Audio Qbank – Q282 – A neonate with jaundice

 

A 5-day-old neonate born at 38 weeks’ gestation to an Rh-negative mother (G1P1) is brought to the obstetrician for yellowish skin for the past 12 hours.  The mother reports that her baby has had difficulty breastfeeding because attachment to the breast during feeds has been “hit or miss.” Laboratory studies show:

Hematocrit: 57%
Hemoglobin: 19 g/dL
Total bilirubin: 11 mg/dL
Direct (conjugated) bilirubin: 0.9 mg/dL

Which of the following is the most likely explanation for these findings?

 

Breastfeeding jaundice
Breastmilk jaundice
Hemolytic disease of the newborn (ABO type)
Hemolytic disease of the newborn (Rh type)
Physiologic jaundice