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7-week-old Max was born at 39 weeks gestation via normal, vaginal delivery, to a group B strep-negative mom. Mom reports that she had a normal pregnancy with Max and delivery was without complications. His newborn screening was negative. He was well until he woke up at 4 a.m. crying. He felt warm and did not seem himself. For immunizations, he has only received hepatitis B. His temp was measured rectally and he did not receive an antipyretic. He has a 2-year-old brother who attends daycare, but there has been no known ill contacts. The family has not traveled. Mom states he nursed for for about 5-10 minutes in the past 4 hours. He has a wet diaper in the clinic. You perform a thorough ROS, which is negative, except for the fussiness, but he is consolable. He takes vitamin D daily and has no past medical history. Exam: Rectal Temp 100.8 degrees F, HR 120, RR 40, PaO2 98% He is sleeping comfortably, but he arouses easily to stimulation. He is nontoxic appearing; skin color pink and warm, cap refill 2 seconds. No rashes noted, he has normal tone and fontanels. The remainder of the exam is normal. What is
SCIENCE
HEALTH SCIENCE
NURSING
NURP 532