Shortly after delivery, a boy is inspected in the newborn nursery. He was delivered vaginally at full term to a 40-year-old lady who had not received prenatal care. His temperature is 36.7 degrees Celsius (98 degrees Fahrenheit), his pulse rate is 132/minute, and his respirations are 38 per minute. Slanted palpebral fissures, epicanthal folds, broad nuchal folds, and a single palmar wrinkle are all visible on examination. The patient has a huge, reducible midline abdominal protrusion that is covered by skin and becomes more visible when he screams. The stump of the umbilical cord is at the middle of the protrusion. Which of the following is the most likely source of the abdominal discovery in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Umbilical hernias are produced by a deficiency in the linea alba and manifest as soft, reducible, and benign protrusions at the umbilicus. They can arise alone or in conjunction with other diseases like Down syndrome.

Shortly After Delivery, a Boy Is Inspected in the Newborn