A preterm female newborn born at 32 weeks’ gestation presents to the NICU with respiratory distress.

  • Born to a 21-year-old, gravida 3, para 3 white woman with no known travel history

  • History of 2 previous preterm deliveries—a male neonate at 31 weeks’ gestation and a stillborn at 21 weeks’ gestation

  • Maternal history: Anxiety, depression, bipolar disorder, irritable bowel syndrome, interstitial cystitis

  • Prenatal medications: Acetaminophen, cyclobenzaprine, hydroxyprogesterone caproate, hydroxyzine, calcium citrate, linaclotide, pentosan polysulfate sodium, oxybutynin, amitriptyline

  • Pregnancy complicated by short interconceptual interval, abnormal 1-hour glucose tolerance test result, and normal 3-hour glucose tolerance test result

  • Presented to the hospital in preterm labor and received penicillin and betamethasone before delivery; rupture of membranes less than 1 hour before delivery

  • Prenatal laboratory findings: Group B Streptococcus status unknown, HIV negative, hepatitis B surface antigen negative, gonorrhea negative, chlamydia negative, rapid plasma reagin nonreactive, rubella immune

  • Estimated gestational age: 32 weeks and 2...

You do not currently have access to this content.