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Image Based Question – 66397

Question

The condition as shown in the picture below begin to appear on the anterior portion of the soles of the feet at approximately ?

A. 32 weeks.

B. 22 weeks.

C. 42 weeks.

D. 52 weeks.

 

Show Answer

Correct Answer » A

Explanation

Transverse sole creases as shown in the picture above cover approximately half the sole in this infant, indicating a gestational age of approximately 32 weeks.

  • Transverse creases begin to appear on the anterior portion of the soles of the feet at approximately 32 weeks.
  • By 36 weeks the anterior two thirds of the sole is covered with creases.
  • For adequate assessment of this feature, it is necessary to stretch the skin over the sole gently to distinguish wrinkling from true creases.
  • Infants with congenital neurologic dysfunction involving the lower extremities and infants with pedal edema may lack normal creases.
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