A 2-Day-Old Girl Is Evaluated in the Newborn Nursery Due

question 312

Multiple Choice

A 2-day-old girl is evaluated in the newborn nursery due to tachypnea, sneezing, and diarrhea.  The patient was born via spontaneous vaginal delivery and had been feeding well until several hours ago, when she became tachypneic.  She has also been persistently crying and difficult to console.  The patient's mother did not receive prenatal care during this pregnancy.  Respirations are 65/min.  All other vital signs are normal for age.  On physical examination, the patient is irritable and has mildly increased tone in all extremities with occasional tremors of the arms and legs.  Chest radiograph reveals normal lung fields.  Serum glucose and complete blood count are within normal limits, and urine toxicology is pending.  Nonpharmacologic interventions do not significantly improve the patient's symptoms.  Which of the following pharmacotherapies would most likely improve this patient's symptoms?

• A)Flumazenil
• B)Morphine
• C)Naloxone
• D)Sodium bicarbonate
• E)Vitamin K