A 1 day-old neonate has not passed urine since birth. What is the next step in management?

Options

  1. Continue breast feeding not observed
  2. Admit to NICU
  3. Start artificial feeding
  4. Start intravenous fluids

Correct Answer

Continue breast feeding not observed

Explanation

In a term neonate, urine may not be passed for up to 24 hours after birth. If the baby is otherwise well-appearing and feeding well, observation with continued breastfeeding is appropriate. Most neonates void within 24 hours.


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