The Parent of a 3-Month-Old Reports That the Infant Arches

question 15

Multiple Choice

The parent of a 3-month-old reports that the infant arches and gags while feeding and spits up undigested formula frequently. The infant's weight gain has dropped to the 5th percentile from the 12th percentile. What is the best course of treatment for this infant?

• A) Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks.
• B) Institute an empiric trial of acid suppression with a proton pump inhibitor (PPI).
• C) Perform esophageal pH monitoring to determine the degree of reflux.
• D) Reassure the parent that these symptoms will likely resolve by 12 to 24 months.

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Extremely small businesses, often operated by only one person or a few individuals, characterized by minimal revenue and simple operations.

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