This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Which of the following is most suggestive of neonatal small bowel obstruction? \nSelect and explain. \nA. Bilious vomiting, B. Refusal of feeds, C. Generalized abdominal distension, D. Failure to pass meconium in the first 24 hours', 'role': 'user'}, {'content': "Answer: A \nExplanation: Bilious vomiting in a newborn is abnormal and has to be considered as indicative of intestinal obstruction until proven otherwise. Ref: Bailey and Love's Sho Practice of Surgery, 24th Edition, Page 1198; Fundamentals of Surgical Practice: A Preparation Guide for The Intercollegiate By Andrew Kingsnoh, Douglas Bowley, Page 577.", 'role': 'assistant'}]