The pediatrician should be able to make an appropriate evaluation of a small-for-gestational age new-born infant, with ability to differ-entiate among maternal toxemia, placental insufficiency, chromo-some abnormality, intrauterine in-fection due to cytomegalovirus, maternal malnutrition, fetal alcohol syndrome, maternal heroin addic-tion, maternal smoking, or dysplas-tic causes and develop an appro-priate plan for management (Top-ics, 86/87).
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Joseph B. Warshaw (1986) studied this question.
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