A 3­day­old Infant Has a Total Serum Bilirubin (TSB) Level

question 3

Multiple Choice

A 3­day­old infant has a total serum bilirubin (TSB) level of 15.7 mg/dL after
having a TSB of 10.8 mg/dL 24 hours prior. The infant nursed 8 times, had 7 wet diapers, and passed 4 stools in the past 24 hours. What is the indicated treatment for this infant?

• A) Admit to an inpatient setting for phototherapy and every­12­hour bilirubin monitoring.
• B) Have the mother supplement with extra fluids and return to the clinic in 24 hours for a repeat TSB.
• C) Recommend nursing every 2 hours, order a biliblanket, and recheck TSB in 24 hours.
• D) Suspend breastfeeding for 24 to 72 hours and have the mother save pumped breast milk.

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