Juanita de Coca

Juanita, a 19-year-old single woman who lives alone, delivered a four-pound, eight-ounce babygirl who was three weeks premature. Juanita used crack cocaine several hours prior to delivery because she believed it would make labor easier. She received no prenatal care.

The baby was born with multiple medical complications and is currently on an apnea monitor. The baby is difficult to feed, has sleep disturbances, cries incessantly, and exhibits tremors and body rigidity. The baby has been medically cleared and Juanita wants to take the baby home. She admits to crack binges but says she will enter treatment when a slot opens. The hospital makes a referral to CPS. You are assigned to the case.

What is the child's diagnosis?

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