Approach to complications of prematurity (early) Quiz: Ace Your Exams
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A 10-day-old newborn male delivered at 30 weeks’ gestation is in the Neonatal Intensive Care Unit (NICU) and being evaluated for feeding intolerance. He was noted to have increased gastric residuals and two episodes of bilious emesis with nasogastric feeds of expressed breast milk. The nurse reports blood in the diaper and multiple episodes of apnea. The pregnancy was complicated by pre-eclampsia, and the patient was delivered vaginally at 30 weeks for severe pre-eclampsia. Aside from pre-eclampsia, the patient’s biological mother was otherwise healthy throughout the pregnancy. Temperature is 36.5° C (97.7°F), pulse is 115/min, respirations are 45/min, blood pressure is 48/28 mmHg, and oxygen saturation is 95% on room air. On examination, the abdomen is distended with decreased bowel sounds. Cardiopulmonary exam is unremarkable. Labs are obtained, and results are pending. Which of the following tests should be ordered next?
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