Lethargy in Pediatrics — Case | Neonatology | SMLE Q#16850

SMLE Question #16850

Pediatrics Neonatology

Objective: OBJ-386

Last updated: February 2026
A 5-day-old term girl is brought to the emergency department for lethargy and poor feeding. She is exclusively breastfed. Examination shows irritability, marked jaundice, and clinical dehydration. The mother reports that previous children required hospital admission and exchange transfusion for severe neonatal jaundice. Immune-mediated hemolysis due to maternal–fetal blood group incompatibility is being considered. Which additional history detail is most important to obtain now?

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