RISK FACTORS
ASSESSMENT
TcB/TSB & Delta TSB
CASE STUDIES
100

This condition causes red blood cells to break down faster than normal, increasing bilirubin production

What is hemolysis

100

This is the best lighting for assessing newborn jaundice?

What is natural daylight?

100

This is considered the gold standard test for measuring bilirubin.

What is Total Serum Bilirubin (TSB)

100

Parents should feed newborns this often to help reduce the risk of severe jaundice.

What is at least 8–12 times in 24 hours?

200

This maternal blood type is most commonly associated with ABO incompatibility.

What is blood type O

200

This technique helps identify jaundice by briefly pressing on the skin.

What is blanching the skin over a bony prominence?

200

This non-invasive screening tool estimates bilirubin using the baby's skin.

What is a Transcutaneous Bilirubin (TcB)?

200

This is not an appropriate treatment for neonatal jaundice.

What is placing the baby in a sunny window?

300

This test detects antibodies attached to a newborn's red blood cells.

What is the Direct Antiglobulin Test (DAT) or Direct Coombs test?

300

This is the preferred tissue in which bilirubin like to deposit?

What is fatty tissue

300

This term describes how far below the phototherapy threshold the baby's bilirubin is.

What is ΔTSB?

300

Red variances in the PACG require this.

What is immediate contact with the PCP

400

Name three risk factors for significant hyperbilirubinemia

What are prematurity, hemolysis, bruising/cephalohematoma, poor feeding, previous sibling requiring phototherapy, or G6PD deficiency?

400

DAILY DOUBLE!

Assess these parts of the body on babies with darker skin tones

What are the sclera and oral mucosa

400

DAILY DOUBLE! 

True or False: Jaundice appearing in the first 24hrs is normal?

What is False

400

This condition occurs when unconjugated bilirubin crosses the blood-brain barrier and causes permanent brain injury.

What is kernicterus?

500

This inherited enzyme deficiency is a well-known cause of hemolysis and severe neonatal jaundice.

What is G6PD deficiency?

500

The visual progression of newborn jaundice on the infants body?

What is from head to toe

500

A baby's TSB is 290 µmol/L and the phototherapy threshold is 300 µmol/L. What is the ΔTSB, and what does it tell you?

What is 10 µmol/L below the threshold, meaning the infant is very close to needing phototherapy and requires prompt reassessment?

500

This early neurological symptom often causes parents to say, "My baby just won't wake up to feed."

What is lethargy?

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