An appropriate-for-gestational-age boy is born at 38 and 5/7 weeks to a 33-year-old gravida 2 now para 2 mother by vacuum-assisted vaginal delivery. The results of all antenatal maternal testing are within normal limits, including group B Streptococcus, and she denies a history of herpes simplex virus (HSV) infection. The length of time between rupture of membranes and delivery is 13 hours and 22 minutes. The delivery is complicated by maternal preeclampsia requiring magnesium therapy, and the neonate has Apgar scores of 7 and 8 at 1 and 5 minutes, respectively. His weight is 3,130 g (35th percentile), length is 50.5 cm (59th percentile), and head circumference is 36.5 cm (93rd percentile). The neonate receives vitamin K, hepatitis B vaccination, and ophthalmic erythromycin ointment after delivery. At birth there is a documented caput succedaneum, but no cephalohematoma, scalp bruising, or other signs of trauma. His anterior fontanelle is soft...
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June 2022
