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Chapter 16 Certain Conditions Originating in the Perinatal 14 A full-term male infant was born at Community Hospital to a mother who acquired a severe case of herpes simplex virus (HSV) during her pregnancy. At the age of one day old, the infant was transferred for admission to University Hospital’s special care unit to “rule out HSV visceral and/or central nervous system (CNS) infection.” The infant was diagnosed with congenital HSV but did not develop a visceral or CNS-specific infection. The infant was treated with intravenous acyclovir for 10 days. An additional diagnosis of small-for-dates was made for the infant, who weighed 1.990 grams with a gestational age of 38 1/7th weeks. The infant was discharged to his mother’s care with neonatal home nursing services to follow the infant’s care at home. Code for the infant at University Hospital only. Principal Diagnosis: Secondary Diagnoses: Principal Procedures: Secondary Procedure(s): 10 The parents of a 10-day-old infant bring the newborn to the pediatrician’s office to evalu- ate her slow feeding problems. When the infant was born, the umbilical cord was found loosely wrapped around the newborn’s neck. It was quickly removed by the obstetrician, and the infant was observed for respiratory and other difficulties. Slow feeding problems were evident while the infant was in the hospital, and the pediatricians considered the nuchal cord problem as the cause. The physician recommends a change in infant formula and different feeding bottles. The physician also orders pediatric home health services to assist the parents in the child’s care at home. A follow-up appointment is scheduled to return to the office in two weeks. The physician’s diagnosis is feeding problems in an infant born with nuchal cord around her neck First-Listed Diagnosis: Secondary Diagnoses: 4 A 43-year-old female, gravida 1, para 0, was admitted in labor to the hospital obstetrical department. Unexpectedly but happily, this woman found herself pregnant after 15 years of marriage. She had been under the care of a physician who specialized in high-risk pregnancies Because of her age, the woman was thought to be at higher risk for complications, but her pregnancy was uneventful. The physician described her as an elderly primigravida, full term 38-week pregnancy, normal delivery with no maternal or infant complications.” She had a manually assisted vaginal delivery of a healthy 7 pounds, 5 ounces girl. Mother and infant were able to leave the hospital on day 2 after delivery. Principal Diagnosis: Secondary Diagnoses: Principal Procedure: Secondary Procedure(s):
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