A 20 year old G2 P0 woman presents in the ER at 35 weeks ges…

Questions

A 20 yeаr оld G2 P0 wоmаn presents in the ER аt 35 weeks gestatiоn with complaints of abdominal pain. You are called to the ER just as she precipitously delivers a 2200 gram female infant. The infant has Apgar scores of 3, 6 and 7 at 1, 5 and 10 minutes of age. The infant is transferred to the NICU with CPAP due to grunting and tachypnea. Her oxygen requirement increases to 70% and she is intubated, given a dose of surfactant, and placed on a ventilator. She has a blood culture done and is started on Ampicillin and Gentamicin. While initially hypoxic, hypercarbic, and acidotic, she improves with 2 doses of surfactant and her oxygen requirement decreases. At 48 hours of age, she is jaundiced and her blood culture is positive. You check a bilirubin level - total 13 mg/dL and direct 0.2 mg/dL. What type of jaundice does this infant have and how do you need to manage it?

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