Physiological AdaptationQuestion 1727 of 2368

Why might an infant who receives an oral drug have higher drug levels in the bloodstream than an adult?

  1. The infant's liver breaks down more of the drug on its first pass
  2. The infant's kidneys remove the drug faster than an adult's kidneys do
  3. The infant's liver is not fully mature, so first-pass elimination is decreased
  4. The infant's stomach has fully mature cells that destroy much of the drug
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Correct answer: The infant's liver is not fully mature, so first-pass elimination is decreased

An immature liver reduces first-pass elimination, so more drug reaches the bloodstream.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Pharmacokinetics & Pharmacodynamics: NEONATE & PEDIATRIC. Licensed under CC BY 4.0.

Practice the topic "Physiological Adaptation"

Questions last reviewed: 18 October 2026