NUR 414 GI Exam Questions with All Correct Answers

NUR 414 GI Exam Questions with All Correct Answers Swallowing, swallowing, and tongue thrusting is reflexive until - Answer-3 months old *high aspiration and choking risk during this time In relation to feeding, what should a child be able to do by 6 months old? - Answer-1. swallow 2. hold food in their mouth 3. spit food out at will How does the GI system differ and evolve in pediatrics? - Answer-1. Stomach is round until age 2, then elongates until age 7 2. stomach capacity increases rapidly with age 3. Infant stomach emptying time is faster Clinical manifestations of GI dysfunction in children - Answer-1. FTT 2. Nausea/spitting up/vomiting 3. Diarrhea/constipation/encopresis 4. Abdominal distension/pain 5. Change in bowel sounds 6. GI bleeding/hematemesis 7. Hematochezia/melena 8. Jaundice 9. Dysphagia/dysfunctional swallowing 10. Fever Important nursing assessments for GI issues - Answer-1. I&O 2. Height and weight trends 3. Abdominal exam 4. Urine and stool tests What causes diarrhea? - Answer-Abnormal intestinal water and electrolyte transport What pediatric alteration makes diarrhea more common in children? - Answer-Intestinal mucosa of young children are more permeable to water What differentiates vomiting from spitting up? - Answer-Vomiting is typically accompanied by nausea and retching What is the most common cause of profuse vomiting? - Answer-Acute gastroenteritis What are 4 things a nurse will need to assess when a child has vomiting? - Answer-1. Timing (ex: early morning, every morning; following a meal; every morning before school on weekdays, but not on weekends) 2. Color/consistency (ex: yellow bile, undigested food, normal spit-up appearance) 3. Associated symptoms (ex: migraine, diarrhea) 4. Pain (ex: pain in RUQ/RLQ of abdomen)