In the nursery, a newborn boy is being assessed. The patient was delivered through cesarean section at 39 weeks gestation to a 30-year-old primigravida. The 75th to 90th percentiles are reached for head circumference, weight, and length. The fontanelle anterior is open and soft. The neck is flexible. The cardiopulmonary exam was unremarkable, and the abdomen was soft. The back looks to be ordinary. A hip test reveals no hip clicks. Both feet are flexed and adducted, with the soles pointing medially. Both feet are resistant to range of motion testing. Muscle tone is normal, and neonatal reflexes are fully functional. Which of the following types of congenital defects are most likely represented by the aberrant results on this patient's physical examination?

Question

Quizplus · Accepted Answer

Eductional Objective: Extrinsic stresses on a growing fetus create a deformation abnormality. Talipes equinovarus (clubfoot), characterized by a firmly bent downward and inward foot, is a deformation anomaly caused by an undeveloped talus bone.

In the Nursery, a Newborn Boy Is Being Assessed