Case Based Pediatrics For Medical Students and Residents Chapter
III.1. Routine Newborn Care Joan Ceccarelli Meister, MD April
2003  Return to Table of Contents  This is a 3640 gram newborn
male infant born at 39 weeks gestation via normal spontaneous
vaginal delivery (NSVD) to a 17 year old G3P0 mother who is O+,
VDRL NR, Hepatitis B surface antigen (HBsAg) positive, rubella
immune, group B streptococcus (GBS) negative, and HIV negative .
Artificial rupture of membranes (AROM) occurred 18 hours prior
to delivery with clear fluid. Apgar scores were 8 and 9 at 1 and
5 minutes respectively.  Maternal history is remarkable for 1
prenatal visit 1 month ago. An ultrasound performed at that time
was consistent with 34 weeks gestation. Toxicology screening at
that visit and on admission were negative. Mother is reportedly
healthy, with no chronic medical problems and no significant
family history. She reports no difficulty during the pregnancy.
She denies alcohol, cigarette, medication or drug use. Social
history re