A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A Caesarean section 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 one minute and 7 at five minutes,and is noted to be pale and tachypneic.On the basis of maternal history,the cause of this newborn's distress is most likely to be which of the following?
A) Hypoglycemia
B) Phrenic nerve injury
C) Respiratory distress syndrome
D) Sepsis

Question

Quizplus · Accepted Answer

The prolonged rupture of membranes and the tachypnea (before and after birth)both suggest sepsis.A 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