Question: Baby Ittybit Baby Ittybit Is A 48-hour Old Black-American Neonate. He Was Born At The Birth Center Two Days Ago. The Baby Was Skin To Skin With The Mother Immediately After Birth And Was Able To Establish A Satisfactory Breast Feeding Within Two Hours Of Life. He Is Breastfeeding Well And Is Active And Alert. Case Study The Nurse Is Making A Home Visit …

Baby Ittybit Baby Ittybit is a 48-hour old Black-American neonate. He was born at the birth center two days ago. The baby was skin to skin with the mother immediately after birth and was able to establish a satisfactory breast feeding within two hours of life. He is breastfeeding well and is active and alert. Case Study The nurse is making a home visit to check on the mother and the baby. Baby Ittybit nursed for 30 minutes on his mother’s right breast about an hour ago. Mom stated that she could hear the baby swallowing as he nursed. The baby has had three wet diapers and two poopy diapers. The baby has been sleeping quietly in the bassinet since the feeding. The maternal grandmother is very concern about the baby because he appears yellow. She had discouraged her daughter from breastfeeding and wanted her to deliver in the hospital. She is convinced that the baby is getting sick due to breastfeeding and being born outside of an acute care facility. The mother is becoming tearful and losing her confidence. Questions 1. From the initial assessment, what is the main problem in this situation? 2. What is the most probable explanation for the baby being jaundiced? Give supporting evidence for your answer. 3. Explain the physiology of physiologic jaundice. 4. Baby Ittybit Is Black-American. How is jaundice assessed in darker skinned infants? 5. Explain how breast milk affects neonatal jaundice. 6. Is it probable that breast milk is the problem? Why or why not? 7. What observations can the nurse make that will help determine if the baby is experiencing pathologic jaundice? 8. List four causes of pathologic jaundice. 9. Describe the four steps of bilirubin metabolism. 10. What are the potential consequences if Baby itttybit has pathologic jaundice and if it is not treated? 11. Outline a teaching plan to educate the parents and grandmother about Jaundice and to empower the mother on her ability to make decisions about her baby’s care. Based on a study from: Gregory, Diann. (2006). Case studies in maternity and women’s health, Thomson-Delmar Learning: New York