NSG 3600 EXAM 2 STUDY GUIDE 2026/2027 COMPREHENSIVE ANSWERS ALREADY
PASSED
1. What is important information to teach parents about what to expect after surgery for child
who had cleft lip/palate repair?. Answer: The child will be very fussy, nothing in the mouth 3
weeks after surgery to protect surgical site. Child will be very irritable due to not being about to
self smoothed so being on time with pain meds in a must. Will be on TPN/Lipids.
2. Pyloric Stenosis. Answer: Constriction or narrowing of pyloric sphincter with obstruct
of gastric outlet. Olive shape size mass.
3. Pyloric Stenosis Clinical Manifestations. Answer: Projectile vomiting (will still be very
hungry after this), insatiable appetite, weight loss-failure to thrive, dehydration, will be able to
palpate the olive.
4. Pyloric Stenosis Diagnosis. Answer: Ultrasound, palpate mass, abdominal x-ray, upper
GI series, will be dehydrated due to the vomiting.
5. Pyloric Stenosis Therapeutic Management. Answer: NPO due the surgery. Will do a
pyloromyotomy procedure (cutting the pyloric
sphincter to make it larger), doing pain control after surgery,
,monitor vital signs, watch for dehydration (HR, LABS, SKIN, SUCKEN EYES, LOOKING AT
THE MUCUS MEMBRANE), along with Post-op
infection.
6. When can you start your feeding after the pyloromyotomy
procedure for pyloric stenosis?. Answer: Feeding can begin within 6 hours after surgery, will be
on pyloric feeding protocol- PEDLIGHT small amount then progressing to larger amounts every
2 hours).
Vomiting may still occur right after surgery and its normal for the first 24-36 hours after that its
not!
7. Intussusception. Answer: One portion of the bowel slides into the next, creating an
obstruction.
8. Intussusception Clinical Manifestations. Answer: Acute to severe abdominal pain, child
will pull legs toward their abdomen, pain
relieved once abdomen relaxes, will have pain for a period of time then it will go away, vomiting,
fever and sweating, dehydration,
abdominal distention with a sausage shape mass, lethargy.
9. What kind of stool will a child have with Intussusception?. Answer: Currant jelly
stool with blood and mucus in the stool.
10. Intussusceptions Diagnosis. Answer: Will confirm with a
ultrasound along with doing a barium enema or air enema. Will
need to get a history of history and may feel the sausage shape mass.
, 11. Intussusception Therapeutic Management. Answer: Need to
monitor for signs of perforation (fever, shock, intense pain that does not go away, abdominal
destination), peritonitis, and shock, we will need to do pain control, monitor vitals, give IV fluids,
surgical repair (care for incision & educate for signs of infection)
12. What do we need to educate the family on when it comes to
Intussusception?. Answer: Educate family on feeding, dehydration and pain management.
13. What do we need if a patient who has intussusception passes a normal stool instead of a
jelly one?. Answer: That means that the bowel fixed itself and we will need to call the doctor for
more test to be done to check.
14. Failure to Thrive (FTT). Answer: Inadequate caloric intake- not getting their calories
they need, inadequate caloric absorption- body not absorptions its calories, or burning all the
calories way too fast.
15. What can failure to thrive (FTT) show us?. Answer: It is an early sign of other
diseases. We need to figure out what is going on with the failure to thrive.
PASSED
1. What is important information to teach parents about what to expect after surgery for child
who had cleft lip/palate repair?. Answer: The child will be very fussy, nothing in the mouth 3
weeks after surgery to protect surgical site. Child will be very irritable due to not being about to
self smoothed so being on time with pain meds in a must. Will be on TPN/Lipids.
2. Pyloric Stenosis. Answer: Constriction or narrowing of pyloric sphincter with obstruct
of gastric outlet. Olive shape size mass.
3. Pyloric Stenosis Clinical Manifestations. Answer: Projectile vomiting (will still be very
hungry after this), insatiable appetite, weight loss-failure to thrive, dehydration, will be able to
palpate the olive.
4. Pyloric Stenosis Diagnosis. Answer: Ultrasound, palpate mass, abdominal x-ray, upper
GI series, will be dehydrated due to the vomiting.
5. Pyloric Stenosis Therapeutic Management. Answer: NPO due the surgery. Will do a
pyloromyotomy procedure (cutting the pyloric
sphincter to make it larger), doing pain control after surgery,
,monitor vital signs, watch for dehydration (HR, LABS, SKIN, SUCKEN EYES, LOOKING AT
THE MUCUS MEMBRANE), along with Post-op
infection.
6. When can you start your feeding after the pyloromyotomy
procedure for pyloric stenosis?. Answer: Feeding can begin within 6 hours after surgery, will be
on pyloric feeding protocol- PEDLIGHT small amount then progressing to larger amounts every
2 hours).
Vomiting may still occur right after surgery and its normal for the first 24-36 hours after that its
not!
7. Intussusception. Answer: One portion of the bowel slides into the next, creating an
obstruction.
8. Intussusception Clinical Manifestations. Answer: Acute to severe abdominal pain, child
will pull legs toward their abdomen, pain
relieved once abdomen relaxes, will have pain for a period of time then it will go away, vomiting,
fever and sweating, dehydration,
abdominal distention with a sausage shape mass, lethargy.
9. What kind of stool will a child have with Intussusception?. Answer: Currant jelly
stool with blood and mucus in the stool.
10. Intussusceptions Diagnosis. Answer: Will confirm with a
ultrasound along with doing a barium enema or air enema. Will
need to get a history of history and may feel the sausage shape mass.
, 11. Intussusception Therapeutic Management. Answer: Need to
monitor for signs of perforation (fever, shock, intense pain that does not go away, abdominal
destination), peritonitis, and shock, we will need to do pain control, monitor vitals, give IV fluids,
surgical repair (care for incision & educate for signs of infection)
12. What do we need to educate the family on when it comes to
Intussusception?. Answer: Educate family on feeding, dehydration and pain management.
13. What do we need if a patient who has intussusception passes a normal stool instead of a
jelly one?. Answer: That means that the bowel fixed itself and we will need to call the doctor for
more test to be done to check.
14. Failure to Thrive (FTT). Answer: Inadequate caloric intake- not getting their calories
they need, inadequate caloric absorption- body not absorptions its calories, or burning all the
calories way too fast.
15. What can failure to thrive (FTT) show us?. Answer: It is an early sign of other
diseases. We need to figure out what is going on with the failure to thrive.
