A 33-Year-Old Woman, Gravida 2 Para 1, at 32 Weeks

A 33-year-old woman, gravida 2 para 1, at 32 weeks gestation is brought to the labor and delivery unit and precipitously delivers a male infant within 2 minutes of arrival.  The infant appears small for gestational age.  Apgar scores are 5 and 6 at 1 and 5 minutes, respectively.  The mother did not receive prenatal care this pregnancy.  On delivery, the placenta appears pale and enlarged.  In addition, the umbilical cord is inflamed with multiple areas of abscess-like foci of necrosis surrounding the umbilical vessels.  Which of the following is the most likely cause of these findings?

A) Group B Streptococcus infection
B) Partial hydatidiform mole
C) Placenta accreta
D) Rh(D) incompatibility
E) Spirochete infection

Correct Answer:

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