13. A 2 day old female born via vaginal delivery to a group B strep negative mother presents to the emergency room with a fever 104 rectally, BP 92/43, RR 36, HR 189. Preliminary assessment reveals the child to be non toxic appearing with no focus of infection. There is no nuchal rigidity and there is no bulging or sunken fontanelle. Which of the following is the best management option?
A. Perform an immediate spinal tap and start IV ampicillin, gentamicin, and acyclovir
B. Get a urinalysis, chest x ray, RSV and an influenza swab and give a shot of rocephin 50 mg/kg IM
C. Get a urinalysis, chest x ray, RSV and an influenza swab and give a shot of rocephin 100 mg/kg IM
D. Perform a CBC, BMP, Blood Culture, CRP, Urinalysis and a Chest X Ray and admit the child for observation
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