An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care pediatric nurse practitioner notes vomiting, poor feeding, lethargy, and mild dehydration. Which action is correct?

Question

Quizplus · Accepted Answer

The presenting symptoms of vomiting, poor feeding, lethargy, and dehydration suggest an adrenal crisis, which is a medical emergency. In this situation, the infant needs immediate medical attention and treatment, which cannot be provided in a clinic setting. Therefore, referring the infant to the emergency department for fluids, dextrose, and steroids is the most appropriate action. Options A and C may be appropriate for maintenance treatment of congenital adrenal hyperplasia, but they are not appropriate for treating an adrenal crisis. Option B may not be sufficient to address the severity of the infant's condition.

An Infant Has Congenital Adrenal Hyperplasia