A boy born at 38 weeks is 44 hours old on the postnatal ward. His mother attends a treatment program for a dai…

Question

A boy born at 38 weeks is 44 hours old on the postnatal ward. His mother attends a treatment program for a daily supervised dose of buprenorphine and reports no other substance use. He has a high-pitched cry, tremors at rest, sweats and has taken only small feeds; his Finnegan scores on the last three assessments were 6, 7 and 6. His blood glucose is 3.5 mmol/L, he is afebrile and he has lost 5% of his birthweight. He is rooming in beside a busy nurses' station under bright lights. Which one of…

Accepted Answer

Move to a quiet room and continue scoring

Answer

Commence oral morphine

Answer

Commence oral phenobarbitone

Answer

Give a 10% glucose bolus

Answer

Transfer to the neonatal intensive care unit

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