Author Question: As related to the normal functioning of the renal system in newborns, nurses should be aware that: ... (Read 58 times)

abarnes · **on:** Jun 28, 2018

As related to the normal functioning of the renal system in newborns, nurses should be aware that:

a. The pediatrician should be notified if the newborn has not voided in 24 hours.
b. Breastfed infants likely will void more often during the first days after birth.
c. Brick dust or blood on a diaper is always cause to notify the physician.
d. Weight loss from fluid loss and other normal factors should be made up in 4 to 7 days.

Question 2

Which statement describing physiologic jaundice is incorrect?

a. Neonatal jaundice is common, but kernicterus is rare.
b. The appearance of jaundice during the first 24 hours or beyond day 7 indicates a pathologic process.
c. Because jaundice may not appear before discharge, parents need instruction on how to assess it and when to call for medical help.
d. Breastfed babies have a lower incidence of jaundice.

yifu223 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
A newborn who has not voided in 24 hours may have any of a number of problems, some of which deserve the attention of the pediatrician. Formula-fed infants tend to void more frequently in the first 3 days; breastfed infants void less during this time because the mother's breast milk has not come in yet. Brick dust may be uric acid crystals; blood spotting could be caused by withdrawal of maternal hormones (pseudomenstruation) or a circumcision. The physician must be notified only if there is no apparent cause of bleeding. Weight loss from fluid loss may take 14 days to regain.

Answer to Question 2

ANS: D
Breastfeeding is associated with an increased incidence of jaundice. Neonatal jaundice occurs in 60 of newborns; the complication called kernicterus is rare. Jaundice in the first 24 hours or that persists past day 7 is cause for medical concern. Parents need to know how to assess for jaundice in their newborn.