Author: Sinead Power / Editor: Sarah Edwards / Codes: NeoC4, SLO5 / Published: 10/03/2025
A mother presents to the paediatric emergency department (ED) with her 3-day-old baby girl, who has developed significant jaundice through the course of the day. She is otherwise well.
The baby was born by instrumental delivery at 37+5 weeks. She is breast feeding and producing wet nappies. She has one older sister who required treatment for neonatal jaundice.
On clinical examination, there is cephalohematoma and marked jaundice.
Vitals:
- Heart rate 156
- Blood pressure 65/32
- Respiratory rate 48
- Oxygen saturation 97% (pre and post-ductal)
- Temperature 36.9 degrees Celsius
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Question 1 of 3
1. Question
Which of the following is not a risk factor for hyperbilirubinemia requiring treatment?
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Question 2 of 3
2. Question
What clinical feature would not be consistent with physiological jaundice in this patient?
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Question 3 of 3
3. Question
What is the most appropriate next step for this patient?
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