A breastfednewborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:

Choice A reason:

All milk- and lactose-containing formulas, including breast milk, must be stopped during infancy. Soy protein is the formula of choice for newborns and infants with galactosemia. Breast milk should not be used in newborns and infants with galactosemia because it contains galactose, which they cannot metabolize properly.

Choice B reason:

Adding amino acids to the breast milk will not help the newborn with galactosemia, because the problem is not a lack of amino acids, but a deficiency of the enzyme that breaks down galactose. Amino acids are the building blocks of proteins, not sugars.

Choice C reason:

Substituting a lactose-containing formula for breast milk will worsen the condition of the newborn with galactosemia because lactose is composed of glucose and galactose. The newborns will still be exposed to galactose, which will accumulate in the blood and tissues and cause damage.

Choice D reason:

Giving the appropriate enzyme along with breast milk is not a feasible option for the newborn with galactosemia, because there is no oral enzyme replacement therapy available for this condition. The only treatment is dietary restriction of galactose.

Choice A reason:

Determining maternal well-being is not the purpose of the Bishop's score. The Bishop's score is a pre-labor scoring system to assist in predicting whether induction of labor will be required. It does not measure maternal vital signs, blood tests, or other indicators of maternal well-being.

Choice B reason:

Determining the readiness of the cervix for labor is the purpose of the Bishop's score. The Bishop's score gives points to five measurements of the pelvic examination: dilation, effacement, station, consistency, and position of the cervix. The higher the score, the more favorable or "ripe”. the cervix is for induction of labor.

Choice C reason:

Determining the progress of labor is not the purpose of the Bishop's score. The Bishop's score is used before labor begins to assess the likelihood of a successful induction or a spontaneous preterm delivery. It does not measure contractions, fetal descent, or other indicators of labor progress.

Choice D reason:

Determining the well-being of the fetus is not the purpose of the Bishop's score. The Bishop's score is a cervical assessment tool that does not directly evaluate fetal status. It does not measure fetal heart rate, movement, or biophysical profile.