, What are signs and symptoms of Hirschsprungs? - CORRECT ANSWERS-- No
meconium within the 1st 24-48 hours
- Distended abdomen & vomiting
- Signs of enterocolitis (fever, severe prostration, GI bleeding, explosive watery
diarrhea)
- Chronic constipation ( may have fluid that leaks around the impaction)
- Ribbon-like, foul smelling stool
- failure to thrive
(diagnose by rectal biopsy)
What are nursing interventions for Hirschsprungs? - CORRECT ANSWERS-- Preop:
depends on age and condition - may involve treatment with enemas and a low fiber,
high calorie, high protein diet, administer stool softeners as prescribed, put them on gut
rest, TPN and liquids (keep gut from perforating)
- Postop:
NPO
NG suction (keep abdominal distention down)
Abdominal assessment
Ostomy- temporary
Later - revised: anal stricture and incontinence are potential complications
(if you do not have ganglion to move along it will leak out)
When does cleft lip repair usually occur? - CORRECT ANSWERS-between 2-3 months
old
When does cleft palate repair usually occur? - CORRECT ANSWERS-6-12 months
What are nursing interventions and for cleft palate? - CORRECT ANSWERS-- Position
on side or back after surgery
- Hold infant upright and direct formula to the side and back of the mouth to prevent
aspiration
- Cool mist tent (decrease inflammation, so airway is not obstructed)
- Blended diet (no hard foods)
- No pacificer after surgery
- Elbow restraints: 4-6 weeks
- can breastfeed
- if bottle fed, use an NUK nipple or a playtex nurser
(pg.302)
- feed small amounts gradually and burp frequently
(10 Lbs, 10 weeks of age, Hgb of 10)
What is teaching for a cleft lip? - CORRECT ANSWERS-- with cleft lip avoid prone
position
- teach parents how to administer pain meds
- a thin layer of antibiotic ointment may be prescribed for suture line and followed by
petroleum jelly for several weeks
meconium within the 1st 24-48 hours
- Distended abdomen & vomiting
- Signs of enterocolitis (fever, severe prostration, GI bleeding, explosive watery
diarrhea)
- Chronic constipation ( may have fluid that leaks around the impaction)
- Ribbon-like, foul smelling stool
- failure to thrive
(diagnose by rectal biopsy)
What are nursing interventions for Hirschsprungs? - CORRECT ANSWERS-- Preop:
depends on age and condition - may involve treatment with enemas and a low fiber,
high calorie, high protein diet, administer stool softeners as prescribed, put them on gut
rest, TPN and liquids (keep gut from perforating)
- Postop:
NPO
NG suction (keep abdominal distention down)
Abdominal assessment
Ostomy- temporary
Later - revised: anal stricture and incontinence are potential complications
(if you do not have ganglion to move along it will leak out)
When does cleft lip repair usually occur? - CORRECT ANSWERS-between 2-3 months
old
When does cleft palate repair usually occur? - CORRECT ANSWERS-6-12 months
What are nursing interventions and for cleft palate? - CORRECT ANSWERS-- Position
on side or back after surgery
- Hold infant upright and direct formula to the side and back of the mouth to prevent
aspiration
- Cool mist tent (decrease inflammation, so airway is not obstructed)
- Blended diet (no hard foods)
- No pacificer after surgery
- Elbow restraints: 4-6 weeks
- can breastfeed
- if bottle fed, use an NUK nipple or a playtex nurser
(pg.302)
- feed small amounts gradually and burp frequently
(10 Lbs, 10 weeks of age, Hgb of 10)
What is teaching for a cleft lip? - CORRECT ANSWERS-- with cleft lip avoid prone
position
- teach parents how to administer pain meds
- a thin layer of antibiotic ointment may be prescribed for suture line and followed by
petroleum jelly for several weeks
