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A 2900-G (6

Question 6

Multiple Choice

A 2900-g (6.4-lb) male newborn is delivered at term to a 29-year-old primigravid woman. His mother had no routine prenatal care. She reports that the pregnancy was uncomplicated apart from a 2-week episode of a low-grade fever and swollen lymph nodes during her early pregnancy. She has avoided all routine vaccinations because she believes that "natural immunity is better". The newborn is at the 35th percentile for height, 15th percentile for weight, and 90th percentile for head circumference. Fundoscopic examination shows inflammation of the choroid and the retina in both eyes. A CT scan of the head shows diffuse intracranial calcifications and mild ventriculomegaly.Which of the following maternal interventions would have been most effective in preventing this patient's condition?


A) Adequate preconception immunization
B) Avoidance of consumption of undercooked meat
C) Consumption of unpasteurized cow's milk products
D) Strict avoidance of mosquitoes during pregnancy
E) Use of prophylactic penicillin during labor

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