Approach to prenatal teratogen exposure Quiz: Ace Your Exams
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A 2-day-old newborn delivered at term is being evaluated for irritability, jitteriness, and diarrhea. Maternal history is positive for seizures that are controlled with antiepileptics, and prescribed oxycodone was used after an orthopedic procedure during pregnancy. Delivery was uneventful; rupture of membrane was for 4 hours, and Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. There is no history of maternal fever or rash. Temperature is 37°C (98.6°F), pulse is 188/min, respirations are 38/min, blood pressure is 80/52 mmHg, and oxygen saturation is 96% on room air. On physical examination, the patient has a high-pitched cry, no dysmorphic features, and no rash. Cardiopulmonary exam is unremarkable. Bedside glucose is 72 mg/dL. Which of the following tests should most likely be ordered next as part of this workup?
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