SICK VISIT MANAGEMENT OF ENDOCRINE
ACTUAL SOLVED QUESTIONS AND
CORRECT ANSWERS BUNDLED STUDY
MATERIAL
●● Nasogastric (NG) tube purpose
Answer: A tube inserted through the nose into the stomach used to
provide nutrition, fluids, medications, and to remove stomach contents
(decompression) when a child cannot eat by mouth
●● NG tube common use in pediatrics
Answer: Frequently used in children with failure to thrive who cannot
meet nutritional needs orally
●● NG tube contraindication
Answer: Should not be used in children with severe facial, nasal,
esophageal, or head trauma due to risk of improper placement
●● NG tube major complication
Answer: Increased risk of aspiration (stomach contents entering lungs),
which can lead to pneumonia
●● Newborn meconium passage
,Answer: Newborns should pass their first stool (meconium) within 24-
36 hours after birth
●● Failure to pass meconium causes
Answer: May indicate Hirschsprung disease, meconium plug, or
meconium ileus (associated with cystic fibrosis)
●● Failure to thrive (FTT) definition
Answer: A condition where a child's weight is below the 5th percentile
or drops significantly from their expected growth curve
●● Types of failure to thrive
Answer: Organic (caused by medical conditions like cystic fibrosis or
heart disease) and non-organic (caused by environmental or
socioeconomic factors)
●● Necrotizing enterocolitis (NEC)
Answer: A serious condition in premature infants where intestinal tissue
becomes inflamed and dies due to poor blood flow and infection
●● NEC treatment
Answer: Managed with bowel rest (NPO), antibiotics, and possibly
surgery if there is severe intestinal damage
, ●● Omphalocele
Answer: A birth defect where abdominal organs protrude through the
umbilical area but are covered by a protective sac
●● Omphalocele nursing care
Answer: Keep the sac clean, moist, and protected to prevent infection
and injury
●● Gastroschisis
Answer: A birth defect where abdominal organs protrude outside the
body without a protective sac
●● Gastroschisis nursing care
Answer: Use sterile technique, keep organs warm and moist, provide IV
fluids, and insert NG tube for decompression
●● Dehydration causes in children
Answer: Most commonly caused by vomiting and diarrhea leading to
fluid loss
●● Dehydration signs and symptoms
Answer: Dry mucous membranes, decreased urine output, no tears when
crying, sunken eyes, tachycardia, delayed capillary refill
ACTUAL SOLVED QUESTIONS AND
CORRECT ANSWERS BUNDLED STUDY
MATERIAL
●● Nasogastric (NG) tube purpose
Answer: A tube inserted through the nose into the stomach used to
provide nutrition, fluids, medications, and to remove stomach contents
(decompression) when a child cannot eat by mouth
●● NG tube common use in pediatrics
Answer: Frequently used in children with failure to thrive who cannot
meet nutritional needs orally
●● NG tube contraindication
Answer: Should not be used in children with severe facial, nasal,
esophageal, or head trauma due to risk of improper placement
●● NG tube major complication
Answer: Increased risk of aspiration (stomach contents entering lungs),
which can lead to pneumonia
●● Newborn meconium passage
,Answer: Newborns should pass their first stool (meconium) within 24-
36 hours after birth
●● Failure to pass meconium causes
Answer: May indicate Hirschsprung disease, meconium plug, or
meconium ileus (associated with cystic fibrosis)
●● Failure to thrive (FTT) definition
Answer: A condition where a child's weight is below the 5th percentile
or drops significantly from their expected growth curve
●● Types of failure to thrive
Answer: Organic (caused by medical conditions like cystic fibrosis or
heart disease) and non-organic (caused by environmental or
socioeconomic factors)
●● Necrotizing enterocolitis (NEC)
Answer: A serious condition in premature infants where intestinal tissue
becomes inflamed and dies due to poor blood flow and infection
●● NEC treatment
Answer: Managed with bowel rest (NPO), antibiotics, and possibly
surgery if there is severe intestinal damage
, ●● Omphalocele
Answer: A birth defect where abdominal organs protrude through the
umbilical area but are covered by a protective sac
●● Omphalocele nursing care
Answer: Keep the sac clean, moist, and protected to prevent infection
and injury
●● Gastroschisis
Answer: A birth defect where abdominal organs protrude outside the
body without a protective sac
●● Gastroschisis nursing care
Answer: Use sterile technique, keep organs warm and moist, provide IV
fluids, and insert NG tube for decompression
●● Dehydration causes in children
Answer: Most commonly caused by vomiting and diarrhea leading to
fluid loss
●● Dehydration signs and symptoms
Answer: Dry mucous membranes, decreased urine output, no tears when
crying, sunken eyes, tachycardia, delayed capillary refill
