A 24-day-old infant presents as triage level 2 with rectal temperature 38.4°C and decreased feeding. He appears nontoxic, oxygen saturation is 99%,

Question

A 24-day-old infant presents as triage level 2 with rectal temperature 38.4°C and decreased feeding. He appears nontoxic, oxygen saturation is 99%, urinalysis is pending, and no viral source is apparent. Which of the following is the most appropriate next step in management?

Accepted Answer

Obtain blood, urine, and CSF studies and give parenteral antibiotics with admission

Answer

Delay evaluation until fever exceeds 39.5°C

Answer

Discharge if respiratory viral panel is negative

Answer

Give oral amoxicillin without cultures

Answer

Observe at home with antipyretics

Febrile neonate — ABEM Board MCQ

A 24-day-old infant presents as triage level 2 with rectal temperature 38.4°C and decreased feeding. He appears nontoxic, oxygen saturation is 99%, urinalysis is pending, and no viral source is apparent. Which of the following is the most appropriate next step in management?