Concerning the functioning of the renal system in newborns, nurses should be aware that:
1. the physician should be notified if the newborn has not voided in 24 hours.
2. breastfed infants will likely void more often during the first days after birth.
3. brick dust or blood on a diaper is always cause to notify the physician.
4. weight loss from fluid loss and other normal factors should be made up in 4 to 7 days.
1
1. Correct. A newborn who has not voided in 24 hours may have any of a number of prob-lems, some of which deserve the attention of the physician.
2. Incorrect. Formula-fed infants tend to void more frequently in the first 3 days because breast milk has not come in yet.
3. Incorrect. Brick dust may be uric acid crystals; blood spotting could be due to withdrawal of maternal hormones (pseudomenstruation) or a circumcision. The physician must be notified only if there is no apparent cause of bleeding.
4. Incorrect. Weight loss from fluid loss might take 14 days to regain.
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