Ch 34 Maternal Child

Which parent statement @ the end of the teaching session indicates correct understanding of colostomy stoma care for the infant client?

" We will watch for skin irritation around the stoma"

Care given to pt with diagnosis of inflammatory bowel disease who is prescribed daily prednisone, Statement that shows correct understanding of teaching?

" I will administer this med with meals"

The nurse is educating the parents of a child diagnosed with C. Diff on proper precautions for infection control. Which statement by the parents indicates to the nurse that more education is needed?

"Everyone should use hand sanitizer upon entering and leaving our child's room."

When assessing a child admitted to the hospital for gastroenteritis the nurse notices that the child has no tears when crying. What should the nurse be concerned about?

Dehydration

How does an infant acquire the intestinal bacterial need for digestion and elimination?

Environmental exposure

An inflammatory process that occurs in the stomach, small intestine, or large intestine is know as what?

Gastroenteritis

Test to assist with diagnosis of ulcerative colitis?

- Hematest of stool - Barium enema - Colonoscopy

Care to child admitted to rule out appendicitis. What intervention should the nurse consider?

- Assess the oral intake - Prepare child + family for appendectomy - Maintain NPO status

Which gastrointestinal defect, often diagnoses shortly after birth should the nurse include in the assessment process of all newborns?

- Hirschsprungs disease - Cleft palate

When the nurse is assessing the abdomen of a child hospitalized for diarrhea, which step does she perform first?

Auscultation

The nurse is preparing to discharge a child diagnosed with Hirschsprung's Disease from the hospital. Which topic is appropriate for the nurse to include in the discharge teaching with the child's parents?

The care required for a temporary colostomy

GERD can lead to serious medical conditions?

- Esophageal strictures - Pneumonia

Examine abd. of preschool age child brought in grandma due to vomiting over the last couple days. Nurse notes abd. is distended, what condition does the nurse suspect?

Intestinal obstruction

Why is a chemistry panel an important laboratory test to order when caring for a child with a gastrointestinal condition?

It demonstrates the blood levels of electrolytes that are affected by fluid loss

Which nursing intervention is appropriate when caring for a child suffering from an inflammatory bowel disease?

Provide heating pads for relief of abdominal pain

Adolescent reports abd. pain with diarrhea and bloody stools. Which type of inflammatory bowel disease is suspected.

Ulcerative colitis (CU)

An adolescent is brought into the emergency department (ED) by his parents with the following symptoms: periumbilical pain peaking at 4 hour intervals followed by right lower quadrant pain, which is followed by vomiting. Based on these data, which condition does the nurse suspect?

Appendicitis

Nurses caring for children with gastrointestinal conditions must be aware of the signs and symptoms of moderate dehydration. Which of the following is not a sign of moderate dehydration?

Sunken fontanel

The pediatric nurse examines a 5-week-old infant who has been observed having projectile, nonbilious vomiting. Upon palpation, the nurse feels an olive-shaped mass in the midepigastrium. Based on these data, which condition does the nurse suspect?

Pyloric stenosis

A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant. Which nursing actions are appropriate to assist the parents in bonding with their newborn? (Select all that apply.)

- Calling the newborn by their chosen name - Smiling and talking to the newborn in the parent's presence - Showing the parents before and after pictures of other children with cleft lips - Discussing positive features of the baby

When completing a health history on a child with gastrointestinal issues the nurse knows that it is important to ask which of the following questions related to gastrointestinal health? (Select all that apply.)

- Can you tell me what you had to eat yesterday? - How often does your child have a bowel movement? - Do you ever see your child eating things that are not considered food?

Ped nurse discusses with parents about med prescribed for school- age child diagnosed with Crohn's disease usual pharm options?

- Cortiscosteriods - Infliximb - Methotrexate

Which assessment data causes the nurse to suspect that a 16-month-old has celiac disease?

Foul-smelling stools, flatulence, and weight loss

Nurse assessing abd. girth for ped pt who presents with vomiting what nursing action is appropriate?

Measure the girth directly over the child's umbilicus

Interpreting lab values for pt. suspected of having ulcerative colitis,which finding does the nurse anticipate based on diagnosis?

Microytic anemia