Question

A 2-day-old term neonate on the postnatal ward becomes lethargic with poor feeding, temperature instability and respiratory distress. The mother had prolonged rupture of membranes. What is the most appropriate immediate management?

Accepted Answer

Start IV broad-spectrum antibiotics and urgent paediatric review

Answer

Observe with 4-hourly observations

Answer

Start oral Amoxicillin

Answer

Discharge home with safety-netting

Answer

Wait for blood culture results before deciding

Practice question

A 2-day-old term neonate on the postnatal ward becomes lethargic with poor feeding, temperature instability and respiratory distress. The mother had prolonged rupture of membranes. What is the most appropriate immediate management?