Mildly Decreased Tone in Pediatrics — Case | Pediatric Emergency | SMLE Q#4866

SMLE Question #4866

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 2-day-old term male infant has 6 hours of poor feeding and decreased activity. He was discharged at 24 hours of life after an uncomplicated vaginal delivery. He is lethargic but arousable, with mildly decreased tone and no focal source of infection on examination. What is the most appropriate initial management?

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