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You Are Called to the Nursery to Evaluate a Newborn

question 452

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You are called to the nursery to evaluate a newborn infant.  The mother is a 24-year-old primigravida.  Her pregnancy was complicated by preeclampsia.  The infant was delivered at 39-weeks gestation via emergent cesarean section due to maternal hypertension and non-reassuring fetal heart tones.  On examination, the infant's weight is 2.6 kg (5 lb 11 oz) placing him in the 5th percentile, height is 18 inches (46 cm) placing him in the 5th percentile, and head circumference is 13 inches (33 cm) placing him in the 10th percentile.  The infant's head seems large for his body.  There is a paucity of subcutaneous fat.  The remainder of the physical examination is unremarkable.  This infant is at risk for having (or developing) which of the following?


Definitions:

Defined-contribution Plan

Defined-contribution Plan is a retirement savings plan where the amount contributed by the employer or employee is specified, but the future benefit amount is not guaranteed.

Contributory Plan

A pension plan in which contributions are made jointly by employees and employers

Registered Retirement Savings Plan

A retirement savings and investing tool for employees and the self-employed in Canada, offering tax benefits.

Pay-as-you-go Philosophy

A financial strategy where expenses are paid for as they occur, rather than using credit or accumulating debt.

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