Which of the following statements regarding physiologic jaundice is correct?
A) It appears on the feet and progresses upward on the body
B) It appears when bilirubin levels reach 3 mg/dL
C) It generally clears within 2 to 3 weeks with adequate feedings
D) It begins within the first 24hrs of life

Answer: C
Physiologic jaundice represents a normal transitional state that revolves once the infant's liver can keep up with the demand for bilirubin conjugation. It starts after the first 24 hours of life when the bilirubin level reaches 5 mg/dL or higher. The condition is initially apparent on the newborn's face before it progresses downward on the body. It will usually clear within 2 to 3 weeks without the intervention other than adequate feedings.

A neonate is noted to have shortened palpebral fissures and microcephaly with a small jaw. This infant is most likely yo be diagnosed with?
A) Down syndrome
B) Fetal alcohol syndrome
C) Growth delay
D) Hydrocephalus

Answer: fetal alcohol syndrome
Classic symptoms of fetal alcohol syndrome include small palpebral fissures and microcephaly with a small jaw

A new parent reports that their 6-month-old infant has a cold and a fever of 99.8f. The infant is not irritable and is feeling well without problems. The parent wants to know whether it is okay for the infant to be immunized at this time. Which of the following statements is true?
A) The infant should not be immunized until they are febrile
B) An infant with a cold can be immunized at any time
C) An infant with a cold can be immunized as long as their temperature is not higher than 100.4.
D) Because immunization is so important, it should be given to the infant as scheduled

Answer: An infant with a cold can be immunized as long as their temperature is not higher than 100.4f.
It is fine for an infant to be vaccinated even if they have a mild illness. A vaccine will not make a mild illness worse. A child can be vaccinated even if they have a low-grade fever, cold, runny nose, cough, otitis media, or mild diarrhea.