SOLVED3274

8 hr of age: Newborn is awake, alert, and active. Oral mucosa pink. Respirations easy and unlabored. Extremities flexed. Good muscle tone. Breastfed vigorously x 2 for 30-40 minutes. Fontanel level and soft. Large ecchymotic caput succedaneum noted on posterior scalp. Voided. Passed meconium stool. 36 hr of age: Infant lethargic with hypotonia. Yellow discoloration noted of sclera and oral mucosa. Respirations rapid with intercostal retractions. Extremities extended. Decreased muscle tone. Difficult to arouse for feedings. Breastfed x 1 in the past 6 hr for 10 minutes. Fontanel level and soft. Large ecchymotic caput succedaneum noted. Has voided and stooled only 1 time since birth.
SCIENCE
HEALTH SCIENCE
NURSING

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