NUR 122- Peds Test 2-Gastrointestinal & Genit
Guide With Correct Answers
Which cof cthe cfollowing cwill cthe cnurse crecognize cas ca cmajor cgoal cof ctreatment cfor cchildren cwit
cCORRECT cANS✔✔Promoting ca cmaximum clevel cof cindependence
The cnurse cis cteaching cthe cfamiliy cabout cnephrotic csyndrome cand cexplains cthe cclinical cmanifes
cthe cfollowing? c- cCORRECT cANS✔✔Increased cpermeability cof cthe cglomeruli
A c2 cyear cold cis cadmitted cto cthe cneurosurgical cunit cfollowing ca chead cinjury. cThe cnurse cis cusin
cto cmeasure cneurological cfunctioning. cWhich cof cthe cfollowing cassessment cfindings cindicate cthe
cthis cchild? c- cCORRECT cANS✔✔No cresponse cto cpainful cstimuli
The cnurse cis ccaring cfor ca c4-month cold cinfant cwho chas chad can cisolated ccleft clip crepair. cWhat c
cchild cin cthe cimmediate cpostoperative cperiod? c- cCORRECT cANS✔✔Supine
A c2 cmonth cold cinfant cis cbrought cto cthe cpediatric cclinic. cThe cinfant chas chad cvomiting cand cdiar
cis cirritable cand chis canterior cfontanel cis csunken. cWhich cof cthe cfollowing cwill chelp cconfirm cthe c
cCORRECT cANS✔✔Analysis cof cserum celectrolytes
A cnurse cis ccaring cfor ca cnewborn cinfant cwith cspina cbifida c(myelomeningocele) cwho cis cschedule
csac. cIn cthe cpreoperative cperiod, cthe cpriority cnursing cdiagnosis cwould cbe: c- cCORRECT cANS✔
A cnurse cis ccaring cfor ca cchild crecently cdiagnosed cwith ccerebral cpalsy cand cthe cparents cof cthe c
ctheir cdisorder. cThe cnurse cbases cher cresponse con cunderstanding cthat ccerebral cpalsy cis: c- cCO
cdisorder ccharacterized cby cimpaired cmuscle cmovement cand cposture.
The cnurse cis ccaring cfor ca c4 cyear cold cwho cweighs c15 ckg c(33lbs). cAt cthe cend cof ca c10- chour cp
curine coutput cto cbe c150 cmL. cThe cnurse cdetermines cthat cthe curinary coutput cfor cthis cchild cdurin
cANS✔✔within cthe cexpected crange cof coutput---(child cnormal crange cis c0.5 cto c1ml/kg/hr)
, cexcept cfor cbreast cmilk); cbelly cdistention cfrom cgas c(colicky, cgasey); cimmature cliver c(decreased
cusually chealth cbabies, csometimes cpremies
Cardiac csphincter c- cCORRECT cANS✔✔circular cmuscles clocated cwhere cthe clower cend cof cthe c
cThe cmuscle cserves cas cthe cvalve cthat ccontracts cto cprevent cacid creflux cand crelaxes cto callow cf
Assessment cguidelines cfor cThe cChild cWith ca cGastrointestinal cCondition: c- cCORRECT cANS✔✔
cpercuss, cmouth cand cesophagus, cnutrition, cstool, cfamily chistory
Abdomen—inspection c- cCORRECT cANS✔✔• cObserve cthe cshape cof cthe cabdomen.
• cNote cany cabdominal cdistention. cMeasure cabdominal cgirth.
• cObserve cthe cumbilicus cfor cprotrusion.
• cObserve cfor cperistaltic cwaves c(visible crhythmic ccontractions cof cthe cintestinal cwall csmooth cmu
• cObserve cfor cjaundice, cbruising, cand cincreased cbleeding.
Abdomen—auscultation c- cCORRECT cANS✔✔• cAuscultate cfor cbowel csounds cin call cfour cquadra
Abdomen—palpation c- cCORRECT cANS✔✔• cPalpate cthe cabdomen cand cnote cif cit cis csoft cor cfir
• cPalpate cthe csize cof cthe cumbilical cring. c
• cDoes cthe cchild ccomplain cof cpain cor ctenderness cduring cpalpation? cDoes cthe cinfant ccry? c
• cDescribe cany cmasses cpalpated cby clocation, cshape, csize, cand cconsistency. c
• cPalpate cthe cliver cfor csize cand ctenderness. c
• cPalpate cthe cspleen cfor csize cand ctenderness.
