Case 401

Medical history

Pregnant, 34-years-old, in her fourth pregnancy, gestational age of 24 weeks, with no remarkable medical history, showing well development of pregnancy, of habitual risk. Folic acid was not supplemented in pre-conceptional period. The patient was referred to Fetal Medicine service due to ultrasound finding in the second trimester, performed in the 22º week. No other structural abnormality was observed.

Considering the clinical history and images presented, what is the better medical conduct?

Test question

(USP – 2020) Medical residency
Patient with one 1-year-old son, desires new pregnancy and demands preconception counseling. A photograph of the child, as newborn, is observed:

What is the specific orientation related to this case?

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