Science Medicine Pediatrics
Test 3 Saunders & Davis NCLEX questions
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The clinic nurse reviews 4
the record of an infant and Hirschsprung's disease is a congenital anomaly also
notes that the health care known as congenital aganglionosis or aganglionic
provider has documented megacolon. It occurs as the result of an absence of
a diagnosis of suspected ganglion cells in the rectum and other areas of the
Hirschsprung's disease. affected intestine. Chronic constipation beginning in
The nurse reviews the the first month of life and resulting in pellet-like or
assessment findings ribbon-like stools that are foul-smelling is a clinical
documented in the manifestation of this disorder. Delayed passage or
record, knowing that absence of meconium stool in the neonatal period is
which symptom most also a sign. Bowel obstruction especially in the
likely led the mother to neonatal period, abdominal pain and distention, and
seek health care for the failure to thrive are also clinical manifestations.
infant? Options 1, 2, and 3 are not associated specifically with
this disorder.
1.
Diarrhea
2.
Projectile vomiting
3.
Regurgitation of feedings
4.
Foul-smelling ribbon-like
stools
,An infant has just returned 3
to the nursing unit after A cleft lip is a congenital anomaly that occurs as a
surgical repair of a cleft lip result of failure of soft tissue or bony structure to fuse
on the right side. The during embryonic development. After cleft lip repair,
nurse should place the the nurse avoids positioning an infant on the side of
infant in which best the repair or in the prone position because these
position at this time? positions can cause rubbing of the surgical site on the
mattress. The nurse positions the infant on the side
1. lateral to the repair or on the back upright and
Prone position positions the infant to prevent airway obstruction by
secretions, blood, or the tongue. From the options
2. provided, placing the infant on the left side
On the stomach immediately after surgery is best to prevent the risk of
aspiration if the infant vomits.
3.
Left lateral position
4.
Right lateral position
,The nurse reviews the 3
record of a newborn In esophageal atresia and tracheoesophageal fistula,
infant and notes that a the esophagus terminates before it reaches the
diagnosis of esophageal stomach, ending in a blind pouch, and a fistula is
atresia with present that forms an unnatural connection with the
tracheoesophageal fistula trachea. Any child who exhibits the "3 C's"-coughing
is suspected. The nurse and choking with feedings and unexplained cyanosis-
expects to note which should be suspected to have tracheoesophageal
most likely sign of this fistula. Options 1, 2, and 4 are not specifically
condition documented in associated with tracheoesophageal fistula.
the record?
1.
Incessant crying
2.
Coughing at nighttime
3.
Choking with feedings
4.
Severe projectile vomiting
, The nurse provides 4
feeding instructions to a Gastroesophageal reflux is backflow of gastric
parent of an infant contents into the esophagus as a result of relaxation
diagnosed with or incompetence of the lower esophageal or cardiac
gastroesophageal reflux sphincter. Small, more frequent feedings with frequent
disease. Which instruction burping often are prescribed in the treatment of
should the nurse give to gastroesophageal reflux. Feedings thickened with rice
the parent to assist in cereal may reduce episodes of emesis. If thickened
reducing the episodes of formula is used, cross-cutting of the nipple may be
emesis? required.
1.
Provide less frequent,
larger feedings.
2.
Burp the infant less
frequently during
feedings.
3.
Thin the feedings by
adding water to the
formula.
4.
Thicken the feedings by
adding rice cereal to the
formula.
Test 3 Saunders & Davis NCLEX questions
Save
The clinic nurse reviews 4
the record of an infant and Hirschsprung's disease is a congenital anomaly also
notes that the health care known as congenital aganglionosis or aganglionic
provider has documented megacolon. It occurs as the result of an absence of
a diagnosis of suspected ganglion cells in the rectum and other areas of the
Hirschsprung's disease. affected intestine. Chronic constipation beginning in
The nurse reviews the the first month of life and resulting in pellet-like or
assessment findings ribbon-like stools that are foul-smelling is a clinical
documented in the manifestation of this disorder. Delayed passage or
record, knowing that absence of meconium stool in the neonatal period is
which symptom most also a sign. Bowel obstruction especially in the
likely led the mother to neonatal period, abdominal pain and distention, and
seek health care for the failure to thrive are also clinical manifestations.
infant? Options 1, 2, and 3 are not associated specifically with
this disorder.
1.
Diarrhea
2.
Projectile vomiting
3.
Regurgitation of feedings
4.
Foul-smelling ribbon-like
stools
,An infant has just returned 3
to the nursing unit after A cleft lip is a congenital anomaly that occurs as a
surgical repair of a cleft lip result of failure of soft tissue or bony structure to fuse
on the right side. The during embryonic development. After cleft lip repair,
nurse should place the the nurse avoids positioning an infant on the side of
infant in which best the repair or in the prone position because these
position at this time? positions can cause rubbing of the surgical site on the
mattress. The nurse positions the infant on the side
1. lateral to the repair or on the back upright and
Prone position positions the infant to prevent airway obstruction by
secretions, blood, or the tongue. From the options
2. provided, placing the infant on the left side
On the stomach immediately after surgery is best to prevent the risk of
aspiration if the infant vomits.
3.
Left lateral position
4.
Right lateral position
,The nurse reviews the 3
record of a newborn In esophageal atresia and tracheoesophageal fistula,
infant and notes that a the esophagus terminates before it reaches the
diagnosis of esophageal stomach, ending in a blind pouch, and a fistula is
atresia with present that forms an unnatural connection with the
tracheoesophageal fistula trachea. Any child who exhibits the "3 C's"-coughing
is suspected. The nurse and choking with feedings and unexplained cyanosis-
expects to note which should be suspected to have tracheoesophageal
most likely sign of this fistula. Options 1, 2, and 4 are not specifically
condition documented in associated with tracheoesophageal fistula.
the record?
1.
Incessant crying
2.
Coughing at nighttime
3.
Choking with feedings
4.
Severe projectile vomiting
, The nurse provides 4
feeding instructions to a Gastroesophageal reflux is backflow of gastric
parent of an infant contents into the esophagus as a result of relaxation
diagnosed with or incompetence of the lower esophageal or cardiac
gastroesophageal reflux sphincter. Small, more frequent feedings with frequent
disease. Which instruction burping often are prescribed in the treatment of
should the nurse give to gastroesophageal reflux. Feedings thickened with rice
the parent to assist in cereal may reduce episodes of emesis. If thickened
reducing the episodes of formula is used, cross-cutting of the nipple may be
emesis? required.
1.
Provide less frequent,
larger feedings.
2.
Burp the infant less
frequently during
feedings.
3.
Thin the feedings by
adding water to the
formula.
4.
Thicken the feedings by
adding rice cereal to the
formula.
