A 1-Day-Old Girl Is Evaluated in the Newborn Nursery Due

question 112

Multiple Choice

A 1-day-old girl is evaluated in the newborn nursery due to swollen hands and feet.  She was born at term via an emergency cesarean because her mother had preeclampsia with severe features complicated by pulmonary edema.  The newborn's vital signs are normal.  Examination shows a short, webbed neck; dysplastic nails; and bilateral, nonpitting carpal and pedal edema.  Ultrasound of the abdomen shows a horseshoe kidney.  Which of the following is the most likely cause of the edema in this patient?

• A)Capillary hyperpermeability
• B)Decreased albumin synthesis
• C)Excessive sodium retention
• D)Increased urinary loss of protein
• E)Left ventricle hypocontractility
• F)Lymphatic network dysgenesis

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Definitions:

Environmental Influences

Factors stemming from the external surroundings that impact an individual's development, behaviors, or life outcomes.

Scientific Method

A systematic, logical approach to discovering how things in the universe work, involving hypothesis, experimentation, observation, and conclusions.

Hypothesis

A tentative explanation or assumption made on the basis of limited evidence as a starting point for further investigation.

Hypothesis

An initial theory offered following the observation of limited data, intended to guide subsequent detailed exploration.