<prompt> A neonate delivered at 38 weeks of gestation with a birth weight of 2.2 kg develops intolerance to feedabdominal distension on the second day. Physical examination is unremarkable. Sepsis screen is negative. PCV is observed to be 72. Which of the following represents the best management optionHydration with IV FluidsPartial Exchange TransfusionPresumptive treatment for sepsisMedical Management for intestinal obstruction  <response>: PCV 72 in a neonate suggests the diagnosis of neonatal polycythemia.Polycythemia is defined as central venous hematocrit level of greater than 65.The neonate in question is also having an intolerance to feed and abdominal distension.So, this neonate is having symptomatic neonatal polycythemia.Treatment of neonatal polycythemiaTherapy in newborns with polycythemia is based on both the measured central venous hematocrit level and the presence or absence of symptoms.1 Symptomatic polycythemiaPartial exchange transfusion is the treatment of choice.2 Asymptomatic polycythemiaIn asymptomatic polycythemia, treatment depends upon hematocrit level PCV.i PCV 65-75Perform cardiorespiratory monitoring and monitoring of hematocrit and glucose levels every 6-12 hours and observe the patients for symptomsIf hematocrit PCV becomes more than 75, consider partial exchange transfusion PET.ii PCV 75Partial exchange transfusion PET is the treatment of choice. 