Caes1 Born SVD to a G2 P2 26yo, no complications At 1 min: Comes out crying and vigorous but color is still blue. When you bulb !syringe the baby he gets mad At 5 min: Crying off and on, pink with blue hands and feet, good flexion, HR 140’s . min 1 min 5 (Activity (Muscle tone (Pulse (HR Grimace (reflex (irritability (Appearance (Color Respirations Total
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:Case2 .Mom 35, G1P1, PIH induction. Having “lates”, vacuum assisted delivery At 1 min: Infant is floppy, HR 120, when you bulb syringe baby turns away, color is .blue and the breathing is slow & irregular At 5 min: There is now some flexion, HR 180, coughing, pink with AC, good .breathing but not crying min 1 (Activity (Muscle tone (Pulse (HR Grimace (reflex (irritability (Appearance (Color Respirations Total
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Case 3
min 5
After a normal pregnancy, an infant is born by spontaneous vertex delivery. There are no signs of fetal distress during labour. The mother received pethidine 2 hours before delivery. Immediately after delivery the infant is dried and placed under an overhead radiant warmer. At 1 minute after birth the infant has a heart rate of 80 beats per minute, gives irregular gasps, has blue hands and feet but a pink tongue, has some muscle tone but does not respond to stimulation. At 5 minutes the infant has a heart rate of 120 beats per minute and is breathing well. The tongue is pink but the hands .and feet are still blue. The infant moves actively and cries well min 1 (Activity (Muscle tone (Pulse (HR Grimace (reflex (irritability (Appearance (Color Respirations Total
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:Case4
min 5
After fetal distress has been diagnosed, an infant is delivered vaginally after a long second stage of labour. At delivery the infant is covered with thick meconium. The infant starts to gasp before 1 minute. Only then are the mouth and throat suctioned for .the first time. The Apgar score at 1 minute is 3. By 5 minutes the Apgar score is 6 ?What are the probable causes of the low 1 minute Apgar score
?What mistake was made with the management of this infant