Q:

Regarding hemorrhagic disease of the newborn, all the following are true EXCEPT

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Regarding hemorrhagic disease of the newborn, all the following are true EXCEPT


  1. age of onset is usually in 2-7 days old infants
  2. more frequent in breast-fed than in formula-fed infants
  3. bleeding time is normal
  4. oral vitamin K is as effective as intramuscular route in the prevention and treatment of the disease
  5. prothrombin time(PT),and partial thromboplastin time (PTT) are prolonged

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(D). Although oral vitamin K (birth, discharge, 3-4 wk: 1-2 mg) has been suggested as an alternative, oral vitamin K is less effective in preventing the late onset of bleeding due to vitamin K deficiency and thus cannot be recommended for routine therapy. The intramuscular route remains the method of choice.

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