What additional measure would you take after addressing opisthotonos?

Focusing on the management of a newborn experiencing opisthotonos—a condition characterized by severe hyperextension of the back, typically associated with increased intracranial pressure or severe jaundice—it's vital to ensure proper care that addresses the underlying condition.

Increasing the IV rate and starting bilirubin lights is appropriate because opisthotonos could be indicative of serious jaundice in the neonate. When bilirubin levels are high, treatment with phototherapy (often referred to as "bilirubin lights") is a common and effective intervention to help reduce bilirubin levels in the blood. Adequate hydration through intravenous fluids also supports the neonate’s overall condition and helps facilitate the excretion of bilirubin. This dual approach directly targets both the symptoms and the potential underlying cause, promoting better outcomes for the infant.

In contrast, decreasing the IV fluid rate would not be beneficial, particularly for a newborn who may already be at risk of dehydration or poor fluid balance. Providing an oral medication might not be effective or safe in an infant showing such severe symptoms, as it could be difficult to administer and absorb in this situation. Transferring the baby to a different ward may also not directly address the immediate clinical needs associated with opisthotonos or jaundice. Thus