A term newborn is 30 hours old and has not yet passed urine. The newborn is feeding poorly but has stable vital signs. What is the nurse's best action?
Correct answer: A. Assess hydration and notify the neonatal provider
- A. Assess hydration and notify the neonatal provider
- B. Give extra water between breastfeeding sessions
- C. Wait until 48 hours because delayed urination is common
- D. Insert a urinary catheter without further assessment
Explanation
Most newborns pass urine within the first 24 hours. Failure to void by 24 hours requires assessment for dehydration, renal or urinary obstruction, and other problems. Giving water is unsafe, and catheterisation should not be performed without an indication or prescription.
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About Neonatal Nursing
Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.
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