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Newborn hyperbilirubinemia
🌸 When a mother with type O blood delivers an infant with type B blood, the maternal anti-A and anti-B antibodies can cross the placenta and cause hemolysis of the newborn’s red blood cells.
🌸 This immune-mediated breakdown leads to increased bilirubin production, placing the newborn at high risk for hyperbilirubinemia in the first 24 hours of life.
🌸 Early recognition is critical because bilirubin can rise rapidly and progress to kernicterus if not treated promptly.
🌸 Monitoring for jaundice, obtaining serum bilirubin levels, and ensuring adequate feeding to promote bilirubin excretion are priority nursing actions.
🌸 This condition is known as ABO incompatibility, and it does not lead to maternal complications such as hypertension or thrombocytopenia.
This question is from W4 NR327 Exam 1 which contains 72 questions.
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