Question
A 24-year-old woman delivers twins at 36 weeks of gestation. During postnatal counseling, the pediatrician identifies certain factors that classify newborns as high-risk infants. Which of the following conditions in this scenario is considered a high-risk factor for the infant?
| A. |
Working mother
|
| B. |
Antenatal preeclampsia
|
| C. |
Third child
|
| D. |
Twins
|
Show Answer
|
Correct Answer » D
Explanation
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|
High-risk infants have ↑ risk of illness or death due to maternal, fetal, or perinatal factors
Important high-risk factors:
– Maternal: age <18 or >35, severe anemia, diabetes, infections
– Obstetric: multiple pregnancy, preterm birth, low birth weight, birth asphyxia
– Neonatal: prematurity, congenital anomalies, sepsis
– Twin pregnancy is a classic high-risk factor because it causes:
• Prematurity
• Low birth weight
• ↑ perinatal morbidity & mortality
– Twins are thus always considered high-risk infants.
Incorrect Options:
– A: Working mother is not a biological/medical infant risk factor.
– B: Preeclampsia alone doesn’t classify infant as high-risk unless causing prematurity/growth restriction.
– C: Third child is not high risk; parity risk ↑ after 4th child.
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