The parents of a newborn are receiving discharge teaching. The nurse explains that the infant should have several wet diapers per day. Which statement by the parents indicates that further education is necessary?
1. "Our baby was born with kidneys that are too small."
2. "A baby's kidneys don't concentrate urine well for several months."
3. "Feeding our baby frequently will help the kidneys function."
4. "Kidney function in an infant is very different from in an adult."
1
Rationale:
1. Size of the kidneys is rarely an issue.
2. Counting wet diapers indicates urine output in relation to fluid intake.
3. Frequent feeding helps maintain the fluid volume.
4. The ability to concentrate urine develops by 3–4 months of age. The inability to concentrate urine due to limited tubular reabsorption and lower glomerular filtration rate are the main differences between kidney function in a newborn and normal adult kidney function.
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