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You are evaluating a 13-day-old infant for his routine postdischarge follow-up visit from the hospital. This is the fourth child for this mother, with children aged 8 years, 4 years, and 3 years also in the home. This child is the product of an uneventful pregnancy and scheduled repeat cesarean delivery at term with a birth weight of 3133 g. There were no intrapartum or early neonatal problems and you discharged the child home at 40 hours of age. Upon entering the examination room today, you note that the infant is strapped in his baby carrier and is wildly wailing. The mother is sitting quietly in her own chair and seems unaffected by the crying. When you ask the mother how things are going, she says “fine,” but does not make eye contact with you and does not attempt to quiet the baby, even though a prepared bottle of formula is in her hand. You offer the bottle to the baby yourself and note that the infant avidly sucks. The mother seems not to notice any of this. Today’s chart identifies a weight of 2790 g. What is the most likely etiology for this infant’s weight loss?
SCIENCE
HEALTH SCIENCE
NURSING

 
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