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    A newborn weighs 2 kg at birth. How much fluid intake is required on the first and third day?
    Question

    A newborn weighs 2 kg at birth. How much fluid intake is required on the first and third day?

    A.

    40 ml/kg/day and 50 ml/kg/day

    B.

    80 ml/kg/day and 120 ml/kg/day

    C.

    50 ml/kg/day and 70 ml/kg/day

    D.

    60 ml/kg/day and 100 ml/kg/day

    Correct option is D


    Ans. (d) Sol. Fluid requirements for newborns are calculated based on gestational age, weight, and postnatal age. The general fluid intake guidelines for preterm and low-birth-weight infants (like a 2 kg newborn) are as follows:
    · Day 1: 60 ml/kg/day
    · Day 3: 100 ml/kg/day
    Thus, for a 2 kg newborn:
    · Day 1 fluid requirement = 60 ml × 2 kg = 120 ml/day
    · Day 3 fluid requirement = 100 ml × 2 kg = 200 ml/day
    This ensures proper hydration, thermoregulation, and metabolic needs while preventing fluid overload in newborns.
    Explanation of Other Options:
    · (a) 40 ml/kg/day and 50 ml/kg/day: Too low for a newborn’s metabolic demands and may lead to dehydration.
    · (b) 80 ml/kg/day and 120 ml/kg/day: Slightly higher than the recommended fluid requirement on Day 1 but still acceptable for some cases.
    · (c) 50 ml/kg/day and 70 ml/kg/day: Insufficient for optimal hydration and growth.

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