<prompt> Which of the following is most suggestive of neonatal small bowel obstruction?Bilious vomitingRefusal of feedsGeneralized abdominal distensionFailure to pass meconium in the first 24 hours  <response>: Bilious vomiting in a newborn is abnormal and has to be considered as indicative of intestinal obstruction until proven otherwise. Ref: Bailey and Loves Sho Practice of Surgery, 24th Edition, Page 1198; Fundamentals of Surgical Practice: A Preparation Guide for The Intercollegiate By Andrew Kingsnoh, Douglas Bowley, Page 577. 