Mouth cand cesophagus c- cCORRECT cANS✔✔• cNote cthe cpresence cof cincreased coral csecretions
clip cor cpalate.
Nutrition c- cCORRECT cANS✔✔• cNote ctolerance cof cfeedings, cspitting cup, cemesis, cand crecurren
c• cObserve camount, ccolor, cand cfrequency cof cemesis.
c• cNote cif cemesis cis cassociated cwith cfeeding cand cwhether cor cnot cit cis cprojectile. c
• cNote camount cof cintake, cfrequency cof cfeedings, cand cgrowth.
Stool c- cCORRECT cANS✔✔• cObserve ccolor, cconsistency, cand csize cof cstool. c*Note cany cchang
Family chistory c- cCORRECT cANS✔✔*Ask cabout chistory cof cgastrointestinal cillness cwith cgenetic
cdisease cand cinflammatory cbowel cdisease.
Labs c- cCORRECT cANS✔✔*Bilirubin cassessment, c
*Checking cstool cfor cova cor cparasites, cworms, cetc
*Testing cfor cblood cin cstool
Gastroenteritis c- cCORRECT cANS✔✔acute cillness, cmajor ckiller cof cyoung cchildren, ccharacterized
cdiarrhea, cresults cin cdehydration cand chypovolemic cshock
Cleft clip cand cpalate c- cCORRECT cANS✔✔-structural cdefect
-can coccur ctogether cor cseparately
-fusion cof clip cand cpalate coccur cseparately cduring cdevelopment
-cleft clip ccan coccur cunilaterally cor cbilaterally
-baby cunable cto ccompress/ csuction
-baby cunable cto cfeed cdue cto cdental cdeformity
-speech cissues c
-higher crisk cfor cotitis cmedia c(frequent cinfections ccan caffect chearing)
Pyloric cstenosis csymptoms c(pic. cpg. c1332): c- cCORRECT cANS✔✔-small camount cof cemesis cgra
cthickening cof cpyloris, ccanal cstarts cto cclose, cthe cstomach cstarts cto cpush charder cto cget cthrough
Guide With Correct Answers
Which cof cthe cfollowing cwill cthe cnurse crecognize cas ca cmajor cgoal cof ctreatment cfor cchildren cwit
cCORRECT cANS✔✔Promoting ca cmaximum clevel cof cindependence
The cnurse cis cteaching cthe cfamiliy cabout cnephrotic csyndrome cand cexplains cthe cclinical cmanifes
cthe cfollowing? c- cCORRECT cANS✔✔Increased cpermeability cof cthe cglomeruli
A c2 cyear cold cis cadmitted cto cthe cneurosurgical cunit cfollowing ca chead cinjury. cThe cnurse cis cusin
cto cmeasure cneurological cfunctioning. cWhich cof cthe cfollowing cassessment cfindings cindicate cthe
cthis cchild? c- cCORRECT cANS✔✔No cresponse cto cpainful cstimuli
The cnurse cis ccaring cfor ca c4-month cold cinfant cwho chas chad can cisolated ccleft clip crepair. cWhat c
cchild cin cthe cimmediate cpostoperative cperiod? c- cCORRECT cANS✔✔Supine
A c2 cmonth cold cinfant cis cbrought cto cthe cpediatric cclinic. cThe cinfant chas chad cvomiting cand cdiar
cis cirritable cand chis canterior cfontanel cis csunken. cWhich cof cthe cfollowing cwill chelp cconfirm cthe c
cCORRECT cANS✔✔Analysis cof cserum celectrolytes
A cnurse cis ccaring cfor ca cnewborn cinfant cwith cspina cbifida c(myelomeningocele) cwho cis cschedule
csac. cIn cthe cpreoperative cperiod, cthe cpriority cnursing cdiagnosis cwould cbe: c- cCORRECT cANS✔
A cnurse cis ccaring cfor ca cchild crecently cdiagnosed cwith ccerebral cpalsy cand cthe cparents cof cthe c
ctheir cdisorder. cThe cnurse cbases cher cresponse con cunderstanding cthat ccerebral cpalsy cis: c- cCO
cdisorder ccharacterized cby cimpaired cmuscle cmovement cand cposture.
