The clinical nurse assesses kidney function in a newborn. Which of the following statements accurately describes the development of normally functioning kidneys in the newborn?
Select all that apply:
A) As the kidneys mature and enlarge, the glomerular filtration rate (GFR) rapidly increases during the first four months of life.
B) The nephrons are fully functional by 29 to 32 weeks gestation.
C) The glomerular filtration rate is higher than that of the adult.
D) The kidneys are not mature and fully functional until after birth.
Question 2
The pediatric nurse is providing care to a 35-week-old infant who has been in the neonatal intensive care unit for the past 3 weeks. His mother wants to breastfeed her son naturally but is currently pumping her breasts to obtain milk.
His mother is concerned that she is only producing about 1 ounce of milk every 3 hours. The nurse's best response to the patient's mother would be:
A) Pumping is hard work and you are doing very well. It is good to get about 1 ounce of milk every 3 hours.
B) Natural breastfeeding will be a challenging goal for your baby. Beginning today, you will need to begin to pump your breasts more often.
C) Your baby will not be ready to go home for at least another week. You can begin to pump more often in the next few days in preparation for taking your child home.
D) You have been working hard to give your son your breast milk. We can map out a schedule to help you begin today to pump more often to prepare to take your baby home.
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