Approach to birth injury (pediatrics) Quiz: Ace Your Exams

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A baby boy is born at 41 weeks of gestation via spontaneous vaginal delivery. Delivery was complicated by prolonged labor requiring forceps. Apgars were 6 and 9. On initial evaluation, the infant is 4150 grams. Temperature is 36.7°C (98°F), pulse is 162/min, respirations are 40/min, and oxygen saturation is 96% on room air. The infant is crying vigorously, and the eyes remain shut. The anterior fontanelle is open and flat. There is a palpable concave depression over the right parietal region. Cardiopulmonary examination is within normal limits. Which of the following should be ordered next to confirm the diagnosis?

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Skull radiographs

Computed tomography (CT) of the head

No further imaging is required

Magnetic resonance imaging (MRI) of the head

Cranial ultrasound