A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A Caesarean birth is performed for failure to progress.The fetal heart rate (FHR)before birth is 180 beats/min with limited variability.At birth,the newborn has Apgar scores of 6 at 1 minute and 7 at 5 minutes and is noted to be pale and tachypneic.On the basis of the maternal history,which is the most likely cause of this newborn's distress?

Question

Quizplus · Accepted Answer

The prolonged rupture of membranes and the tachypnea (before and after birth)both suggest sepsis.An FHR of 180 beats/min is also indicative.This infant is at high risk for sepsis.

A Pregnant Woman at 37 Weeks of Gestation Has Had