A newborn has not passed urine during the first 24 hours after birth. Which nursing action is most appropriate?
Correct answer: B. Assess the newborn and report the finding for further evaluation
- A. Reassure the family that this is always normal
- B. Assess the newborn and report the finding for further evaluation
- C. Give plain water between breastfeeds
- D. Apply pressure over the lower abdomen
Explanation
Most newborns pass urine within the first 24 hours. Failure to do so should be assessed and reported because dehydration, inadequate intake, or urinary tract obstruction may be present.
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About Care of the Newborn
Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.
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