<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 26-year-old woman at 30 weeks 2 days of gestational age is brought into the emergency room following a seizure episode. Her medical records demonstrate poorly controlled gestational hypertension. Following administration of magnesium, she is taken to the operating room for emergency cesarean section. Her newborn daughters APGAR scores are 7 and 9 at 1 and 5 minutes, respectively. The newborn is subsequently taken to the NICU for further management and monitoring. Ten days following birth, the baby begins to refuse formula feedings and starts having several episodes of bloody diarrhea despite normal stool patterns previously. Her temperature is 102.2F 39C, blood pressure is 8453 mmHg, pulse is 210min, respirations are 53min, and oxygen saturation is 96 on room air. A physical examination demonstrates a baby in mild respiratory distress and moderate abdominal distention. What do you expect to find in this patient?? A: Absence of ganglion cells on rectal biopsy, B: Double bubble sign on abdominal radiograph, C: High levels of cows milk-specific IgE, D: Gas within the walls of the small or large intestine on radiograph, E: Positive blood cultures of group B streptococcus,  <response>: This is a clinical vignette about a newborn baby girl who is brought to the NICU after an emergency C-section due to poorly controlled gestational hypertension in the mother. The baby initially did well but now at 10 days old has developed refusal of formula feedings, bloody diarrhea, fever, tachycardia, tachypnea, and abdominal distention. The key findings in the vignette are: - Newborn baby girl - Born at 30 weeks 2 days gestation via emergency C-section for maternal preeclampsia- Initially did well but now has feeding refusal, bloody diarrhea, fever, tachycardia, tachypnea, abdominal distentionBased on the presentation, the most likely diagnosis is necrotizing enterocolitis NEC. NEC is a serious intestinal condition that can occur in premature infants, characterized by intestinal inflammation and injury leading to feeding intolerance, bloody stools, abdominal distension, and systemic signs like fever and tachycardia. Choice A is incorrect, as absence of ganglion cells on rectal biopsy would indicate Hirschsprung disease, which is unrelated. Choice B is incorrect, as double bubble sign indicates duodenal atresia, which would be present from birth. Choice C is incorrect, as cows milk protein allergy would not present acutely like this at 10 days old. Choice D is correct, as pneumatosis intestinalis gas within the intestinal wall is a classic radiographic finding in NEC. Choice E is incorrect, as group B strep sepsis would not lead to the intestinal findings described.In summary, based on the clinical vignette with a premature infant presenting with feeding intolerance, bloody stools, abdominal distention, and systemic illness at 10 days of life, the expected radiographic finding would be pneumatosis intestinalis, indicating necrotizing enterocolitis.D: Gas within the walls of the small or large intestine on radiograph 