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NBME 7 block 2 Q13 - happydoctor
#1
A male newborn born at 30 weeks gestation is admitted to the neonatal intensive care unit. His grandmother insists that the child be given chamomile tea to treat his complications of prematurity. She gets agitated when the nursing staff tries to assure her that he is being cared for appropriately. She requests that her grandson be transferred to another pysician at another hospital. At the grandmother's insistence, she and the child's mother meet with the physician to discuss the grandmother's requests. After the pysician listens to the grandmoher's reason for wanting to use the tea, which of the following approaches is most appropriate?

a. explain that the tea will increase the child's risk for developing sloughing of the GI mucosa
b. gain the grandmother's support by acknowledging that she probably knows best and tell her that the tea will be administered, but fail to do so.
inform that mother and the grandmother of the physican's credentials to assure then that the child is getting the best care possible
d. negotiate a plan to give the tea when the child's gstrointestinal tract will allow administration of liquids.


What's your choice and please please please explain why?
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#2
a

the best choice
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#3
The correct answer is d.
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