A newborn develops jaundice on the third day and has pale stools with dark urine. Which finding is most concerning?
Correct answer: B. The infant passes dark urine and pale stools
- A. The jaundice is limited to the face
- B. The infant passes dark urine and pale stools
- C. The infant is alert and feeds every few hours
- D. The yellow colour becomes less visible after feeding
Explanation
Dark urine and pale stools suggest impaired bile flow and possible conjugated hyperbilirubinaemia, requiring prompt medical assessment. Physiological jaundice usually does not cause this combination of urine and stool changes.
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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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