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NeoReviews Vol.7 No.2 2006 e107
© 2006 American Academy of Pediatrics

Index Of Suspicion in the Nursery

The first 20% of the full text of this article appears below.


   Case Presentation
 
A female neonate born at 37 weeks’ gestation presents with tachycardia and elevated blood pressures on the third day after birth. The mother is a 36-year-old primiparous female who has a history of thyroid disease but no significant obstetric history. Results of maternal screening tests included A-negative blood type, rubella immune, syphilis screen negative, hepatitis B surface antigen negative, and group B streptococcal screen negative.

The neonate was delivered by cesarean section due to fetal distress. Meconium staining of the amniotic fluid was noted at delivery, and neonatal resuscitation was performed. The baby was not intubated for meconium suctioning. Apgar scores were 4 at 1 minute and 9 at 5 minutes. After delivery room resuscitation, the baby continued to need blow-by oxygen and was transferred to the neonatal intensive care unit (NICU) for observation.

Initial vital signs in the NICU were: weight, 2,405 g (50th percentile); length, 48 cm (25th percentile); head circumference, 31.5 cm (<3rd percentile); temperature, 98.6°F (37°C); heart rate, 148 to 150 beats/min; respiratory rate, 48 breaths/min; blood pressure, 79/53 mm Hg; and oxygen saturation on blow-by oxygen, 97% to 98%. She did well and . . . [Full Text of this Article]






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Copyright © 2006 by the American Academy of Pediatrics.