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: Pediatrics
[{'content': 'A neonate weighing 1500 grams is delivered at 33 weeks. Which of the following would be the most appropriate method of nutrition for the baby? \nSelect and explain. \nA. IV fluids and oral feeding, B. Orogastric feeding/alternate oral feeding, C. Total parenteral nutrition, D. IV fluids and assessment/follow-up', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Feeding of a preterm neonate\n\nThe aim of nutritional management of a preterm infant is to achieve full enteral feeding as soon as possible.\nFor pretenn infants of more than 34 weeks of gestation, it is possible that breast or bottle feeding can be adopted as they should be able to coordinate sucking, swallowing and breathing.\nBut for those younger infants who may have compromised respiration or be neurologically less well developed, this may not be advisable and nutrients may need to be passed into the stomach through a fine tube either through the mouth (oro-gastric tube) or the nose (naso-gastric tube). Nasogastric tube increases the airway impedance and work of breathing, therefore, the orogastric tube is preferred over nasogastric tube.\nBreast milk is the food of choice as it is best tolerated and includes other benefits as well as nutrition.\nTPN is given to VLBW infants who cannot tolerate gastric tube feeds, have the gastric disease; enteral feeding (by tube) is not possible or just while enteral nutrition is being established. Another important indication for TPN is sick premature/LBW infants which include Infants with:\n\n\n\nSignificant respiratory distress required assisted ventilation.\nShock requiring isotropic support.\nSeizures, renal/cardiac failure\nSymptomatic hypoglycemia/hypocalcemia, electrolyte abnormalities.\nThe surgical condition of GIT, NEC, hydrops\n\n\nEven in these sick infants, enteral feed should be started as early as possible.', 'role': 'assistant'}]