Chapter 28: The Child with a Gastrointestinal
Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse has reviewed dietary restrictions for celiac disease with concerned parents. Which
grain will the nurse explain can be eaten with celiac disease?
a. Wheat
b. Oats
c. Barley
d. Rice
ANS: D
Rice is a gluten-free grain that can be eaten by children afflicted with celiac disease. These
children will have a lifelong restriction of wheat, oats, barley, and rye.
DIF: Cognitive Level: Knowledge REF: p. 667 OBJ: 4
TOP: Celiac Disease KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis. What
will be the nurse‘s priority goal of the infant‘s care?
a. Prevent fluid and electrolyte imbalance.
b. Prevent nutritional deficiency.
c. Prevent skin breakdown.
d. Prevent malabsorption.
ANS: A
The priority goal of care in gastroenteritis is preventing fluid and electrolyte imbalance.
DIF: Cognitive Level: Application REF: p. 670 OBJ: N/A
TOP: Gastroenteritis KEY: Nursing Process Step: Planning
, MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
3. The nurse is speaking to the parent of a 3-year-old child who has mild diarrhea. What dietary
modification would the nurse advise?
a. Soft foods with rice, bananas, toast, and applesauce
b. Small amounts of clear fluids such as gelatin
c. An oral rehydrating solution, such as Pedialyte
d. Chicken soup because it is high in sodium
ANS: C
An oral rehydrating solution is recommended to replace fluids and electrolytes lost from
frequent bowel movements.
DIF: Cognitive Level: Application REF: pp. 671-672 OBJ: 9
TOP: Diarrhea KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. What would the nurse expect to find in a child admitted to the hospital for nonorganic failure to
thrive?
a. Cry to be picked up
b. Be limp like a rag doll
c. Be responsive to cuddling
d. Weigh in the 10th percentile for age
ANS: B
Some children with failure to thrive have rag-doll limpness (hypotonia) and appear wary of
their caregivers.
DIF: Cognitive Level: Comprehension REF: p. 679 OBJ: 10
TOP: Failure to Thrive KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. Which nursing interventions will be implemented for the mother of a 10-month-old infant with
nonorganic failure to thrive?
, a. Pointing out errors that the nurse observes when the mother is caring for the infant
b. Discussing negative characteristics of the infant with the mother
c. Having the nurse provide as much of the infant‘s care as possible
d. Teaching the mother about the developmental milestones to expect in the next few
months
ANS: D
The nurse can increase parent‘s knowledge of growth and development by providing
anticipatory guidance about normal developmental milestones.
DIF: Cognitive Level: Application REF: p. 679 OBJ: 10
TOP: Failure to Thrive KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
6. Which statement by a mother may indicate a cause of her son‘s vitamin C deficiency?
a. “We get our fruits from homemade preserves.”
b. “We use milk from our own goats.”
c. “We grow all our own vegetables.”
d. “We‘re not big meat eaters.”
ANS: A
Vitamin C is destroyed by heat.
DIF: Cognitive Level: Comprehension REF: p. 680 OBJ: 10
TOP: Scurvy KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
7. The nurse is instructing a mother how to administer oral nystatin suspension prescribed to treat
thrush. What will the nurse include?
a. Pour the prescribed amount into a nipple and have the infant suck the medication.
b. Squirt the prescribed dose into the back of the mouth and have the infant swallow.
c. Give the medication mixed with a small amount of juice in a bottle.
d. Use a sterile applicator to swab the medication on the oral mucosa.
Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse has reviewed dietary restrictions for celiac disease with concerned parents. Which
grain will the nurse explain can be eaten with celiac disease?
a. Wheat
b. Oats
c. Barley
d. Rice
ANS: D
Rice is a gluten-free grain that can be eaten by children afflicted with celiac disease. These
children will have a lifelong restriction of wheat, oats, barley, and rye.
DIF: Cognitive Level: Knowledge REF: p. 667 OBJ: 4
TOP: Celiac Disease KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis. What
will be the nurse‘s priority goal of the infant‘s care?
a. Prevent fluid and electrolyte imbalance.
b. Prevent nutritional deficiency.
c. Prevent skin breakdown.
d. Prevent malabsorption.
ANS: A
The priority goal of care in gastroenteritis is preventing fluid and electrolyte imbalance.
DIF: Cognitive Level: Application REF: p. 670 OBJ: N/A
TOP: Gastroenteritis KEY: Nursing Process Step: Planning
, MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
3. The nurse is speaking to the parent of a 3-year-old child who has mild diarrhea. What dietary
modification would the nurse advise?
a. Soft foods with rice, bananas, toast, and applesauce
b. Small amounts of clear fluids such as gelatin
c. An oral rehydrating solution, such as Pedialyte
d. Chicken soup because it is high in sodium
ANS: C
An oral rehydrating solution is recommended to replace fluids and electrolytes lost from
frequent bowel movements.
DIF: Cognitive Level: Application REF: pp. 671-672 OBJ: 9
TOP: Diarrhea KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. What would the nurse expect to find in a child admitted to the hospital for nonorganic failure to
thrive?
a. Cry to be picked up
b. Be limp like a rag doll
c. Be responsive to cuddling
d. Weigh in the 10th percentile for age
ANS: B
Some children with failure to thrive have rag-doll limpness (hypotonia) and appear wary of
their caregivers.
DIF: Cognitive Level: Comprehension REF: p. 679 OBJ: 10
TOP: Failure to Thrive KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. Which nursing interventions will be implemented for the mother of a 10-month-old infant with
nonorganic failure to thrive?
, a. Pointing out errors that the nurse observes when the mother is caring for the infant
b. Discussing negative characteristics of the infant with the mother
c. Having the nurse provide as much of the infant‘s care as possible
d. Teaching the mother about the developmental milestones to expect in the next few
months
ANS: D
The nurse can increase parent‘s knowledge of growth and development by providing
anticipatory guidance about normal developmental milestones.
DIF: Cognitive Level: Application REF: p. 679 OBJ: 10
TOP: Failure to Thrive KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
6. Which statement by a mother may indicate a cause of her son‘s vitamin C deficiency?
a. “We get our fruits from homemade preserves.”
b. “We use milk from our own goats.”
c. “We grow all our own vegetables.”
d. “We‘re not big meat eaters.”
ANS: A
Vitamin C is destroyed by heat.
DIF: Cognitive Level: Comprehension REF: p. 680 OBJ: 10
TOP: Scurvy KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
7. The nurse is instructing a mother how to administer oral nystatin suspension prescribed to treat
thrush. What will the nurse include?
a. Pour the prescribed amount into a nipple and have the infant suck the medication.
b. Squirt the prescribed dose into the back of the mouth and have the infant swallow.
c. Give the medication mixed with a small amount of juice in a bottle.
d. Use a sterile applicator to swab the medication on the oral mucosa.
