A 27-Year-Old Gravida 2, Para 1 Comes to the Physician

A 27-year-old gravida 2, para 1 comes to the physician for her first antenatal visit. She has had an itchy rash all over her body for the past 3 days. It started on her face and gradually progressed downwards. She reports painless swelling of her knee joints and denies trauma. She had flu-like symptoms 3-4 days prior to the appearance of the rash. She delivered her first child vaginally without complications. She takes an iron supplement; her immunization records are unavailable. Examination shows a pink maculopapular rash over her body sparing her palms and soles. Postauricular lymphadenopathy is present. Knee joints are mildly swollen and range of motion is normal. Examination shows a uterus consistent with a 24-week gestation. The fetus is at highest risk for developing which of the following complications?

A) Epicanthic folds and brachycephaly
B) Hydrocephalus and chorioretinitis
C) Meningitis and malformed teeth
D) Microcephaly and hearing loss
E) Mucocutaneous vesicles and keratitis