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Advanced maternal age
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Caesarean section delivery
Gestational age
Maternal diabetes
Maternal hypertension
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This patient is presenting with neonatal polycythemia which can occur secondary to maternal hypertension. Neonatal polycythemia is common when there is a decreased delivery of blood to the placenta. This can occur in untreated diabetes, preeclampsia, smoking, and hypertension. Symptoms include respiratory distress, hypoglycemia, and neurologic manifestations. Incorrect Answers: Answer 1: Advanced maternal age is a risk factor for genetic abnormalities but is not a prominent risk factor for neonatal polycythemia. Answer 2: Caesarean section delivery is a risk factor for other complications (neonatal respiratory distress or poorly colonized infant gastrointestinal tract) but not for neonatal polycythemia. Answer 3: Gestational age of 36 weeks would not be a risk factor for neonatal polycythemia. At this age, most organ systems are completely developed. Answer 4: Maternal diabetes is a risk factor for neonatal polycythemia; however, this patient's diabetes is well controlled with diet and exercise. Bullet Summary: Neonatal polycythemia can occur in untreated diabetes, preeclampsia, smoking, and HTN.
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