A 1-Hour-Old Boy Is in the Neonatal Intensive Care Unit

question 50

Multiple Choice

A 1-hour-old boy is in the neonatal intensive care unit due to tachypnea and hypoxia.  The infant was born at 39 weeks gestation via cesarean delivery due to recurrent variable decelerations.  The pregnancy was complicated by lack of prenatal care.  The infant weighs 3.2 kg (7 lb 1 oz) .  Physical examination shows a flattened nose and bilateral club feet.  Breath sounds are markedly diminished bilaterally.  The infant is intubated and mechanically ventilated, but oxygen levels do not improve.  He dies an hour later.  Which of the following is most likely to be found during autopsy of this infant?

• A)Congenital diaphragmatic hernia
• B)Duodenal atresia
• C)Renal agenesis
• D)Surfactant deficiency
• E)Tracheoesophageal fistula

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Definitions:

Plows

Agricultural tools used for tilling the soil, preparing it for sowing seeds by turning over the upper layer.

Fertilizers

Substances added to soil to enhance its fertility, typically containing essential nutrients such as nitrogen, phosphorus, and potassium, used to promote plant growth.

Irrigation

Irrigation is the artificial application of water to land to assist in the growing of crops and vegetation or to replenish depleted aquifers.

Slash-And-Burn Horticulture

A farming method that involves cutting and burning plant life to create fields for agriculture.