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