What finding is most often associated with spina bifida occulta in a newborn?

Spina bifida occulta is a form of spina bifida that occurs when there is an incomplete closure of the bony encasement of the spinal cord. This condition is often asymptomatic, particularly in the early stages. One of the key findings associated with spina bifida occulta in newborns is a lower lumbar dimple, which appears as a small indentation in the skin in the lumbar region. This dimple can be an indication of underlying spinal defects.

The presence of a lower lumbar dimple can prompt further investigation to rule out any neurological issues or complications stemming from the incomplete closure of the spinal neural tube. This finding is particularly significant because it can serve as a marker for health professionals to monitor for potential developmental concerns as the child grows.

Other options such as cephalohematoma, skin rash, and clubfoot do not have a direct association with spina bifida occulta and are typically related to different conditions or complications that occur during birth or in early infancy, making them less relevant in this context.