# The nurse teaches parents of a 3-day-old newborn about jaundice. Which finding should the parents report promptly?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394157&lang=en  
> language: en  
> subject: Lifestyle Choices  
> category: HPM

## Question

The nurse teaches parents of a 3-day-old newborn about jaundice. Which finding should the parents report promptly?

## Option

1. The newborn sleeps between feedings.
2. The newborn is difficult to wake and feeds poorly. **✔ Correct answer**
3. The newborn has six wet diapers in 24 hours.
4. The newborn's stool changes from dark to greenish-yellow.

**Correct answer: 2**

## Explanation

Difficulty waking and poor feeding can indicate worsening jaundice or illness and should be reported promptly. Adequate wet diapers and stool transition are expected signs of intake and newborn adaptation. Parents need clear warning signs for follow-up.

## In-depth explanation

Clinical Judgment
Newborn teaching focuses on feeding, output, alertness, and color changes.

Memory Tip
Jaundice plus poor feeding: call.

## Clinical scenario

Clinical Practice Guide
Newborn jaundice follow-up considers age in hours, bilirubin risk, feeding adequacy, output, and clinical appearance.

Caution
Lethargy in a newborn is never ignored.

## Key concepts

- **Jaundice** — Yellowing of skin or eyes caused by bilirubin buildup.
- **Bilirubin** — A pigment formed from red blood cell breakdown.
- **Poor Feeding** — Inadequate intake that can worsen dehydration and jaundice risk.

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