2026l Update)l Maternal-Childl Nursingl
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l pyloricl stenosis
Answer:
narrowingl ofl thel pyloricl sphincter,l hypertrophyl ofl pyloricl muscle,l mayl leadl tol
obstruction
Q:l pyloricl stenosisl s/s
Answer:
•l Projectilel vomiting
•l Weightl lossl
•l Palpablel mass;l olivel
•l Peristalticl waves
•l Hungerl
•l Dehydrationl
•l Alkalosis
•l Electrolytel loss
Q:l pyloricl stenosisl dx/tx
Answer:
Ultrasoundl diagnosis,l pyloromyotomyl surgery
Q:l pyloromyotomyl surgeryl postop
Answer:
•l Increasel feedsl slowlyl sterilel
waterl atl beginningl andl addl formula/breastl milkl untill fulll
feedsl 2-3l daysl later.
•l Properl positioning:l Fowlers'l andl onl rightl side
•l Incisionl sitel care:l REEDA
•l Monitorl hydrationl status→l dailyl weights,l Il &l O's,l fontanelles,l
,mucousl membranes,l skinl turgor
•l Painl management
Q:l celiacl disease
Answer:
malabsorptionl syndromel causedl byl anl immunel reactionl tol glutenl (barley,l rye,l oats,l
wheatl flour)
Q:l celiacl diagnosis
Answer:
bloodl testl andl biopsy,l sweatl testl tol rulel outl cysticl fibrosis
Q:l celiacl diseasel symptoms
Answer:
•l Steatorrhea
•l Inabilityl tol absorbl nutrientsl →FTT
•l Vitaminl deficiencies
•l Osteoporosis
•l Excessivel bleeding
abdominall distention,l buttocksl willl bel atrophied
Q:l Hirschprung'sl Diseasel (Megacolon)
Answer:
•l Congenitall absencel ofl
ganglionicl nervel cells
•l Sigmoidl portionl ofl thel bowell
•l Causingl lackl ofl normall peristalsis
•l Causel unknown
Q:l Hirschsprungl diseasel dxl test
Answer:
•Rectall biopsy;l confirmsl absencel ofl ganglionl (nerve)l cells
Q:l Hirschsprungl diseasel s/s
Answer:
,•l Nol meconiuml stooll passedl atl birth
•l Ribbon-likel Stools
•l Constipation
•l Abdominall distention
•l Anorexia
•l Vomiting;l bile
•l FTT
•l Decreasedl bowell sounds
•l Bowell obstruction
Q:l Hirschsprungl diseasel tx
Answer:
•l Restorationl ofl peristalsis
•l Surgeryl
•l Temporaryl Colostomy
•l Resectionl anastomosis
Q:l Feedingsl forl hirschsprung's
Answer:
Lowl fiber,l highl proteinl andl calories
Q:l Givel _____l beforel bowell surgery
Answer:
Antibiotics
Q:l intussusception
Answer:
telescopingl ofl al segmentl ofl thel bowel,l usuallyl atl ileocall valve,l dxl byl US
Q:l intussusceptionl s/s
Answer:
•l Currantl jellyl stoolsl
•l Palpationl ofl massl (sausaged)l
•l Vomitingl
•l Episodicl (patterned)l Abdomenl rigidityl andl tenderness
•l Severel painl FAST
, •l Kicksl legsl withl episodes
•l Decreasedl flatus/BMs
Q:l Intussusceptionl treatment
Answer:
airl enema,l surgery
Q:l Colic
Answer:
severel abdominall painl inl otherwisel healthyl babyl
inconsolablel cryingl 3hrs/dayl 3days/week
Q:l colicl medications
Answer:
•l Gripel water
•l Simethiconel gasl relievingl drops
Q:l Colicl tx/care
Answer:
•l Walkl withl baby,l rockl baby
•l Whitel noise
•l Rhythmicl movements
•l Decreasel flatus;l burpl often
•l Warml bathsl andl message
•l Relaxationl music
Q:l appendicitis
Answer:
inflammationl ofl thel appendix,l usuallyl duel tol obstructionl orl infection
Q:l Appendicitisl S/S
Answer:
•l Locationl ofl pain-1stl periumbilicall localizingl tol McBurney'sl Point
•l Legsl drawnl upl whilel lyingl flat
•l Nausea/vomiting