Abnormal clinical findings

During your newborn rounds, you examine Alex, a one-day-old infant who is set to go home tomorrow. He was born full term, without complications. During the exam, you note he has a deep sacral pit above his gluteal crease. Alex’s mother Celia is 18 years old and did not receive prenatal care until she was 4 months pregnant.

1. What should you tell Alex’s mother about the sacral pit?

2. What should your examination focus on? What abnormal clinical findings might be present?

3. What type of follow-up or testing will Alex need?

4. What type of counseling should you give Celia regarding future

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