Neonatology MCQ- Q29

PEDIATRIC MCQ  SECTION   Neonatology -   Q29

 

29. A baby boy is born by emergency Caesarean section at 36 weeks of gestation due to rising maternal anti-D titers and pleural effusions seen on the baby’s antenatal scan. He is severely anemic and oedematous at delivery. He has a cord bilirubin level of 2.5mg/dl what is your probable diagnosis?

A. G6pd deficiency
B. Congenital Nephrotic syndrome
C. Hydrops fetalis
D. Turner syndrome
E. Autosomal recessive polycystic kidney disease.

ANSWER= Ans C
Explain:- Hydrops fetalis can be caused by hemolytic disease of the newborn especially Rh incompatibility characterized by edema, anemia, ascites, and pericardial and pleural effusions. This occurs when an Rh -ve mother has an Rh +ve fetus so the antibodies formed against the fetal RBCs.

                             

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