NCLEX-RNHealth Promotion and MaintenanceMedium
A nurse is teaching a group of expectant parents about newborn care. A client asks, "How often should I expect my newborn to have wet diapers?" Which of the following responses by the nurse is most accurate for a healthy, full-term newborn after the first 24 hours of life?
- A“Approximately 1-2 wet diapers per day.”
- B“At least 3-4 wet diapers per day.”
- C“A minimum of 6-8 wet diapers per day.”
- D“It varies greatly, but usually no more than 10-12 wet diapers per day.”
Show answer & explanationAnswer & explanation
Correct answer: C. “A minimum of 6-8 wet diapers per day.”
After the first 24 hours (when urine output is typically lower), a healthy, well-hydrated newborn should have a minimum of 6-8 wet diapers per day. This indicates adequate fluid intake and kidney function. Fewer than this could indicate dehydration or insufficient feeding.
Why the other options are wrong
- A. This is much too low and would indicate dehydration or inadequate feeding in a newborn after the first day.
- B. This is still generally too low for a healthy, well-hydrated newborn after the initial 24 hours.
- D. While it can vary, stating 'no more than 10-12' isn't the most helpful primary indicator. The key is the minimum, and 10-12 is not an upper limit for healthy hydration.
Newborn Wet Diaper Count
An indicator of adequate hydration and feeding in a newborn, reflecting urine output.
- Day 1: 1 wet diaper.
- Day 2: 2 wet diapers.
- Day 3: 3 wet diapers.
- Day 4+: 6-8+ wet diapers per day.
Memory trick: Diaper Count Tells Hydration's Story