[Verified Answer]: Case Study: Sammy is a newborn boy at 32…

Case Study: Sammy is a newborn boy at 32 hours of life. His birth weight was 3.6 kg . He was born via spontaneous vaginal birth at 40 weeks of gestation to a 26 -year-old G1T0P0A0L0. There were no maternal prenatal issues. Labour and birth were complicated by a prolonged second stage of labour, which eventually progressed to spontaneous birth. The Apgar scores were 6 and 8 , and the infant was taken to the nursery for an observation period; he received IV fluids but did well and so was discharged to routine care in the mother’s room at 12 hours of life. Sammy was noted to have facial bruising and a cephalhematoma, which were attributed to the prolonged second stage of labour. All newborn blood work was normal. The group B streptococcus culture was negative. The maternal blood type is A positive. Exclusive breastfeeding was initiated at 12 hours of life. On physical examination, Sammy has some jaundice evident on the chest and torso. Answer all the questions below. What risk factors does Sammy have for hyperbilirubinemia? I 2. What type of jaundice would Sammy have? 3. What are the risks to the newborn with elevated bilirubin levels? 4. What are signs and symptoms of respiratory distress in the newborn and outline the treatment of respiratory difficulties related to immaturity of the lungs in the preterm infant and development of transient tachypnea of the newborn (TTNB).