Parents have full autonomy over their children.

The principle of respect for autonomy does not apply to newborns.

Newborns receive more rights than a fetus but less than those of a toddler.

All infants born at 22 weeks' gestation die and should not be resuscitated.

The neurological outcome of neonates with trisomy 18 is so poor that they should not be resuscitated

Anencephalic newborns do not have any rights, because they lack the capacity for eventual higher order thinking.

Unilateral decisions, when justified, do not need the permission of a surrogate decision maker.

Opioid analgesia is appropriate to give in end-of-life scenarios as long as the intent is to lessen the degree of suffering.

Mrs and Mr Francis present to your hospital at 22 weeks and 3 days of gestation. The estimation of gestational age is accurate, given that this was an in vitro fertil­ization pregnancy. You are the neonatologist on service. Mrs Francis is currently stable, but the attending physician for maternal-fetal medicine (MFM) fears she will deliver in the next 48 hours. This is a much desired pregnancy. Your hospital has a policy against resuscitation at less than 23 weeks' gestation, but you think a hospital across town may offer resuscitation at this gestational age. What is your obligation to this couple?

You are resuscitating a neonate of unconfirmed gestational age born to a mother who received no prenatal care. The neonate appears "fetoid" (very immature skin with fused eyes) and has not responded to intubation and positive pressure ventila­tion. You are the pediatrician on call, and the neonatologist is enroute to the hospi­tal. You firmly believe further resuscitative interventions will not save this neonate's life. You have been resuscitating this infant for 20 minutes without a response. What is your next best course of action?