1-hour-old boy is evaluated in the newborn nursery for microcephaly. He was born via spontaneous vaginal delivery to a 26-yearold
woman who did not receive prenatal care. The mother has no known chronic medical conditions. On physical examination, the
boy’s occipitofrontal circumference is >3 standard deviations below the mean. The anterior fontanelle is closed, and the skull is
partially collapsed Cardiopulmonary examination is normal. The abdomen is soft, nontender, and has no palpable masses. Multiple
contractures and a right club foot are noted. The infant has mark,ed hypertonia. Imaging shows thin cerebral cortices and multiple
intracranial calcifications within the cerebral cortex. Which of the following maternal risk factors is most commonly associated with this
infant’s presentation?
- Q A Consumption of unpasteurized dairy products
- Q B. Daily alcohol consumption
- Q C. Inadequate folic acid supplementation
- Q D. Nonadherence to vaccination schedule
- Q E. Travel to a tropical, mosquito-infested region
0 voters