What is a normal pattern of newborn weight change in the first few days?

• A. Weight loss up to 7–10% of birth weight is common; weight typically stabilizes and begins to regain after about day 7–10
• B. Weight should increase every day by 1 ounce
• C. Weight loss beyond 2% is never acceptable
• D. Weight remains constant for the first two weeks

Answer: (A)

Newborn weight patterns in the first days reflect a normal transition from intrauterine fluid balance to establishing feeding. It’s common for newborns to lose some weight in the early days as they shed excess fluid and adapt to feeding. A loss of up to about 7–10% of birth weight is typical, and weight usually begins to stabilize and the baby starts to regain weight around days 7–10. By about two weeks, many babies have returned to their birth weight or are on a steady gain trajectory. Monitoring for signs of inadequate intake remains important—if weight loss exceeds 10% or the baby isn’t feeding well, has few wet diapers, or shows poor energy, evaluation is needed. In contrast, weight remaining constant with no initial loss or weight increasing every day by a fixed amount, or weight staying unchanged for two weeks, does not describe the normal pattern.