15.    A small-for-gestational age infant at the NICU.

a)        Describe the skin features.

           Blue-berry muffin rash.

b)         What condition is it pathognomic of ? 

            Congenital rubella syndrome.

c)         Which part of the pregnancy does it usually occur? 

            1st trimester.

d)         What do you do if the mother has negative serology during her pregnancy?

            1.    Advise her to keep away from children and do not share utensils with others in the family.

             2.    Vaccinate her after pregnancy.

e)        What other manifestations can this baby present with?

            1.    Jaundice.

            2.    Anemia.

            3.    Microcephaly.

            4.    Intrauterine growth restriction.

            5.    Mental retardation.