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A Day-Old Girl Is Being Evaluated in the Newborn Nursery

question 334

Multiple Choice

A day-old girl is being evaluated in the newborn nursery. The patient was born at 39 weeks gestation to a 38-year-old primigravida who immigrated to the United States during her third trimester. The patient had a strong cry and good tone at delivery but appears small for gestational age. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. Physical examination demonstrates white pupils bilaterally. A continuous harsh murmur is heard over the left infraclavicular area. The abdomen is nondistended, and there is no hepatosplenomegaly. Both ears fail the hearing screening. Which of the following maternal interventions would have most likely prevented this infant's condition?

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Definitions:

Salty Foods

Foods high in salt content, which can affect heart health and blood pressure.

Rough-and-Tumble Play

Physical play that involves boisterous activities, such as running, jumping, and play fighting, common in childhood.

Sociodramatic Play

A form of play among children where they enact roles and scenarios, mimicking real-life situations, fostering social and communication skills.

Wrestling

A combat sport involving grappling techniques, throws, and holds, with the objective of pinning or defeating the opponent.