Answer to Question 1
Correct Answer:
Rationale 1: This long-term effect is often seen in children with fetal alcohol syndrome, not SGA.
Rationale 2: SGA infants are likely to develop cognitive disabilities such as poor fine motor coordination, hyperactivity, learning disabilities, and hearing loss.
Rationale 3: Many infants with myelomeningocele will suffer life-long paralysis below the site of the cyst. Paralysis is not generally associated with SGA infants.
Rationale 4: Although it may occur, disfiguration is not commonly associated with SGA infants. Instead, disfiguration is more likely to remain in infants with congenital anomalies such as cleft lip/cleft palate, even after corrective surgery.
Answer to Question 2
Correct Answer: 1
Rationale 1: This patient is at greatest risk because she has multiple risk factors: age over 35, high parity, history of preterm birth, and exposure to chemicals that might be toxic.
Rationale 2: The main risk factor for this patient is her low socioeconomic status.
Rationale 3: This patient has two risk factors: young age and late onset of prenatal care.
Rationale 4: This patient has gestational diabetes history as her only risk factor.