A 5-day-old term newborn is seen in a rural health centre with jaundice extending to the legs. He is breastfed and otherwise well. Transcutaneous bili...

Question

A 5-day-old term newborn is seen in a rural health centre with jaundice extending to the legs. He is breastfed and otherwise well. Transcutaneous bilirubin is high, and total serum bilirubin is 330 µmol/L at 120 hours of age without risk factors. According to updated Canadian Paediatric Society hyperbilirubinaemia guidance, what is the most appropriate management?

Accepted Answer

Start intensive phototherapy and arrange transfer if needed

Answer

Reassure and review in 1 week

Answer

Immediate exchange transfusion without phototherapy

Answer

Stop breastfeeding permanently

Answer

Treat with phenobarbital

ca-mccqe1 MCQ (SBA): Neonatal hyperbilirubinaemia management