Neonatal Cases

Resources: EACH OTHER and Nelson’s Textbook of Pediatrics 18th Ed.

1)     Specify ALL problems indicated

2)     Differential diagnoses list for each of the identified problems

3)     History – what additional information is needed

4)     PE - what physical findings do you want to know about

5)     Tests and consults – what do you want to order and why

6)     Assessment – your rationale

7)     Plan for treatment including medication, therapy, surgery, etc.

1)  It is Monday A.M.  As you walk through the nursery you notice a baby who looks yellow.

2)  The admitting nurse calls you to evaluate a baby whose respiratory rate is 82.  The baby was born at 36 weeks gestation by dates.  The birth weight is 3800 grams (LGA).

3)    The mother of this newborn had no prenatal care and had a fever of 102 F during labor.  She also smokes and admits to drug use.  The nurse reports a temperature of 100.8 F in this new baby.

4)     A mother who is 14 hours postpartum called the nursery in a panic.  Her baby became stiff and turned blue.

5)    This mother’s RPR was nonreactive in OB clinic at 8 weeks gestation.  At birth the mother’s RPR is positive to 2 dilutions.  This 8-day old infant now has a rash in the diaper area.

6)  The nurse hears a murmur in this baby born to a 39- year old mother.  The nurse also thinks the baby is “funny looking.”