Josie is a full term newborn infant who weighed approximately 3000 grams when she was born. She is 19 inches in length. Josie's mom is an alcoholic who drank throughout the pregnancy and the pediatrician was asked to examine Josie for problems associated with her mother's alcohol use. On physical exam, Josie is not really small or light for dates, but she does show signs of fetal growth retardation such as peeling skin and loss of subcutaneous tissue. She has decreased muscle tone, small eyes with large epicanthal folds, small head and upper jaw with a smooth, thin upper lip. There was no appreciable heart murmur. Now, Josie is healthy enough to be discharged in the care of her grandmother who was given temporary custody of Josie until her mother completes a court-ordered stay at an alcohol rehab facility. The grandmother was instructed to see Josie's pediatrician in three weeks.
Dx: Fetal exposure to alcohol, IUGR
First-listed/principal diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
Question 2
Betty is a newborn female whose mother had a precipitate vaginal delivery at 40 weeks of pregnancy. Betty was born within 2.5 hours from her mother's first contract/sign of labor. Physical exam shows Betty is an appropriate weight and length for her stated gestational age. She has no appreciable anomalies, heart murmurs or hip joint clicks. The findings from the exam: Normal female newborn.
First-listed/principal diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
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