A Male Newborn, Born at 39 Weeks Gestation, Is Evaluated

question 186

Multiple Choice

A male newborn, born at 39 weeks gestation, is evaluated in the labor and delivery unit 2 hours after birth.  Prenatal care was limited due to infrequent follow-up, and there were no complications during the delivery.  Apgar scores were 7 and 9 at 1 and 5 minutes, respectively.  Weight is 2.47 kg (5 lbs, 7 oz) and vital signs are normal.  Physical examination shows upslanting palpebral fissures, transverse palmar creasing, and widening of the space between the first and second toes.  The parents share that they are glad the delivery went well.  Which of the following is the most appropriate statement by the physician at this time?

• A)"Although your son is healthy and doing well, he may have a chromosomal disorder."
• B)"I have some news that may be unexpected; would it be okay to share that with you now?"
• C)"This may be difficult to hear, but it looks like your son may have Down syndrome."
• D)"Unfortunately, your son may have Down syndrome; I'd like to do some bloodwork to confirm."
• E)"Your son has some concerning examination findings; did you have any prenatal testing done?"

---

Definitions:

Retained Earnings

Profits that a company has kept or retained rather than paid out as dividends.

Cost Estimate

An approximation of the costs associated with completing a project, task, or transaction, often used in budgeting and planning.

WACC

Weighted Average Cost of Capital, the average rate of return a company is expected to pay its security holders to finance its assets.

Capital Components

The various sources of capital for a firm, including debt and equity, each with different costs and risks, influencing the company's WACC.