NUR 283 Exam Review Questions with 100%
Verified Correct Answers
Esophageal Atresia and TEF
S/S: Usually a Newborn, Frothy drooling /saliva Coughing, choking, and cyanosis with
feeding Apnea Abdominal distention
Esophageal Atresia and TEF
What do we do about it: NPO, LIWS tube, TPN, possible gt
Esophageal Atresia and TEF
Nurse role: Observe for oral aversion - speech feeding specialist
assist with feeding after surgery, teach parents to look for trouble swallowing or breathing
Hirschsprung
S/S: Bilious vomiting, Distended abdominal, Refusal to eat
Ribbon-like, foul smelling stool or Failure to pass meconium when first born
Hirschsprung
What do we do about it: Biopsy, Removal of colon tissue -1 step surgery or 2 step (with
colostomy bag)
Hirschsprung
Nurse role: Educate on colostomy Monitor for enterocolitis/GI complications post surgery,
understand long-term complications
Intussusception
, S/S: Abdominal pain, Red, currant jelly-like stools
Screaming pain, sausage shaped mass, Telescoping of intestine
Intussusception
What do we do about it: Ultrasound-guided air enema or Barium enema, possible surgery if
more complications
Intussusception
Nurse role: possible antibiotics, watch for GI complications
GERD
S/S: Apnea & bradycardia, After eating frequent spitting up after eating, Arching head back
& very fussy, low-weight gain
GERD
What do we do about it: Swallow study Thicken food Allergy?
Lansoprazole 30 min prior to meal
GERD
Nurse role: Head of bed 30 degrees for 30-1 hour after feeding,
Long-term - Avoid foods that make it worse Possible Nissen fundoplication
Cleft Palate
S:S Hole in the roof of mouth gap in the lip Formula oozing from nose poor weight gain
Cleft Palate
What do we do about it: Multiple surgeries of facial reconstruction
Cleft Palate
Verified Correct Answers
Esophageal Atresia and TEF
S/S: Usually a Newborn, Frothy drooling /saliva Coughing, choking, and cyanosis with
feeding Apnea Abdominal distention
Esophageal Atresia and TEF
What do we do about it: NPO, LIWS tube, TPN, possible gt
Esophageal Atresia and TEF
Nurse role: Observe for oral aversion - speech feeding specialist
assist with feeding after surgery, teach parents to look for trouble swallowing or breathing
Hirschsprung
S/S: Bilious vomiting, Distended abdominal, Refusal to eat
Ribbon-like, foul smelling stool or Failure to pass meconium when first born
Hirschsprung
What do we do about it: Biopsy, Removal of colon tissue -1 step surgery or 2 step (with
colostomy bag)
Hirschsprung
Nurse role: Educate on colostomy Monitor for enterocolitis/GI complications post surgery,
understand long-term complications
Intussusception
, S/S: Abdominal pain, Red, currant jelly-like stools
Screaming pain, sausage shaped mass, Telescoping of intestine
Intussusception
What do we do about it: Ultrasound-guided air enema or Barium enema, possible surgery if
more complications
Intussusception
Nurse role: possible antibiotics, watch for GI complications
GERD
S/S: Apnea & bradycardia, After eating frequent spitting up after eating, Arching head back
& very fussy, low-weight gain
GERD
What do we do about it: Swallow study Thicken food Allergy?
Lansoprazole 30 min prior to meal
GERD
Nurse role: Head of bed 30 degrees for 30-1 hour after feeding,
Long-term - Avoid foods that make it worse Possible Nissen fundoplication
Cleft Palate
S:S Hole in the roof of mouth gap in the lip Formula oozing from nose poor weight gain
Cleft Palate
What do we do about it: Multiple surgeries of facial reconstruction
Cleft Palate
