Two Hours After Birth, a Male Infant Delivered at 39

Two hours after birth, a male infant delivered at 39 weeks gestation is assessed in the labor and delivery facility. Prenatal care was restricted owing to minimal follow-up, and the birth was uneventful. At 1 and 5 minutes, Apgar values were 7 and 9, respectively. The weight is 2.47 kg (5 pounds, 7 ounces) , and the vital signs are normal. Upslanting palpebral fissures, transverse palmar creasing, and expansion of the gap between the first and second toes are all visible on physical examination. The parents express their relief that the delivery went smoothly. Which of the following statements by the physician is the most suitable at this time?

A) "Although your son is healthy and doing well, he may have a chromosomal disorder."
B) "I have some news that may be unexpected; would it be okay to share that with you now?"
C) "This may be difficult to hear, but it looks like your son may have Down syndrome."
D) "Unfortunately, your son may have Down syndrome; I'd like to do some bloodwork to confirm."
E) "Your son has some concerning examination findings; did you have any prenatal testing done?"

Correct Answer:

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