A 3-day-old newborn is brought to the clinic by her mom for…
A 3-day-old newborn is brought to the clinic by her mom for her first exam after being discharged from the newborn nursery. Mom is breastfeeding and notes that her milk “just came in today.” The baby has had two small meconium stools in the past 48 hours and has had “about 3 or 4 wet diapers yesterday and today.” When examining the newborn, the pediatric nurse practitioner notices the newborn is jaundiced just past the nipple line, about half way to the umbilicus. Mom states that the baby “looks more yellow today than she did yesterday”. What should the pediatric nurse practitioner do?
Read DetailsA 15-day-old infant is brought to the clinic for his 2-week…
A 15-day-old infant is brought to the clinic for his 2-week well baby check, and while obtaining the history mom notes that the baby has had poor feeding, occasional grunting on expiration, and seems “more sleepy than he was when we first brought him home.” He was born at 36 5/7 weeks gestation via NSVD. Mom states that she started to leak amniotic fluid at home but didn’t realize she was in labor until the following day. Upon further questioning, mom states that she remembers “they gave me some medication right before he was born because I had a fever”, but she can’t recall any other details. Based on this information, what does pediatric nurse practitioner’s suspect is the cause of this infant’s symptoms?
Read DetailsThe mother of a 6-week-old breastfeeding infant tells the pr…
The mother of a 6-week-old breastfeeding infant tells the primary care pediatric nurse practitioner that her baby, who previously had bowel movements with each feeding, now has a bowel movement once every second day. What will the nurse practitioner tell her?
Read Details