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Question

Which of the following is a common cause of physiological jaundice in a newborn?

This question was previously asked in
RRB Paramedical 2025 Nursing Superintendent Question Paper PDF (12-Mar-2026) (Shift 3)
The correct answer is

Immature liver function

Physiological jaundice appears on day 2–3 of life in otherwise healthy newborns and usually fades within 1–2 weeks.

It occurs because the newborn’s liver is immature: the enzyme glucuronyl transferase is low, so unconjugated bilirubin cannot be conjugated and excreted fast enough. At the same time, fetal red cells with a shorter lifespan break down rapidly, raising the bilirubin load.

Genetic disorders and liver infections cause pathological (not physiological) jaundice, and vitamin deficiency is not its usual cause.

Hence, Immature liver function.

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Important Questions from Child Health Nursing

  1. During orogastric feeding in a neonate, the nurse observes coughing and cyanosis. What should be the nurse’s immediate response?

  2. A nurse at an under five clinic observes a child with below-average growth and missed immunizations. What should be the nurse’s most appropriate intervention?

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