A newborn infant weighs 7 pounds, 2 ounces, on the fifth day of life. How much water should be given to the newborn based on required fluid needs?
a. Fluid replacement should be based on weight and calculated in the range of 60 to 100 mL/kg.
b. Offer additional water to tolerance in between infant feedings to maintain hydration.
c. Give 12 ounces of fluid per feeding.
d. No water is needed because formula and breast milk are adequate to maintain hydration.
ANS: A
There is an expected weight loss of up to 10% postdelivery, so fluid replacement should be calculated to improve health outcomes and maintain adequate hydration.12 ounces of fluid per feeding is excessive and may cause overdistention. Offering water between feedings to tolerance may not provide enough fluid replacement. Newborn infants require additional water to supplement feedings and support hydration.
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