NCC Inpatient Obstetric Nursing (RNC-OB) Certification Practice Exam

Elevated bilirubin levels in a breastfed infant during the first week of life are most commonly attributed to inadequate intake of breast milk, a condition often referred to as "breastfeeding jaundice." In the early days following birth, some infants may not receive sufficient breast milk due to various reasons, such as difficulty with latching, maternal anxiety, or delayed milk production.

When an infant does not intake enough breast milk, they may not effectively eliminate bilirubin, a byproduct of the breakdown of red blood cells, through stool. Bilirubin is processed by the liver, but if the infant's intake is low, the bodily processes that help filter and excrete bilirubin are insufficient. This leads to its accumulation, resulting in jaundice.

Understanding the significance of adequate breastfeeding for bilirubin elimination is crucial in neonatal care. It emphasizes the importance of monitoring breastfeeding patterns and ensuring that the infant is adequately feeding. Supporting mothers with breastfeeding techniques can help mitigate the risks of elevated bilirubin levels and enhance the overall health of the infant in the early days of life.