A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal cord. After birth the infant is noted to have petechiae over the face and upper back
Information given to the infant's parents should be based on the know-ledge that petechiae: a. Are benign if they disappear within 48 hours of birth.
b. Result from increased blood volume.
c. Should always be further investigated.
d. Usually occur with forceps delivery.
A
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A Petechiae, or pinpoint hemorrhagic areas, acquired during birth may extend over the upper portion of the trunk and face. These lesions are benign if they disap-pear within 2 days of birth and no new lesions appear.
B Petechiae may result from decreased platelet formation.
C In this situation the presence of petechiae is most likely a soft-tissue injury re-sulting from the nuchal cord at birth. Unless they do not dissipate in 2 days, there is no reason to alarm the family.
D Petechiae usually occur with a breech presentation vaginal birth.
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