Question

A first-time father is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation of physiologic jaundice, which point should be included?

a. Physiologic jaundice occurs during the first 24 hours of life.
b. Physiologic jaundice is caused by blood incompatibilities between the mother and infant blood types.
c. The bilirubin levels of physiologic jaundice peak at 5 to 7 mg/dL between the second and fourth days of life.
d. This condition is also known as breast milk jaundice.

Answer 1

The nurse should explain that the bilirubin levels of physiologic jaundice peak between the second and fourth days of life, which is normal and usually harmless as the infant's liver function improves.

Step-by-step explanation:

The correct point that should be included in the nurse's explanation of physiologic jaundice to the concerned father is that bilirubin levels of physiologic jaundice peak at 5 to 7 mg/dL between the second and fourth days of life. Physiologic jaundice occurs because the newborn's liver may not be fully efficient at processing bilirubin, which is a product of the normal breakdown of red blood cells. Since the liver is one of the principal organs responsible for breaking down bilirubin, any inefficiency can lead to a buildup of this substance in the blood, leading to the yellowish discoloration of the skin and eyes known as jaundice.

This condition is generally harmless and resolves on its own as the infant's liver matures and becomes more effective at processing bilirubin. However, it should be monitored to ensure that bilirubin levels do not reach dangerously high levels, which could lead to complications like kernicterus. Bearing down during a bowel movement can also stimulate the vagal nerve and lead to bradydysrhythmias. Therefore, it is important for the client to avoid these actions to prevent the occurrence of vasovagal attacks.