13. Choice A is the correct answer. Neonatal fever and potential sepsis needs to be treated as a seconds to minutes emergency in the emergency room. Patients in this age group can look perfectly fine and have sepsis or meningitis. This patients needs a spinal tap and the goal is to have all cultures collected and have ampicillin, gentamicin and acyclovir infusing in under an hour of arriving there. Rocephin is not the best choice for antibiotic coverage in the neonatal period. Also coverage agains herpes should be initiated too with a vaginal delivery. There is literature to support covering with acyclovir in this situation. Choice D needs to be done but is simply not aggressive enough in this situation.
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