11: GU Flashcards
What constitutes constipation?
Regardless of frequency, an infant is not constipated unless stools consist of hard, dry pellets that are passed with difficulty and distress (such pellets may be blood-streaked).
When do transitional stools occur?
By day 2-3
When do most newborns pass stool?
98.5% by 24 hours
100% by 48 hours
When should failure to urinate be investigated?
If no urine by 24 hours.
What are the differences between formula-fed and breastfed stools?
Breast-fed stools are generally more frequent and more liquid, with very small yellow curds. May be passed as often as after every feeding or occasionally as infrequently as every 48 to 72 hours. Formula-fed stools have larger green-brown curds, which make them more pasty in appearance. Average is one or two stools per day, but more infrequent stooling is considered normal if intake is adequate and stools are of normal consistency when passed.
What are the progression of stools in a healthy newborn?
- Initial-Meconium, sticky black.
2. Transitional-Part meconium, part fecal. Soft brown-green.
When do most newborns urinate?
68% by 12 hours
93% by 24 hours
100% by 48 hours
Average number of stools/day.
The number of stools passed by healthy infants is extremely variable, ranging from as few as 1 every 4 to 5 days to as many as 10 per day.
