<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 28-year-old pregnant female presents for a prenatal check-up at 20 weeks gestation, which includes routine screening ultrasound. Fetal ultrasound demonstrates bilateral multicystic dysplastic kidneys. Her pregnancy has been complicated by persistent oligohydramnios. The child requires significant pulmonary support upon delivery. Which of the following clinical findings is most likely present in this child as a result of these abnormalities?? A: Urachal fistula, B: Esophageal atresia, C: Spina bifida occulta, D: Clubbed feet, E: Macrosomia,  <response>: This is a clinical vignette describing a case of fetal bilateral multicystic dysplastic kidneys detected on prenatal ultrasound. The key findings are bilateral multicystic kidneys, oligohydramnios, and significant pulmonary support needed after delivery. Multicystic dysplastic kidneys are characterized by multiple cysts of varying size and the absence of normal renal parenchyma. This condition is often associated with decreased amniotic fluid oligohydramnios likely due to decreased fetal urine production. The pulmonary hypoplasia described requiring respiratory support after delivery is a known complication of oligohydramnios during fetal development. Of the answer choices provided, the only one that can result from pulmonary hypoplasia due to oligohydramnios is choice D - clubbed feet. The other choices are unrelated to this clinical scenario.D: Clubbed feet 