Neonatal jaundice and snip-snip

Question 1

Define the parameters for diagnosing physiological jaundice

Answer 1

1. appears after 24 hrs of age
2. total bilirubin rises 5 mg/dL per day
3. total bilirubin does not exceed 15 mg/dL
4. resolves by 1 week in normal neonate, 2 weeks in preemie

Question 2

When does peak bilirubin occur in a neonatal with physiologic jaundice?

Answer 2

3-5 days of age

Question 3

This form of jaundice occurs within the first 3 days of life and is associated with an inadequate intake of breast milk

Answer 3

breastfeeding associated jaundice

Question 4

This can cause jaundice BEFORE 24 hours of life

Answer 4

hemolysis

Question 5

What are some nonhemolytic causes of jaundice?

Answer 5

bowel obstruction, enclosed cranial hemorrhage, polycythemia

Question 6

What are the benefits of circumcision?

Answer 6

decreased incidence of STI’s; prevention of phimosis, paraphimosis, balonoposthitis, UTI’s

Question 7

Of the Gomco Clamp and Mogen clamp procedures, which one is blind?

Answer 7

Mogen clamp; can lead to occasional amputation of the glans