QUESTION 33

 

A stillborn male fetus is brought to autopsy for evaluation. The fetus was delivered at approximately 36 weeks gestation to a 26-yearold woman, gravida 5 para 1 aborta 3, who received no prenatal care. The mother came to the hospital in active labor; an ultrasound
on admi
ssion revealed no fetal cardiac activity She had an uncomplicated vaginal delivery of the stillborn fetus, weight 2.2 kg (4.9
lb). The mother had a p
rior healthy female infant via normal vaginal delivery at 39 weeks gestation and 3 subsequent elective
term
inations of pregnancy. She does not use tobacco, alcohol, or illicit drugs The fetus has short, bent extremities. X-ray reveals
mu
ltiple limb fractures and a hypoplastic thoracic cavity Which of the following is the most likely cause of these fetal abnormalities?
QA Achondroplasia
0 B. Amniotic band sequence
0 C. Birth trauma
0 D. Osteogenesis imperfecta
0 E. Paget disease
0 F. Potter sequence
0 G. Vitamin D deficiency

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