ARJ
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32. A 2100-g (5 lb 2 oz) male newborn is delivered at 34 weeks' gestation; Apgar scores are 7 and 8 at 1 and 5 minutes, respectively. The 14-year-old mother Priety Chintaa had no prenatal care and did not know how much weight she gained. During the pregnancy, the mother smoked marijuana and took over-the-counter vitamins occasionally; she did not drink alcohol and had no illness except for an upper respiratory tract infection 4 months ago. She did not know she was pregnant until 2 weeks ago; her family is unaware of her condition. She has had one sexual partner. During the hospital stay, the newborn and his mother have no complications. The newborn is at greatest risk for morbidity and mortality from which of the following?
A ) Child abuse
B ) Congenital syphilis
C ) Hypocalcemia
D ) Lead poisoning
E ) Seizures
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| nycnew
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A
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| phuluong2k
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A too
Is there a case that the pregnant woman did not know that she has pregnancy until 2 weeks before delivery ?
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| ARJ
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I don't have the complete answer
but A ) Child abuse seems the most likely answer.............
Any discrepancies????
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| kabu
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Low SE status, other factors - by exclusion A seems most likely.
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| Jinx
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Priety Chintaa----lol
nice
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| cerebral
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this is indeed cause for "chintaa" for the baby.
ans A?
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| drk1980
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LBW, preterm, marijuana smoking mom....all lead to E, right?
Good one(chintaa)!!
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| meethawks2004
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lbw,preterm baby wont coz seizures. in fact in this case marijuana would be the coz of lbw and preterm baby. and once the preterm baby borns , its exposed to many complications- ards , necro colitis,, etc. but in this case most likely is A. considering young mother , single, drug abuser.
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| SilatK
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Yeah A
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| drk1980
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i recollect from Goljan's step1, marijuana effects on fetus are LBW and prematurity,....which in turn inc the incidence of intraventricular hemorrhage leading to seizures.
but, after re-reading this Q, i do agree tht thr are far too many signs crying out towards risk of child abuse in this infant. So i wud like to change my answer. (wish USMLE allowed this luxury...;o))
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