A 4-month-old African-American infant is brought to the pediatrician for a well-baby check-up. He was born at term through a normal vaginal delivery and has been well since. His 4-year old brother has sickle-cell disease. He is exclusively breastfed and receives vitamin D supplements. His immunizations are up-to-date. He appears healthy. His length is at the 70th percentile and weight is at the 75th percentile. Cardiopulmonary examination is normal. The patient's mother smokes a pack of cigarettes daily. Which of the following conditions is the infant at highest risk for developing from exposure to cigarette smoke?

Question

A 4-month-old African-American infant is brought to the pediatrician for a well-baby check-up. He was born at term through a normal vaginal delivery and has been well since. His 4-year old brother has sickle-cell disease. He is exclusively breastfed and receives vitamin D supplements. His immunizations are up-to-date. He appears healthy. His length is at the 70th percentile and weight is at the 75th percentile. Cardiopulmonary examination is normal. The patient's mother smokes a pack of cigarettes daily.   Which of the following conditions is the infant at highest risk for developing from exposure to cigarette smoke?

Quizplus · Accepted Answer

Eductional Objective: The adverse effects of secondhand smoke exposure include an increased risk of low birth weight, asthma, middle ear disease, and sudden infant death syndrome (SIDS).  Up to half of all SIDS cases are due to tobacco exposure, likely from impaired arousal and abnormal cardiovascular responses to stimuli.

A 4-Month-Old African-American Infant Is Brought to the Pediatrician for a Well-Baby