NSG 3600 Pediatric Exam 3 : NSG 3600 PEDS 3 Final Exam 3:100% Verified: Guaranteed A+ Score Guide: Updated Solution

Gastrointestinal System Rectal Atresia: ● Closure of rectal passage → No stool ● Initially anus may appear to be normal in appearance, but it is later determined as an abnormal situation & is a complete obstruction. Immediate surgical intervention is mandatory for rectal atresia. ● NPO as soon as diagnosed, start IV fluids to prepare for surgery ● Diagnosis: ○ Physical exam ○ Radiological imaging/MRI/Ultrasound ○ IV pyelogram - urinary tract ● Collaborative Care: ○ Surgical Care: ■ Creating new anal opening for rectal atresia: 2 stages ● 1st stage: resection & colostomy ● 2nd stage: closure of colostomy & pull through procedures w/ anastomosis of blind pouch to anus. ● Nursing Care: ○ Pre-op: ■ NPO, maintenance of IV & IV fluids ○ Post-op: ■ Issues that can happen after surgery → Monitor for: ● Fistulas ● Stricture ■ VS, I&O’s, pain management, hydration, monitor stools, skin care, infection control, colostomy care. ■ NG decompression, PO feeds begin after positive bowel sounds.