Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

Which characteristic of infants makes them more vulnerable to fluid and electrolyte disturbances than older children?

  1. A markedly lower total body water percentage than older children
  2. A consistently slower basal metabolic rate than older children
  3. Higher body surface area-to-weight ratio and higher TBW percent
  4. Fully mature renal concentrating ability from early infancy
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Correct answer: Higher body surface area-to-weight ratio and higher TBW percent

Infants have higher total body water (around 70-80% of body weight) and a larger surface area relative to weight, leading to greater insensible losses and fluid/electrolyte risk.

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