A 2-Day-Old Boy Develops Abdominal Distension and Refuses to Breastfeed

question 369

Multiple Choice

A 2-day-old boy develops abdominal distension and refuses to breastfeed.  He was born via normal spontaneous vaginal delivery at 39 weeks gestation to a primigravid mother.  Examination shows significant abdominal distension with palpable intestinal loops.  The rectum has no stool and rectal tone is normal.  During the examination, the infant has several episodes of dark green emesis.  Plain films of the abdomen show air-fluid levels and small bowel dilation.  Contrast enema fails to relieve the obstruction, and the patient is taken for emergency laparotomy, which shows an inspissated, green fecal mass obstructing the distal ileum.  The infant recovers from the surgery uneventfully.  Which of the following will be the most likely cause of mortality in this patient?

• A)Enterocolitis
• B)Liver cirrhosis
• C)Malabsorption
• D)Pneumonia
• E)Renal failure

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Definitions:

Indirect Labor Costs

Costs associated with employees who do not directly work on the product but are necessary for the manufacturing process.

Work in Process

Inventory consisting of items that are in the process of being manufactured but are not yet complete.

Raw Materials Transactions

Activities and records pertaining to the purchase, usage, and inventory management of raw materials used in the production process.

November

The eleventh month of the year in the Gregorian calendar, marking the late autumn in the Northern Hemisphere and late spring in the Southern Hemisphere.