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12 This female infant was born to a 17-year-old mother, gravida 1, para 0, by spontaneous vaginal delivery with vertex presentation. She was born at 38 417 weeks gestation and small for gestational age, weighing 2,035 grams (4 pounds, 4 ounces). Her Apgar scores were 6 and 9. The infant required bag-mask inhalation for 2 minutes and 30 seconds, and the was admitted to the neonatal intensive care nursery for continued monitoring and treatment. Initially the infant had transient tachypnea that became respiratory distress and metabolic acidosis. She had hypermagnesemia, as her mother received magnesium therapy. She also had newborn jaundice and was treated with Bili Light or phototherapy. She was observed for possible sepsis, but none was found. The intravenous antibiotics were discontinued after two days. The infant’s physical examination on discharge was within normal limits for a prema- ture infant, as her condition improved with laboratory data showing more normal findings She was discharged at age five days to be followed by pediatric home care nurses with an appointment in the physician’s office two days after discharge. Principal Diagnosis: Secondary Diagnoses: Principal Procedures: Secondary Procedure(s):
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