Monday, March 25, 2013

Question 1

1.  Your patient is a 1 day old infant born to a group B strep negative mother at 39 weeks via vaginal delivery.  He presents with jaundice.  Peripheral indirect bilrubin was measured and came back at 17 mg/dl.  He is currently being breast fed.  Given this information, what is the best management option?

A.  Discharge the patient home.  This should resolve itself in a couple days.

B.  Admit the patient to the hospital, start normal saline infusion at maintenance and repeat labs in the morning.

C.  Start the patient on exchange transfusions.

D.  Start the patient on phototherapy


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