The cnurse cis ccaring cfor ca c4 cyear cold cwho cweighs c15 ckg c(33lbs). cAt cthe cend cof ca c10- chour cp
curine coutput cto cbe c150 cmL. cThe cnurse cdetermines cthat cthe curinary coutput cfor cthis cchild cdurin
cANS✔✔within cthe cexpected crange cof coutput---(child cnormal crange cis c0.5 cto c1ml/kg/hr)
, cexcept cfor cbreast cmilk); cbelly cdistention cfrom cgas c(colicky, cgasey); cimmature cliver c(decreased
cusually chealth cbabies, csometimes cpremies
Cardiac csphincter c- cCORRECT cANS✔✔circular cmuscles clocated cwhere cthe clower cend cof cthe c
cThe cmuscle cserves cas cthe cvalve cthat ccontracts cto cprevent cacid creflux cand crelaxes cto callow cf
Assessment cguidelines cfor cThe cChild cWith ca cGastrointestinal cCondition: c- cCORRECT cANS✔✔
cpercuss, cmouth cand cesophagus, cnutrition, cstool, cfamily chistory
Abdomen—inspection c- cCORRECT cANS✔✔• cObserve cthe cshape cof cthe cabdomen.
• cNote cany cabdominal cdistention. cMeasure cabdominal cgirth.
• cObserve cthe cumbilicus cfor cprotrusion.
• cObserve cfor cperistaltic cwaves c(visible crhythmic ccontractions cof cthe cintestinal cwall csmooth cmu
• cObserve cfor cjaundice, cbruising, cand cincreased cbleeding.
Abdomen—auscultation c- cCORRECT cANS✔✔• cAuscultate cfor cbowel csounds cin call cfour cquadra
Abdomen—palpation c- cCORRECT cANS✔✔• cPalpate cthe cabdomen cand cnote cif cit cis csoft cor cfir
• cPalpate cthe csize cof cthe cumbilical cring. c
• cDoes cthe cchild ccomplain cof cpain cor ctenderness cduring cpalpation? cDoes cthe cinfant ccry? c
• cDescribe cany cmasses cpalpated cby clocation, cshape, csize, cand cconsistency. c
• cPalpate cthe cliver cfor csize cand ctenderness. c
• cPalpate cthe cspleen cfor csize cand ctenderness.
Mouth cand cesophagus c- cCORRECT cANS✔✔• cNote cthe cpresence cof cincreased coral csecretions
clip cor cpalate.
Nutrition c- cCORRECT cANS✔✔• cNote ctolerance cof cfeedings, cspitting cup, cemesis, cand crecurren
c• cObserve camount, ccolor, cand cfrequency cof cemesis.
c• cNote cif cemesis cis cassociated cwith cfeeding cand cwhether cor cnot cit cis cprojectile. c
• cNote camount cof cintake, cfrequency cof cfeedings, cand cgrowth.
Stool c- cCORRECT cANS✔✔• cObserve ccolor, cconsistency, cand csize cof cstool. c*Note cany cchang
Family chistory c- cCORRECT cANS✔✔*Ask cabout chistory cof cgastrointestinal cillness cwith cgenetic
cdisease cand cinflammatory cbowel cdisease.
Labs c- cCORRECT cANS✔✔*Bilirubin cassessment, c
*Checking cstool cfor cova cor cparasites, cworms, cetc
*Testing cfor cblood cin cstool
Gastroenteritis c- cCORRECT cANS✔✔acute cillness, cmajor ckiller cof cyoung cchildren, ccharacterized
cdiarrhea, cresults cin cdehydration cand chypovolemic cshock
Cleft clip cand cpalate c- cCORRECT cANS✔✔-structural cdefect
-can coccur ctogether cor cseparately
-fusion cof clip cand cpalate coccur cseparately cduring cdevelopment
-cleft clip ccan coccur cunilaterally cor cbilaterally
-baby cunable cto ccompress/ csuction
-baby cunable cto cfeed cdue cto cdental cdeformity
-speech cissues c
-higher crisk cfor cotitis cmedia c(frequent cinfections ccan caffect chearing)
Pyloric cstenosis csymptoms c(pic. cpg. c1332): c- cCORRECT cANS✔✔-small camount cof cemesis cgra
cthickening cof cpyloris, ccanal cstarts cto cclose, cthe cstomach cstarts cto cpush charder cto cget cthrough
