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[Expert Solution]: A young woman arrives in the emergency…

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A young woman arrives in the emergency department complaining of severe abdominal and back pain. After a battery of tests, it is determined that the woman is pregnant and in labor. She denies knowledge of the pregnancy, and therefore has received no prenatal care. An ultrasound is performed to determine the approximate gestational age of the infant. The ultrasound shows a child of approximately 29 weeks’ gestation with an apparent posterior neural tube defect. An absence of amniotic fluid is evident, suggesting a prior rupture of membranes. Because of the defect and a possible risk of infection, the team advises the mother to deliver the child via cesarean section as soon as possible. After delivery, the child is taken to the neonatal intensive care unit, where the infant is evaluated and cared for. The child is diagnosed with a thoracic myelomeningocele and is surgically repaired within 24 hours of delivery.

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