NURS 6501: Final Exam Question 100 / NURS-6501N Advanced Pathophysiology
NURS 6501: Final Exam: Please contact Assignment Samurai for help with NURS 6501: Final Exam or any other assignment. Email: assignmentsamurai@gmail.com A term newborn is noted to have lost about 5% of their birth weight by the 10th day of life. How should this weight change be interpreted?
  • Evidence of overfeeding
  • Normal physiological weight loss
  • Possible dehydration requiring immediate intervention
  • Indicative of failure to thrive
  The correct answer is: Normal physiological weight loss   Explanation: In term newborns, the following weight changes are expected:
  • Physiological weight loss:
    • 5–7% loss of birth weight by day 3–4 of life (due to fluid shifts, meconium passage, and limited initial intake).
    • Return to birth weight by day 10–14.
  • This baby’s 5% loss by day 10 is normal (likely already stabilizing/gaining).
Why Not the Others?
  • Overfeeding: Newborns rarely overfeed; weight loss would be <3% if excess intake.
  • Dehydration: Suspect if >10% loss, poor feeding, or dry mucous membranes.
  • Failure to thrive: Requires persistent weight loss/growth faltering (not a single data point).
Key Points:
  • Breastfed babies often lose slightly more (7–10%) but still normalize by 2 weeks.
  • Intervene only if:
    • Loss exceeds 10%.
    • No regain by 2 weeks.
    • Signs of dehydration (e.g., fewer wet diapers, lethargy).
Thus, 5% loss by day 10 is normal.