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15 Questions

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Jaundice Assessment in Newborns

Created by

@ConscientiousMinotaur

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Questions and Answers

What is the purpose of pressing the finger on the baby's skin over a bony part during the assessment of jaundice?

To observe the yellow color of the underlying skin (correct)

To examine the extent of skin bruising

To check for cephalhaematoma

To assess the level of anaemia

What can dark urine and light stools indicate in a jaundiced newborn?

Haemolysis

Physiological jaundice

Kernicterus

Intrahepatic or extrahepatic obstructive disease (correct)

What laboratory investigation is always included in the diagnosis of jaundice?

Liver function test

Haemoglobin concentration

SBR (Serum Bilirubin Ratio) (correct)

Blood typing

What is the purpose of observing the extent of changes in skin and scleral colour during physical assessment of jaundice?

To monitor the progression of jaundice Signup and view all the answers

What is the significance of lethargy in a jaundiced newborn?

May be a sign of kernicterus Signup and view all the answers

What is the primary cause of physiological jaundice in newborns?

Increased bilirubin production from fetal hemoglobin breakdown Signup and view all the answers

What is the term for the chronic and irreversible brain damage caused by severe untreated jaundice?

Kernicterus Signup and view all the answers

What is the primary pathway for bilirubin metabolism in the liver?

Conjugation with glucuronic acid Signup and view all the answers

What is the primary method of diagnosing jaundice in newborns?

Visual assessment of skin and sclera Signup and view all the answers

What is the term for the excessive breakdown of red blood cells, leading to increased bilirubin production?

Hemolysis Signup and view all the answers

What is the primary mechanism of jaundice in newborns with hemolytic disease?

Increased production of unconjugated bilirubin due to accelerated RBC destruction Signup and view all the answers

Which of the following is a complication of un-treated severe jaundice?

Kernicterus Signup and view all the answers

What is the purpose of conjugation of bilirubin in the liver?

To enhance the excretion of bilirubin into the bile Signup and view all the answers

Which of the following is a diagnostic criterion for jaundice?

Visible yellow discoloration of the skin and sclera Signup and view all the answers

Physiological jaundice typically peaks at what age in healthy term newborns?

3-5 days Signup and view all the answers

Study Notes

Assessing Jaundice in Newborns

Assessment of jaundice should be done in natural light
Physical assessment involves pressing the finger on the baby's skin, preferably over a bony part, till it blanches to observe the underlying skin for yellow color
Extent of changes in skin and scleral color should be observed
Skin bruising or cephalhaematoma should be checked for
Lethargy and decreased eagerness are indicators of jaundice
Dark urine and light stools may indicate intrahepatic or extrahepatic obstructive disease
Haemoglobin concentration should be checked to assess anaemia and polycythaemia

Laboratory Investigation

Laboratory investigation should always include Serum Bilirubin (SBR)

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Description

Assessing jaundice in newborns involves observing skin and scleral color changes, checking for bruising and cephalhaematoma, and monitoring for lethargy and dark urine. This quiz reviews the physical assessment and symptoms of jaundice in newborns.