A 1 month old presents for a well child visit. He is nursing every 2-4 hours and voiding normally, but is only stooling firm pellets every 5-7 days. On exam, he has macroglossia, hypotonia, and visible jaundice. You order testing for:

A 37 week infant is in the NICU. She received treatment for congenital pneumonia. Her blood type is O positive, DAT negative and the maternal blood type is O negative, antibody screen negative. She reached goal feeds by day 5. She begins breastfeeding by day 7 and by day 14 she is breastfeeding all feedings, voiding and stooling normally, is back to birthweight, and maintaining her temperature in a crib. She initially received phototherapy for jaundice. Phototherapy was discontinued on day 8 and her bilirubin continued to drop off of phototherapy. As you examine her on day 14, you notice that she appears much more jaundiced. You obtain a bilirubin level – total 16 mg/dL total, direct 0.4 mg/dL. What is the cause of her hyperbilirubinemia and how will you treat it?

Which of the following neonates have increased hyperbilirubinemia neurotoxicity risk factors? Select all that apply.

A 20 year old G2 P0 woman presents in the ER at 35 weeks gestation 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?

The cause of jaundice secondary to biliary atresia is:

When would you expect the bilirubin to peak in a preterm infant? Why is the bilirubin peak different in preterm vs term infants?

Based on the Nutrition Safety Net lecture, which of the following represents the changes in Ohio’s SNAP gross income limit?

In the U.S., policy targeted at reforming health care is attempting to direct the medical system toward which of the following?

Which of the following group(s) is/are often included among the uninsured?

Which U.S. Department of Agriculture (USDA) agency is responsible for governing all food programs including the Supplemental Nutrition Assistance Program?