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Question of the Month – November 2025

You are seeing a 2-week-old in your office for a weight check. The baby was full term, and mom reported a history of hypothyroid, gestational DM and bipolar I disorder. Mom has older children and states she feels like this baby is sleepier than her others were at this age, barely waking to feed. She says she thinks the baby’s lips and nails are blue. Vitals include HR 190, RR 55bpm, O2 sat 89%. On the exam, the baby is mildly hypotonic with cyanotic lips and nails. You appreciate a holosystolic murmur at the left lower sternal border and a loud 1st heart sound. You again inquire about the medications mom was on during her pregnancy. The one you are most concerned with is:
A. Escitalopram
B. Lithium
C. Duloxetine
D. Alprazolam

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Poll of the Month - November 2025

My favorite part of Thanksgiving is:
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