A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage.There was a nuchal cord.After birth the infant is noted to have petechiae over the face and upper back.Information given to the infant's parents should be based on the knowledge that petechiae:

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Petechiae,or pinpoint hemorrhagic areas,acquired during birth may extend over the upper portion of the trunk and face.These lesions are benign if they disappear within 2 days of birth and no new lesions appear.Petechiae may result from decreased platelet formation.In this situation the presence of petechiae is most likely a soft-tissue injury resulting from the nuchal cord at birth.Unless they do not dissipate in 2 days,there is no reason to alarm the family.Petechiae usually occur with a breech presentation vaginal birth.

A 38-Kg Infant Was Delivered Vaginally at 39 Weeks After a a 30-Minute