A 4-Hour-Old Boy Is Evaluated in the Nursery for Routine

question 233

Multiple Choice

A 4-hour-old boy is evaluated in the nursery for routine newborn care.  The patient was born at 38 weeks gestation via spontaneous vaginal delivery to an 18-year-old woman who did not receive prenatal care or take prenatal vitamins.  Birth weight is 3.6 kg (8 lb) .  Vital signs are normal.  Examination shows a sleeping infant in no distress.  There is molding of the occiput.  A soft mass inferior to the umbilical stump is 1.4 cm in diameter and covered by skin.  The mass increases in size when the infant cries and reduces into the abdominal cavity with gentle pressure.  The mass does not seem to be tender to palpation.  The rest of the examination is normal.  Which of the following is the best next step in management of this patient's mass?

• A)Abdominal ultrasound
• B)Immediate surgery
• C)Karyotype analysis
• D)Observation only
• E)Topical silver nitrate

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Definitions:

Farm Policy

Encompasses government regulations and actions aimed at stabilizing or supporting the agricultural sector, including subsidies, price supports, and land use regulations.

Low Farm Income

An economic condition where farmers earn less revenue from their produce, often due to factors like falling prices, poor yields, or high costs of inputs.

Food, Conservation, and Energy Act

A federal law in the United States that governs agricultural and food policy, often known as the Farm Bill, encompassing aspects such as nutrition assistance, crop insurance, and conservation efforts.

Freedom to Farm Act

A U.S. law enacted in 1996 aimed at reducing government subsidies to farmers and allowing them more freedom in the crops they plant.