To examine: Whether the statement “Famine during pregnancy is associated with pSGA at birth and increased risk of heart disease, stroke, and type 2 diabetes in adult offspring” is true or false. Introduction: Maternal nutrition is one of the most important factors during pregnancy which can determine the overall health and well-being of the growing infant. Famine refers to an extreme shortage of food in a wide area over a prolonged period of time. It can be attributed to various factors such as crop failure, war, and inflation. This is usually followed by starvation, malnutrition, and high mortality.

Question

A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…

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Question

Chapter 4, Problem 12RQ

Summary Introduction

To examine: Whether the statement “Famine during pregnancy is associated with pSGA at birth and increased risk of heart disease, stroke, and type 2 diabetes in adult offspring” is true or false.

Introduction: Maternal nutrition is one of the most important factors during pregnancy which can determine the overall health and well-being of the growing infant. Famine refers to an extreme shortage of food in a wide area over a prolonged period of time. It can be attributed to various factors such as crop failure, war, and inflation. This is usually followed by starvation, malnutrition, and high mortality.

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A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…

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