Nouvelle 11++ Quebec Score For Congenital Hypothyroidism. Mottling of skin 1 10. Congenital hypothyroidism (ch) is thyroid hormone deficiency present at birth. Open posterior fontanel 1.5 8. This can occur because of an anatomic defect in the gland, an inborn error of thyroid metabolism, or iodine deficiency. Quebec Score For Congenital Hypothyroidism - Congenital Hypothyroidism Many babies with congenital hypothyroidism appear normal at birth or for several months after birth.