Question 151 · LEK · Transitional states of the neonatal period

A mother came to the GP office with her 7-day-old daughter worrying about a light mucous vaginal discharge in the child. What is the correct management?

  1. A. discharge is a consequence of mother’s estrogen influence, usually self-subsiding, so only the proper care should be recommended.
  2. B. purulent vaginitis with vulvitis should be suspected and the child should be referred to the hospital.
  3. C. fungal vaginitis should be suspected and the child should be referred to a pediatric specialist for consultation.
  4. D. trichomoniasis should be suspected as a consequence of vaginal infection in the mother and the child should be referred to the hospital.
  5. E. viral vaginitis should be suspected as a consequence of vaginal infection in the mother and the child should be referred to the hospital.
Hint

Recognise a transitional state of the neonatal period caused by maternal hormones that requires no treatment.

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