. A has no measured indication. B does not replace biochemical fractionation.

Reference: NICE CG98, Jaundice in newborn babies—recommendations: https://www.nice.org.uk/guidance/cg98/chapter/recommendations