Jaundice in Pediatrics — Case | Neonatology | SMLE Q#19204

SMLE Question #19204

Pediatrics Neonatology

Objective: OBJ-NEO-HYPERBILI-EXCHANGE

Last updated: April 2026
A 2-day-old term male newborn is evaluated for jaundice. He has predominantly unconjugated hyperbilirubinaemia and has received intensive phototherapy for 6 hours, but the bilirubin continues to rise. He is feeding poorly and mildly lethargic. Examination shows jaundice to the trunk without hepatosplenomegaly or signs of infection. What is the most appropriate next step in management?

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