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학습 자료 둘러보기 →A bilirubin level of 18 mg/dL at 12 hours of life is a critical emergency. The nurse's highest priority is to monitor for kernicterus by assessing neurological status every 2 to 4 hours during phototherapy.
Early signs of bilirubin neurotoxicity include lethargy, hypotonia, poor feeding, and a high-pitched cry. Late, irreversible signs include opisthotonos, seizures, and fever.
Never place an infant in the prone position for phototherapy. The safe standard is supine to reduce the risk of SIDS, while ensuring maximal skin exposure by using only a diaper and eye shields.
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