Tx Plan Toddler Sick Visit: Gastrointestinal.
Zachary Lafontaine 30 months old.The child
with Gastrointestinal Dsyfunction
The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF).
Nursing care should include:
a. Elevating the head but give nothing by mouth
b. Elevating the head for feedings
c. Feeding glucose water only
d. Avoiding suction unless infant is cyanotic
a. Elevating the head but give nothing by mouth
What is the best response by the nurse to a mother asking about the cause of her
infant's bilateral cleft lip?
a. "Did you use alcohol during your pregnancy?"
b. "Do you know of anyone in your family or the baby's father's family who was born
with cleft lip or palate problems?"
c. "This defect is associated with intrauterine infection during the second trimester."
d. "The prevalent of cleft lip is higher in Caucasians"
b. "Do you know of anyone in your family or the baby's father's family who was born with
cleft lip or palate problems?"
The postoperative care plan for an infant with surgical repair of a cleft lip includes:
a. A clear liquid diet for 72 hours
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,b. Nasogastric feedings until the sutures are removed
c. Elbow restraints to keep the infant's fingers away from the mouth
d. Rinsing the mouth after every feeding
c. Elbow restraints to keep the infant's fingers away from the mouth
A nurse is teaching a group of parents about TEF. Which statement made by the nurse
is accurate about TEF?
a. This defect results from an embryonal failure of the foregut to differentiate into the
trachea and esophagus.
b. It is a fistula between the esophagus and stomach that results in the oral intake
being refluxed and aspirated.
c. An extra connection between the esophagus and trachea develops because of
genetic abnormalities.
d. The defect occurs in the second trimester of pregnancy.
a. This defect results from an embryonal failure of the foregut to differentiate into the
trachea and esophagus.
What maternal assessment is related to an infant's diagnosis of TEF?
a. Maternal age more than 40 years
b. First term pregnancy for the mother
c. Maternal history of polyhydramnios
d. Complicated pregnancy
c. Maternal history of polyhydramnios
What clinical manifestation should a nurse be alert for when suspecting a diagnosis of
esophageal atresia?
a. A radiograph in the prenatal period indicates abnormal development.
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, b. It is visually identified at the time of delivery.
c. A nasogastric tube fails to pass at birth.
d. The infant has a low birth weight.
c. A nasogastric tube fails to pass at birth.
What is the most important information to be included in the discharge planning for an
infant with gastroesophageal reflux?
a. Teach parents to position the infant on the left side.
b. Reinforce the parents' knowledge of the infant's developmental needs.
c. Teach the parents how to do infant cardiopulmonary resuscitation (CPR).
d. Have the parents keep an accurate record of intake and output.
c. Teach the parents how to do infant cardiopulmonary resuscitation (CPR).
What information should the nurse include when teaching the parents of a 5-week-old
infant about pyloromyotomy?
a. The infant will be in the hospital for a week.
b. The surgical procedure is routine and "no big deal."
c. The prognosis for complete correction with surgery is good.
d. They will need to ask the physician about home care nursing.
c. The prognosis for complete correction with surgery is good.
A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer
disease. Which test will the nurse expect to be ordered to confirm the diagnosis of a
peptic ulcer?
a. A dietary history
b. A positive Hematest result on a stool sample
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Zachary Lafontaine 30 months old.The child
with Gastrointestinal Dsyfunction
The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF).
Nursing care should include:
a. Elevating the head but give nothing by mouth
b. Elevating the head for feedings
c. Feeding glucose water only
d. Avoiding suction unless infant is cyanotic
a. Elevating the head but give nothing by mouth
What is the best response by the nurse to a mother asking about the cause of her
infant's bilateral cleft lip?
a. "Did you use alcohol during your pregnancy?"
b. "Do you know of anyone in your family or the baby's father's family who was born
with cleft lip or palate problems?"
c. "This defect is associated with intrauterine infection during the second trimester."
d. "The prevalent of cleft lip is higher in Caucasians"
b. "Do you know of anyone in your family or the baby's father's family who was born with
cleft lip or palate problems?"
The postoperative care plan for an infant with surgical repair of a cleft lip includes:
a. A clear liquid diet for 72 hours
1|Page
,b. Nasogastric feedings until the sutures are removed
c. Elbow restraints to keep the infant's fingers away from the mouth
d. Rinsing the mouth after every feeding
c. Elbow restraints to keep the infant's fingers away from the mouth
A nurse is teaching a group of parents about TEF. Which statement made by the nurse
is accurate about TEF?
a. This defect results from an embryonal failure of the foregut to differentiate into the
trachea and esophagus.
b. It is a fistula between the esophagus and stomach that results in the oral intake
being refluxed and aspirated.
c. An extra connection between the esophagus and trachea develops because of
genetic abnormalities.
d. The defect occurs in the second trimester of pregnancy.
a. This defect results from an embryonal failure of the foregut to differentiate into the
trachea and esophagus.
What maternal assessment is related to an infant's diagnosis of TEF?
a. Maternal age more than 40 years
b. First term pregnancy for the mother
c. Maternal history of polyhydramnios
d. Complicated pregnancy
c. Maternal history of polyhydramnios
What clinical manifestation should a nurse be alert for when suspecting a diagnosis of
esophageal atresia?
a. A radiograph in the prenatal period indicates abnormal development.
2|Page
, b. It is visually identified at the time of delivery.
c. A nasogastric tube fails to pass at birth.
d. The infant has a low birth weight.
c. A nasogastric tube fails to pass at birth.
What is the most important information to be included in the discharge planning for an
infant with gastroesophageal reflux?
a. Teach parents to position the infant on the left side.
b. Reinforce the parents' knowledge of the infant's developmental needs.
c. Teach the parents how to do infant cardiopulmonary resuscitation (CPR).
d. Have the parents keep an accurate record of intake and output.
c. Teach the parents how to do infant cardiopulmonary resuscitation (CPR).
What information should the nurse include when teaching the parents of a 5-week-old
infant about pyloromyotomy?
a. The infant will be in the hospital for a week.
b. The surgical procedure is routine and "no big deal."
c. The prognosis for complete correction with surgery is good.
d. They will need to ask the physician about home care nursing.
c. The prognosis for complete correction with surgery is good.
A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer
disease. Which test will the nurse expect to be ordered to confirm the diagnosis of a
peptic ulcer?
a. A dietary history
b. A positive Hematest result on a stool sample
3|Page
