A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when h…

Question

A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the breast poorly, latching and letting go. He has passed three loose stools since midnight. His temperature is 36.9 degrees, his capillary blood glucose is 3.7 mmol/L and his serum calcium is normal. Apgar scores were 9 and 9 and the cord arterial pH was 7.31. Membranes ruptured three hours before birth and his mother was afebrile throughout.…

Accepted Answer

Maternal medications during pregnancy

Answer

Duration of the second stage

Answer

Family history of neonatal seizures

Answer

Maternal group B streptococcus status

Answer

Maternal thyroid disease

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