Abnormal Umbilical Artery Doppler in Pediatrics — Case | Neonatology | SMLE Q#16682
SMLE Question #16682
Pediatrics
Neonatology
Objective: OBJ-386
Last updated: February 2026
A 26-year-old primigravida delivers a male infant vaginally at 34 weeks’ gestation. The pregnancy was complicated by untreated chronic hypertension. Third-trimester ultrasound showed fetal growth restriction with abnormal umbilical artery Doppler findings. At birth, the infant weighs 1.8 kg, is small for gestational age, and has thin, wrinkled skin with decreased subcutaneous fat. Apgar scores are 8 and 9 at 1 and 5 minutes. What is the most likely underlying cause of these findings?
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