A 1.5 kg neonate born at 32 weeks gestation is admitted to the NICU. On day 1 of life, what is the appropriate total daily fluid requirement?
- A 120 to 150 mL/kg/day
- B 80 to 100 mL/kg/day
- C 60 to 80 mL/kg/day ✓
- D 40 to 60 mL/kg/day
Correct answer: C. 60 to 80 mL/kg/day
Explanation
On day 1 of life, the fluid requirement for a preterm neonate is 60 to 80 mL/kg/day to prevent dehydration and hypernatremia while avoiding volume overload. Fluids are gradually increased over subsequent days based on weight, urine output, and serum sodium.
Reference: Cloherty and Stark's Manual of Neonatal Care, 8th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.