A newborn male infant is evaluated in the neonatal intensive care unit for growth restriction. The infant was born to a 29-year-old
woman, gravida 3 para O aborta 2, who did not receive prenatal care. The mother presented in labor at approximately 38 weeks
gestation and had a forceps-assisted vaginal delivery due to fetal heart rate abnormalities. Apgars were 6 and 8 at 1 and 5 minutes,
respectively Weight is 2.5 kg (5.5 lb) Physical examination shows microcephaly, a wide anterior fontanelle, cleft palate, and
hypoplasia of the distal phalanges Further evaluation of the mother would most likely reveal a history of which of the following?
Q A Alcohol use
Q B. Cocaine use
Q C. Lisinopril use
Q D. Phenytoin use
Q E. Untreated syphilis
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