Q:

You are resident in Pediatrics

Anwaar
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2022-09-05
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You are resident in Pediatrics, called at midnight to atten delivery of expected baby with multiple malformations and oligohydromnias as had been reported in antenatal scan, mother in stage I labor so far. Of the following, your BEST plan of action is to

  1. counsel the parents that you will go for (DNAR) status
  2. start your usual resuscitation waiting for your senior
  3. explain that the result of antenatal scan is final
  4. call your consultant or senior resident
  5. apply palliative care for the coming neonate
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Anwaar
2022-09-05
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 (D). In such situation when you have time (mother still in stage I labor), the best response is to call your direct senior resident or consultant then explain the result of antenatal scan trying to put the parents in the expected situat on. Starting the usual resuscitation is the best chaice when there is no time and the baby arrived. The decismn of (DNAR) should be made by the ethical hospital committee or supervising consultant and should be powered by national legislations

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