Which of the following features favours PHYSIOLOGICAL rather than pathological jaundice in a term neonate?
- A Visible jaundice within the first 24 hours of life
- B Peak bilirubin occurring between days 3 and 5 with resolution before day 14 ✓
- C Total serum bilirubin rising more than 5 mg/dL per day
- D Direct fraction greater than 2 mg/dL
Correct answer: B. Peak bilirubin occurring between days 3 and 5 with resolution before day 14
Explanation
Physiological jaundice in a term baby appears after 24 hours, rises slowly, peaks around days 3 to 5 at levels usually below 12 to 13 mg/dL, and clears by two weeks. Jaundice within the first 24 hours, a rise exceeding 5 mg/dL per day, peak values beyond physiological limits, or a significant conjugated component all define pathological jaundice requiring evaluation. These time based criteria follow standard Indian textbook convention for term infants.
Reference: Nelson Textbook of Pediatrics, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.