A newborn who has not voided by 48 hours after birth should be assessed for which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Restlessness
2. Pain
3. Kidney distention
4. Adequacy of fluid intake
5. Lethargy
1, 2, 4
Explanation: 1. A newborn who has not voided by 48 hours after birth should be assessed for restlessness.
2. A newborn who has not voided by 48 hours after birth should be assessed for pain.
4. A newborn who has not voided by 48 hours after birth should be assessed for adequacy of fluid intake.
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