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?

• A)Maternal administration of a killed vaccine during pregnancy
• B)Maternal administration of a live attenuated vaccine before conception
• C)Maternal perinatal antibiotic treatment
• D)Maternal vitamin intake throughout pregnancy
• E)Viral enzyme inhibitor drug intake during the third trimester

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Definitions:

Adjusted Trial Balance

A trial balance after adjustments, showing the balances of all accounts including those adjusted, which will be used for preparing financial statements.

Supplies Expense

An accounting term referring to the cost consumed in using up supplies such as office materials over a specific accounting period.

Error

A mistake in the recording, classification, or processing of financial and non-financial transactions in accounting records.

Accrued Interest

Accrued interest is the interest that has accumulated on a loan or bond but has not yet been paid. It is recognized in the accounting records before the payment is made.