A 12-Month-Old Baby Girl Is Brought to the Office Because of Vomiting

question 219

Multiple Choice

A 12-month-old baby girl is brought to the office because of vomiting and diarrhea.  She became ill 3 days ago when she developed a low-grade fever and diarrhea.  She refuses to eat, but was drinking some liquids until yesterday when she began vomiting.  In the last 24 hours, she has had 1 wet diaper.  Temperature is 38 C (100.4 F) , blood pressure is 90/50 mm Hg, pulse is 110/min, and respirations are 25/min.  On examination, she is lethargic with sunken eyes.  Her mucous membranes are dry and her capillary refill is 3-4 seconds.  Which of the following is the next best step in the management of this patient?

• A)Oral rehydration therapy
• B)20 mL/kg of normal saline IV bolus
• C)20 mL/kg of D5 normal saline IV bolus
• D)20 mL/kg of 1/2 normal saline IV bolus
• E)20 mL/kg of 1/4 normal saline IV bolus

---

Definitions:

Frontality

The depiction of a subject in visual arts where the figure is shown facing forward, directly engaging with the viewer.

Stiff Poses

A term describing rigid, unnatural body positions in art, often noted in earlier portrayals of the human figure.

Classical Relief

A sculptural technique where the sculpted elements remain attached to a solid background of the same material, traditionally used in the art of the ancient Greeks and Romans.

Hairstyles

The manner in which a person's hair is cut, styled, and arranged, often serving as an expression of personal or cultural identity.