Systemic lupus erythematosus (SLE) Quiz: Ace Your Exams

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A female newborn is undergoing standard assessment shortly after an uncomplicated vaginal delivery at 39 weeks gestation. The patient’s 22-year-old mother, G1P1, did not receive prenatal care, has no prior medical history, and takes no medications. The newborn is alert and vocalizing loudly. Apgar scores at 1 and 5 minutes are 8 and 9, respectively. The patient is at the 35th percentile for length and the 40th percentile for weight. The patient’s temperature is 36.4°C (97.5°F), pulse is 70/min, respirations are 40/min, and blood pressure is 87/55 mmHg. Physical exam shows annular lesions with central atrophy and raised margins located over the scalp and periorbital area. Which of the following antibodies is most likely to be present in the newborn’s serum?  

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