GI Disorders
A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?
"Currant jelly" stools
A health care provider prescribes an upper gastrointestinal (GI) series and a barium enema for a pediatric patient. The mother asks, "Why does he need barium for these tests?" Which explanation would the nurse give?
"It gives more contrast to the soft tissue of the alimentary tract, allowing absorption of X-rays."
This question is regarding the 15 year old patient admitted with appendicitis. Which statement by the patient requires immediate nursing intervention?
"The pain seems to be gone now."
Hepatitis A Hep B Hep C Hep D
. Hep B Babes born to mom with this form of hepatitis Hep A Touching an infected person's feces or dirty diaper, and then putting his or her hands near the mouth. Outbreaks may happen in child-care centers. Hep D This type of hepatitis can only happen with hepatitis B. Hep C Teens who do high-risk activities. These include IV (intravenous) drug use and unprotected sex
When will the cleft lip be repaired?
3-6 months
How would the nurse determine the length of tube needed to reach the stomach for nasogastric feeding?
A measurement is made from the nose to earlobe and then to the epigastric area
Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggest a fluid volume deficit?
A sunken fontanel
What will be used to feed the infant after cleft lip repair?
A syringe with tubing to administer foods at the side of the mouth to prevent trauma to the suture line
Which initial nursing action would the nurse perform for a postoperative 2-month-old infant returning to the pediatric unit with an intravenous infusion running and a nasogastric tube in place?
Assessing the infant's status
Which schedule would the nurse use for checking the placement of a nasogastric tube for an unconscious toddler who requires intermittent nasogastric feedings?
Before each feeding
Which nursing intervention would the nurse provide a 3-week-old infant immediately after surgery for esophageal atresia?
Checking the patency of the nasogastric tube
The following concepts are associated with Hirschsprung Disease:
Congenital aganglionic megacolon. Accounts for ¼ of all cases of neonatal obstruction Mechanical obstruction caused by inadequate motility of part of the intestine.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
Elbow restraints
The appendix is found on the left lower side of the abdomen and is connected to the cecum of the large intestine.
False
Will is being assessed by Nurse Lucas for possible intussusception; which of the following would be least likely to provide valuable information?
Family history
A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?
Hirschsprung disease
Describe the non-surgical intervention to treat intussusception.
Hydrostatic reduction - air pressure or a solution of barium or water-soluble contrast medium is introduced into the rectum. The force from the fluid or air moves invaginated bowel back into its original position.
An infant diagnosed with pyloric stenosis is admitted with history of vomiting for several days. Which nursing diagnosis would be the priority?
Imbalanced nutrition: less than body requirements related to prolonged vomiting
In an infant recently diagnosed with pyloric stenosis, what is the RN's first priority?
Maintaining proper fluid and electrolyte balance
A 15 year old patient is admitted with suspected appendicitis. The patient states he is having pain around the umbilicus that extends into the lower part of his abdomen. In addition, he says that the pain is worst on the right lower quadrant. The patient points to his abdomen at a location which is about a one-third distance between the anterior superior iliac spine and umbilicus. This area is known as what?
McBurney's point
Dustin who was diagnosed with Hirschsprung's disease has a fever and watery explosive diarrhea. Which of the following would Nurse Joyce do first?
Notify the physician immediately
When providing postoperative care for the child with a cleft lip, the nurse should position the child in which of the following positions after feedings.
On the side.
The 15 year old patient s scheduled for appendectomy at noon. While performing your morning assessment, you note that the patient has a fever of 103.8 'F and rates abdominal pain 9 on 1-10. In addition, the abdomen is distended and the patient states, "I was feeling better last night but it seems the pain has become worst." The patient is having tachycardia and tachypnea. Based on the scenario, what do you suspect the patient is experiencing?
Peritonitis
The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting. Which data collected during the assessment process would support the diagnosis of pyloric stenosis?
Persistent hunger Visible peristaltic wave Non-bilious, projectile vomitus
Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following?
Projectile vomiting
What position is contraindicated after cleft lip repair?
Prone position
A child with a nasogastric tube would be placed in which position to ensure retention of nasogastric tube feeds and to prevent aspiration?
Semi-Fowler
While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised?
Sucking ability.
What is the purpose of a logan bow in a child with a cleft lip repair?
The Logan Bow is an external device comprising a curved bow-shaped metal bar, with spikes attached to its cross bars, and is widely used as part of a cleft lip management to maintain postoperative apposition and to avoid excessive strain after cheiloplasty for a cleft lip.
Cleft lip is repaired early to make feeding easier and appearance after repair is more acceptable to the parents
True
The nurse suspects that an infant has pyloric stenosis. Palpating or observing an olive-shaped mass during the physical assessment is characteristic of pyloric stenosis.
True
Thinking back to the scenario in question 3, what other signs and symptoms are associated with appendicitis. SELECT-ALL-THAT-APPLY:
Umbilical pain that extends in the right lower quadrant Abdominal rebound tenderness
Children with cleft lip and palate should be fed in what position?
Upright, sitting position
