The family of an infant with significant
jaundice often reports a sleepy
infant who does not take well to the
breast. A gradual increase in jaundice
may go unnoticed. Jaundice
appears in a cephalocaudal manner,
first seen on the newborn face and
sclera and progressing to the trunk,
arms, and lower extremities. Visual
examination of the infant is not a reliable
measure of jaundice and should
be verified with transcutaneous bilirubinometry
(TCB) and/or serum
bilirubin testing (AAP, 2004; Moyer,
Ahn, & Snead, 2000). The AAP
(2004) recommends term infants
with TCB greater than 19 measured
on the sternum have a serum bilirubin
level checked as well. TCB is a
screening tool with some question of
its reliability and should not be used
in preterm infants, infants receiving
phototherapy, or in non-Caucasianinfants (AAP, 2004).
The family of an infant with significantjaundice often reports a sleepyinfant who does not take well to thebreast. A gradual increase in jaundicemay go unnoticed. Jaundiceappears in a cephalocaudal manner,first seen on the newborn face andsclera and progressing to the trunk,arms, and lower extremities. Visualexamination of the infant is not a reliablemeasure of jaundice and shouldbe verified with transcutaneous bilirubinometry(TCB) and/or serumbilirubin testing (AAP, 2004; Moyer,Ahn, & Snead, 2000). The AAP(2004) recommends term infantswith TCB greater than 19 measuredon the sternum have a serum bilirubinlevel checked as well. TCB is ascreening tool with some question ofits reliability and should not be usedin preterm infants, infants receivingphototherapy, or in non-Caucasianinfants (AAP, 2004).
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