skip to main content

Neonatal jaundice with poor feeding — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardPostnatal CareNeonatal jaundice with poor feedingDRCOG

A 21-year-old breastfeeding mother brings her 4-day-old baby because the baby looks yellow. The baby was born at 39 weeks, is sleepy during feeds and has had one wet nappy in 12 hours. Jaundice extends to the legs. When should this patient be referred?

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

Reveal the answer and explanation

Correct answer: E — Same-day neonatal assessment for jaundice and feeding

Jaundice with poor feeding and reduced urine output on day 4 needs same-day assessment, bilirubin measurement and feeding support. Physiological jaundice is common, but the extent and feeding concerns are red flags. Sunlight exposure is not a safe treatment. The pearl is that jaundice assessment must include hydration and behaviour, not skin colour alone.

Reference: NICE CG98; NICE NG194