GI Pediatric

A nurse is caring for a child. Which of the following are clinical manifestations of Meckel's Diverticulum? (select all that apply) A. Abdominal pain B. Fever C. Mucus, bloody stool D. Vomit E. Rapid, shallow, breathing

A. Abdominal pain C. Mucus, bloody stool

A nurse is assessing an infant. Which of the following are clinic manifestations of hypertrophic pyloric stenosis? (Select all that apply) A. Projectile vomit B. Dry mucus membranes C. Currant jelly stools D. Sausage-shape abdominal mass E. Constant hunger

A. Projectile vomit B. Dry mucus membranes E. Constant hunger

Will is being assessed by Nurse Lucas for possible intussusception; which of the following would be least likely to provide valuable information? A. Abdominal palpation B. Family history C. Pain pattern D. Stool inspection

B. Family history

1. Dustin who was diagnosed with Hirschsprung's disease has a fever and watery explosive diarrhea. Which of the following would Nurse Joyce do first? A. Administer an antidiarrheal. B. Notify the physician immediately. C. Monitor the child every 30 minutes. D. Nothing. (These findings are common in Hirschsprung's disease.)

B. Notify the physician immediately.

A nurse is caring for a child who has Hirschprung Disease. Which of the following is an appropriate action for the nurse to take? A. Encourage a high-fiber, low-protein, low-calorie diet. B. Prepare the family for surgery C. Place an NG for decompression D. Initiate bedrest.

B. Prepare the family for surgery

Nurse Lonnie is aware that the most common assessment finding in a child with ulcerative colitis is: A. Intense abdominal cramps B. Profuse diarrhea C. Anal fissures D. Abdominal distention

B. Profuse diarrhea The others are seen with crohns

The nurse explains to the parent of a child with intussusception that a barium enema is to be given. The parent demonstrates to the nurse an understanding of the diagnosis when the parent states, "Intussusception is a: A. part of the bowel that is bulging like it's about to burst." B. piece of the bowel that is telescoped like a sleeve over itself." C. narrowed area of the bowel that does not easily pass stool." D. growth which projects from the lining of the bowel causing bleeding."

B. piece of the bowel that is telescoped like a sleeve over itself."

The nurse is preparing to admit a 3 year old with intussusception. Which of the following clinical manifestations would the nurse expect to observe? Select all that apply: A. Hematemesis B. Scaphoid abdomen C. Tender, distended abdomen D. Sudden acute abdominal pain E. Passage of red, currant jelly-like stools

C,D,E

Which description of a stool is characteristic of intussusception? A. Ribbon-like stools B. Hard stools positive for guaiac C. "Currant jelly" stools D. Loose, foul-smelling stools

C. "Currant jelly" stools

Mr. and Ms. Byers' child failed to pass meconium within the first 24 hours after birth; this may indicate which of the following? A. Celiac disease B. Intussusception C. Hirschsprung's disease D. Abdominal-wall defect

C. Hirschsprung's disease

An 11 year old is undergoing testing for a diagnosis of ulcerative colitis. Which symptom would the nurse most likely identify during this initial diagnosis? A. Vomiting B. Weight loss C. Constipation D. Bloody diarrhea

D. Bloody diarrhea

Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following? A. "Currant jelly" stools B. Regurgitation C. Steatorrhea D. Projectile vomiting

D. Projectile vomiting

Caring for the newborn with a cleft lip and palate before surgical repair includes: A. Gastrostomy feedings B. Keeping the infant in near-horizontal position during feedings C. Allowing little or no sucking D. Providing satisfaction of sucking needs

D. Providing satisfaction of sucking needs

Therapeutic management of most children with Hirschsprung's disease is primarily: A. Daily enema B. Low-fiber diet C. Permanent colostomy D. Surgical removal of affected section of bowel

D. Surgical removal of affected section of bowel

Structural anomaly of GI tract caused by lack of ganglionic cells in segments of the colon resulting in decreased motility and mechanical obstruction

Hirschsprung's disease

Thickening of the pyloric sphincter which creates an obstruction

Hypertrophic pyloric stenosis

Proximal segment of the bowel telescopes into a more distal segment, resulting in lymphatic and venous obstruction causing edema in that area. With progression ischemia and increased mucus in intestine will occur

Intussusception

Complication resulting from failure of the omphalomesenteric duct to fuse during embryonic development

Meckel's diverticulum

Intestinal malrotation

Volvulus