What risk factors does sammy have for hyperbilirubinemia

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Sammy is a newborn boy at 32 hours of life. His birth weight was 3600 kg. He was born via spontaneous vaginal birth at 40 weeks of gestation to a 26-year-old G1T0P0A0L0. There were no maternal prenatal issues. Labor and birth were complicated by a prolonged second stage of labor, which eventually progressed to spontaneous birth. The Apgar scores were 6 and 8, and the infant was taken to the nursery for an observation period; he received IV fluids but did well and so was discharged to routine care in the mother's room at 12 hours of life. Sammy was noted to have facial bruising and a cephalhematoma, which were attributed to the prolonged second stage of labor. All newborn blood work was normal. The group B streptococcus culture was negative. Maternal blood type is A positive. Exclusive breastfeeding was initiated at 12 hours of life. On physical examination, Sammy has some jaundice evident on the chest and torso.

What risk factors does Sammy have for hyperbilirubinemia?
What are the risks to the newborn with elevated bilirubin levels?

Reference no: EM133505241

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