added tag for question on NBME form 11, section 1 because this card directly relates to the answer of the question, see below:
A 1-day-old female newborn is examined in the nursery. She was born at term to a 31-year-old primigravid
woman following an uncomplicated spontaneous vaginal delivery. The mother has systemic lupus
erythematosus; she was asymptomatic during pregnancy, and her only medication was a prenatal vitamin.
The patient’s Apgar scores were 9 and 9 at 1 and 5 minutes, respectively. Her temperature is 37°C (98.6°F),
pulse is 70/min, respirations are 50/min, and blood pressure is 75/45 mm Hg. Examination shows no
abnormalities. An ECG is shown. Which of the following is the most appropriate next step in management?
Ans: Insertion of a pacemaker