A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. A nonstress test (NST) in the obstetrician's office revealed a nonreactive tracing
On artificial rupture of membranes, thick, meconium-stained fluid was noted. The nurse caring for the infant after birth should anticipate: a. Meconium aspiration, hypoglycemia, and dry, cracked skin.
b. Excessive vernix caseosa covering the skin, lethargy, and respiratory distress syndrome.
c. Golden yellow- to green-stained skin and nails, absence of scalp hair, and an in-creased amount of subcutaneous fat.
d. Hyperglycemia, hyperthermia, and an alert, wide-eyed appearance.
A
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A These infant findings are consistent with a postmature infant.
B These findings would be consistent with a very premature infant.
C The skin may be meconium stained, but the infant would most likely have longer hair and decreased amounts of subcutaneous fat.
D Postmaturity with a nonreactive NST would indicate hypoxia. Signs and symp-toms associated with fetal hypoxia are hypoglycemia, temperature instability, and lethargy.
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