A 2-day-old newborn has yellow discoloration of the skin and sclera that began during the first 12 hours of life. What should the nurse do first?
Correct answer: C. Notify the clinician promptly for assessment
- A. Reassure the mother that this is always normal
- B. Encourage sunlight exposure at home
- C. Notify the clinician promptly for assessment
- D. Stop breastfeeding until the colour clears
Explanation
Jaundice appearing during the first 24 hours is potentially pathological and requires prompt assessment, including bilirubin evaluation. Sunlight is not a controlled treatment, and breastfeeding should generally continue unless specifically contraindicated.
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About Neonatal Nursing
Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.
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