EVALUATION OF NEONATAL HYDRATION
- Normal urine output: As a general rule, the number of wet diapers should equal age in days for the first
week of life. For example, a 4-day-old neonate should have >/=4 wet diapers per day. After the first
week, infants should have >/=6 wet diapers per day
- Birth weight should be regained by age 10-14 days
- Infants have immature kidneys that cannot reabsorb sodium effectively. Plain water should never be
given to infants age <6 months as it can dilute the blood, resulting in dangerous hyponatremia and
seizures
4
Page
,DEVELOPMENTAL MILESTONES
5
Page
,Page
6
, - By 4 months, primitive reflexes e.g. Moro, grasp have already disappeared or beginning to disappear as
infant initiates purposeful movement of extremities. Tongue protruding reflex also disappears by 4 mo,
allowing co-ordination to ingest food at 4-6 mo.
7
- Premature initiation of toilet-training can prolong the duration of training—incontinence esp. nighttime
Page
is common up to age 5. Children >/=5yrs should undergo urinalysis to screen for UTI, DM and DI
- Normal urine output: As a general rule, the number of wet diapers should equal age in days for the first
week of life. For example, a 4-day-old neonate should have >/=4 wet diapers per day. After the first
week, infants should have >/=6 wet diapers per day
- Birth weight should be regained by age 10-14 days
- Infants have immature kidneys that cannot reabsorb sodium effectively. Plain water should never be
given to infants age <6 months as it can dilute the blood, resulting in dangerous hyponatremia and
seizures
4
Page
,DEVELOPMENTAL MILESTONES
5
Page
,Page
6
, - By 4 months, primitive reflexes e.g. Moro, grasp have already disappeared or beginning to disappear as
infant initiates purposeful movement of extremities. Tongue protruding reflex also disappears by 4 mo,
allowing co-ordination to ingest food at 4-6 mo.
7
- Premature initiation of toilet-training can prolong the duration of training—incontinence esp. nighttime
Page
is common up to age 5. Children >/=5yrs should undergo urinalysis to screen for UTI, DM and DI
