The nurse must be alert for signs of overhydration in preterm newborns. Which sign(s) or symptom(s) would suggest fluid overload? (Select all that apply.)
a. Urine specific gravity <1.001
b. Increased weight gain
c. Depressed fontanelles
d. Edema
e. Urinary output <1 mL/kg/hour
f. Poor tissue turgor
g. Rales
ANS: A, B, D, G
Depressed fontanelles, urinary output <1 mL/kg/hour, and poor tissue turgor are related to dehydration. Preterm newborns must be carefully monitored for overhydration as well as dehydration. When intravenous fluids are administered by neonatal infusion pump, hourly monitoring is necessary to maintain normal fluid volume.
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