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👑 A 42-week pregnant woman with body mass index 36 and chronic poor nutrition delivers a 2600 g infant. The infant is below the 10th percentile for gestational age. During pregnancy, the mother had hypertension, proteinuria, and low calcium intake. The baby later develops abnormal retinal development, while an older sibling had spina bifida. Which combination is MOST accurate according to the lecture?
🔹A) Infant is low birth weight; maternal calcium deficiency is unrelated to prematurity; retinal abnormality most likely due to vitamin K deficiency.
🔹B) Infant is small for gestational age; maternal calcium deficiency may contribute to uteroplacental insufficiency; retinal abnormality is linked to omega-3/docosahexaenoic acid deficiency; previous spina bifida suggests need for 5 mg folic acid in future pregnancies.
🔹C) Infant is extremely low birth weight; maternal obesity protects against lactation problems; neural tube defects are most linked to iodine deficiency.
🔹D) Infant is appropriate for gestational age because weight is above 2500 g; retinal abnormality is unrelated to maternal nutrition; folic acid only needed after conception.
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👑 A pregnant woman drinks tea with every iron tablet. Which compound is MOST responsible for reduced absorption?
🔹A) Retinol.
🔹B) Tannins.
🔹C) Docosahexaenoic acid.
🔹D) Leptin.
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👑 A lactating mother has poor dietary intake, but her breast milk zinc level remains relatively preserved. What is the BEST explanation?
🔹A) Zinc in milk strongly depends on maternal intake.
🔹B) Maternal stores compensate, so zinc changes little with nutrition.
🔹C) Zinc is synthesized in mammary tissue independently.
🔹D) Zinc concentration rises during maternal malnutrition.
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👑 Which vitamin deficiency is MOST directly linked to impaired DNA synthesis and neural tube defects?
🔹A) Vitamin A deficiency.
🔹B) Folic acid deficiency.
🔹C) Vitamin D deficiency.
🔹D) Vitamin E deficiency.
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👑 A newborn has severe irreversible intellectual disability, deaf-mutism, and growth retardation. Which maternal deficiency MOST likely caused this?
🔹A) Folate deficiency.
🔹B) Calcium deficiency.
🔹C) Iodine deficiency.
🔹D) Vitamin K deficiency.
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👑 A pregnant woman takes excessive vitamin A supplements during the first trimester. Which fetal complication is MOST consistent with the lecture?
🔹A) Neural tube defects due to impaired DNA synthesis.
🔹B) Craniofacial and central nervous system malformations due to teratogenicity.
🔹C) Congenital hypothyroidism due to iodine suppression.
🔹D) Macrocytic anemia due to vitamin B12 inhibition.
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👑 A neonate is born weighing 2600 g at 42 completed weeks gestation and below the 10th percentile for gestational age. Which classification is MOST accurate?
🔹A) Normal birth weight only.
🔹B) Low birth weight only.
🔹C) Small for gestational age.
🔹D) Extremely low birth weight.
