You are called to evaluate an infant in mother’s room becaus…

You are called to evaluate an infant in mother’s room because the nurse noted several unusual markings when giving the first bath. You note four hypo-pigmented leaf-shaped white macules.  This was a spontaneous delivery with membranes ruptured 12 hours, RPR, HIV and Hepatitis B negative.  What do you suspect?

You are the NNP called to the emergency room for an imminent…

You are the NNP called to the emergency room for an imminent delivery of a baby with no prenatal care.  A premature infant is delivered, receives routine NRP interventions including respiratory support of nasal CPAP.  You are asked to quickly assess and estimate gestational age.  You note there are some plantar creases. You would be able to estimate that this infant is at least 

The pediatrician has asked you to consult for a 3 kg term in…

The pediatrician has asked you to consult for a 3 kg term infant exclusively breastfeeding with no urine output reported at 48 hours of life. You order a 10 ml/kg bolus of normal saline. There is urine output of 1.5 ml/kg/hr over the next 6 hours. You suspect that the cause for the oliguria was

You are the NNP called to evaluate an infant in the nursery…

You are the NNP called to evaluate an infant in the nursery who is vigorous with history of 9/9 apgars, no other symptoms but the nurse auscultated an abnormal heart rhythm. When placed on an ECG monitor you note an irregular R-R interval. Mother’s history is unremarkable. You suspect this infant has: