Chance is an 8 lbs. 7 oz. newborn baby boy who was abandoned by ...

[ghost!]

Chance is an 8 lbs. 7 oz. newborn baby boy who was abandoned by his mother shortly after birth. She left her child in the care of paramedics at the local fire station, as allowed by state law. She declined medical attention for herself and said the infant had been born just several hours earlier. The baby was brought to the hospital for examination. While nothing is known about the mother's prenatal care or the delivery itself, Chance appears to be very healthy and is feeding well. He will be discharged to Child Protective Services within 24 hours.
 
  Dx: Normal newborn, abandoned child
 
   First-listed/principal diagnosis: ________
   Secondary diagnosis: ________
  Fill in the blank with correct word.

Question 2

Karen is a newborn female who weighed 7 lbs. 5.5 oz. at birth. The newborn passed meconium during the vaginal birth but careful examination shows it was not aspirated. The umbilical cord had a true knot. The newborn's physical exam was entirely normal, and the infant is feeding well. The mother is breastfeeding. Karen will be discharged home with her mother tomorrow.
 
  Dx: Passage of meconium; true umbilical cord knot
 
   First-listed/principal diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.

[atrochim]

Answer to Question 1

First-listed/principal diagnosis: ________
Answer: Single liveborn infant, born outside hospital  Z38.1

Secondary diagnosis: ________
Answer: Abandonment  T74.02XA

Answer to Question 2

First-listed/principal diagnosis: ________
Answer: Single liveborn infant, born in hospital  vaginal birth  Z38.00

Secondary diagnoses: ________
Answer: Meconium passage during delivery  P03.82; umbilical cord knot  P02.5