A term female neonate is born via vacuum-assisted cesarean section, after an uneventful pregnancy, to a 28-year-old gravida 4 woman. The mother had a previous cesarean delivery, but currently has no evidence of hyperglycemia or any chronic diseases. The neonate has apnea, requiring standard resuscitative measures, including noninvasive positive pressure ventilation for 2 minutes and continuous positive airway pressure (CPAP) for 10 minutes. Her Apgar scores are 5 and 8 at 1 and 5 minutes, respectively. Her admission growth parameters are appropriate for gestational age, with a weight of 2.805 kg (16th percentile), head circumference of 34 cm (54th percentile), and length of 48.3 cm (32nd percentile) using Fenton growth curves. After clinical improvement, she is taken to the newborn nursery to room in with her mother. At 12 hours after birth, she is lethargic and tachypneic. Her pulse oximetry shows an oxygen saturation of 88% to 90%, temperature of...

You do not currently have access to this content.