A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. The nurse's best response is:
1. "I will call your pediatrician immediately."
2. "Passage of the first stool within 48 hours is normal."
3. "Your newborn might not have a stool until the third day."
4. "Your newborn must be dehydrated."
2
Rationale 1: This is not an emergency situation.
Rationale 2: The passage of the first stool within 48 hours is normal.
Rationale 3: The passage of the first stool should occur sooner.
Rationale 4: Decreased urinary output and depressed fontanelles indicate dehydration.
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