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
A 5 years old child presented with continuous fever and features of sepsis with a BP of 90/60 mm Hg, Pulse rate 144/min and respiratory rate of 30/min. What is the initial fluid of choice for management? 
Select and explain. 
A. 10 mL/kg of 10% dextrose, B. 10 mL/kg of hydroxyethyl starch, C. 20 mL/kg of 0.45% normal saline, D. 20 mL/kg of 0.9% normal saline
D: 20 mL/kg of 0.9% normal saline
Answer: D: 20 mL/kg of 0.9% normal saline 
Explanation: Ans: D : 20 mL/kg of 0.9% normal salineExplanation:(Ref: Ghai 8Ie p718)In hypovolemic or septicemic shock, replacement of intravascular volume by isotonic fluids is the main stay of treatment.Hence, normal saline resuscitation with 20 ml/kg boluses.