A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. Fetal heart rate before birth is 180 beats/min with limited variability
At birth, the newborn had Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic. Based on the maternal history, the cause of this newborn's distress is most likely to be: 1. hypoglycemia.
2. phrenic nerve injury.
3. respiratory distress syndrome.
4. sepsis.
4
1, 2, 3. Incorrect. The prolonged rupture of membranes is the most indicative clinical cue to this infant's condition. Additionally, an FHR of 180 beats/min is also indicative. This infant is at high risk for sepsis.
4. Correct. The prolonged rupture of membranes accompanied by tachypnea (before and after birth) suggest sepsis.
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