This document summarizes the medical history and examination findings of a 28 hour old female newborn admitted for yellowish discoloration of the skin. The baby was delivered at home at 39 weeks gestation with no complications. On examination, the baby appeared sick and jaundiced. Laboratory results found blood group incompatibility likely due to Rh factor. The baby received phototherapy, IV fluids, antibiotics and a blood transfusion. The jaundice and symptoms improved and the baby was discharged after 9 days in good condition.