A 6-Day-Old Boy Is Brought to the Office for a Routine

A 6-day-old boy is brought to the office for a routine visit after birth.  The patient is exclusively breastfed with adequate voiding and stooling.  Prenatal and birth histories are unremarkable.  He was born full term via spontaneous vaginal delivery.  Temperature is 37.2 C (99 F) , blood pressure is 82/52 mm Hg, pulse is 144/min, and respirations are 42/min.  Oxygen saturation is 98% on room air.  The patient is comfortable and in no distress.  Lungs are clear to auscultation.  A soft, 2/6 holosystolic murmur is heard at the left lower sternal border.  Apical cardiac impulse is normal.  Brachial and femoral pulses are 2+ and equal.  The skin is pink and well perfused.  Which of the following is the most appropriate next step in management of this patient?

A) Administer indomethacin
B) Administer prostaglandin E1
C) Obtain arterial blood gas
D) Perform echocardiography
E) Provide reassurance with no further workup

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free