A Newborn Girl Is Evaluated in the Nursery After an Uncomplicated

question 77

Multiple Choice

A newborn girl is evaluated in the nursery after an uncomplicated spontaneous vaginal delivery to a 29-year-old primigravida.  The mother declined prenatal testing and ultrasound examination during the pregnancy.  Her pregnancy was otherwise uneventful, and she took prenatal vitamins throughout.  Examination of the neonate shows a posterior neck mass and bilateral nonpitting edema of the hands and feet.  Femoral pulses are diminished.  Neck ultrasound reveals a mass composed of cystic spaces separated by connective tissue.  Which of the following is the most likely underlying mechanism responsible for this patient's condition?

• A)21-hydroxylase deficiency
• B)Androgen receptor mutation
• C)Loss of paternal chromosome X
• D)Meiotic nondisjunction of fetal chromosome 18
• E)Partial deletion of the short arm of chromosome 5
• F)Robertsonian translocation involving fetal chromosome 21

Understand the influence of cultural practices on the development and expression of gender roles.

Appreciate the diversity in social norms and roles assigned to different genders across various cultures.

Identify the impact of collectivism and individualism on the perception of age, respect, religious, and ethnic diversity.

Recognize the role of gender schemas in shaping an individual's perception of self and others.

---

Definitions:

Tachycardia

A condition characterized by an abnormally fast heart rate, typically over 100 beats per minute in adults.

Hypertension

A chronic medical condition in which the blood pressure in the arteries is persistently elevated.

Peripheral Vascular Disease

A vascular disorder in which blood vessels outside the heart and brain are constricted, frequently resulting in diminished blood circulation to the extremities.

Heart Failure

Heart failure is a chronic condition where the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs.