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Pediatric — Neonatal care

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Case 1 of 5PediatricNeonatal care (e.g., neonatal jaundice)

A 3-day-old term male infant (39 weeks' gestation, birth weight 3400 g) is brought to a family medicine clinic by his mother for a first newborn visit after early discharge. His mother is a first-time parent and reports that he is breastfeeding 8 to 10 times per day, with 6 wet diapers and yellow stools daily. On examination he is alert and active with jaundice to the chest, and today's weight is 3170 g. Maternal blood group is O positive, and there is no family history of hemolytic disease. He has no neurotoxicity risk factors. Total serum bilirubin is 200 µmol/L, which is below the phototherapy threshold for 39 weeks' gestation without neurotoxicity risk factors at this age in hours.

Heart rate142/min
Respiratory rate44/min
Temperature36.9 °C
O2 saturation98%, room air

Question 1 of 15

Which of the following non-pharmacological measures are most appropriate at this time?

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