Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            scular signs as posture, square window (wrist), arm 
recoil, popliteal angle, scarf sign and heal to ear sign.  
 Each sign has a number score, and the cumulative score 
correlates with a maturity rating for 26-44. 
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3. Systematic physical examination: 
General Measurements: 
-  Birth weight: 2700 - 4000 g. 
- Head Circumference: 33-35 cm, about 2-3 cm larger than chest 
circumference. 
- Chest Circumference: 30.5- 33 cm. 
- Head to heel length: 48-53cm. 
 
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Vital Signs: 
Temperature:   Axillary: 36.5°C- 37°C. 
Heart Rate: Apical 100 -140 beats/ min. 
Respiratory: 30-60 breaths/ min. 
Blood Pressure: 65/41 mmHg. 
General Appearance: 
Posture: 
  Flexion of head and extremities while rest on chest and abdomen.  
Skin: 
 At birth, bright red, puffy smooth. 
 Second to third day dark pink and dry. 
 It is soft and has good elasticity or tissue turgor due to hydrated 
subcutaneous tissue 
 Edema is seen around eye, face, legs and scrotum or labia. 
  Cyanosis of hands and feet may occur. 
Vernix Caseosa: 
         It is a soft yellowish cream, which covers the neonates at birth 
to protect the skin from infection. It is formed of sebaceous gland 
mixed with old epithelial cells. It may thickly cover the baby or it 
may be found only in the body crease and between the labia. 
    
 
 It dries off within 24-48 hours, fades spontaneously and rubs off on 
the infant's clothes.  
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Lanugo Hair: 
It is a long soft growth of fine hair observed on the shoulders, 
back, extremities, forehead and temples of the neonate. The more 
premature baby is, the heavier the presence of lanugo is. It 
disappears during the first weeks of life 
 
Mongolian Spots: 
A black coloration on the lower back, buttocks, anterior trunk 
and rarely on fingers and feet. They disappear during preschool 
years without treatment. 
 
Desquamation: 
         Pealing of the skin occurs within 2-4 weeks of life. 
 
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Milia: 
         These are small pinpoint white or yellow spots due to 
increased fat secretion. Common on the nose,  forehead, cheeks, and 
chin of the newborn infants. They will disappear within a few weeks 
(one to two weeks). They should not be expressed. 
 
 
Head: 
         The fontanels are soft spots. Consist of openings at the point 
of union of the skill bones. The anterior fontanel & the posterior 
fontanel. 
     Two conditions may appear in the head. These are caput 
succedaneum and cephalhematoma. 
Caput Succedaneum; is edema of the scalp r

            Quiz: