A 1-month-old premature male infant with bronchopulmonary dy…
A 1-month-old premature male infant with bronchopulmonary dysplasia (BPD) remains intubated and monitored in the NICU. He has been doing relatively well and is being gradually weaned from the respirator. The NNP notes his mother, an 18-year-old woman, is crying next to her baby’s bassinet. The NNP asks what is wrong, and she states she has a horrible headache and goes on to describe these recurrent headaches that mainly occur above her right eye and right side of her head. She describes them as “throbbing” in quality. During these headaches, she gets bouts of nausea and vomiting. After a nap, she typically feels better, but she doesn’t want to leave her baby today. The headaches only last a few hours, and she experiences them roughly 2 times a month. She blurts out that she is very scared and worried that she has a brain tumor and is going to die and leave her baby. The NNP tells the mother that she needs to see her care provider, as the headaches are suggestive of a . Several hours after the NNP provides emotional support to the mother, her infant’s O2 saturations and heart rate plummet, and he becomes very dusky. On quick exam, there are decreased breath sounds on the right with an asymmetric chest rise, which is most suggestive of . Given this finding and the acute respiratory distress & hypoxia, the arterial blood gases would like demonstrate .