CHAPT
ER2
3:GASTROI
NTEST
INALAL
TERATI
ONSMyNur
singT
estBa
nks
CHAPT
ER2
3:GASTROI
NTEST
INALAL
TERATI
ONS
MUL
TIPLECHOI
CE
1.Sucking and swallowing are automatic reflexes at birth, but they come under voluntary
control by how many weeks of age?
a
. 2 c
. 6
b
. 4 d
. 8
ANS: C
Fe
edba
ck
I
nco
rre
ct.
Suc
kin
gan
dswa
ll
owi
ngd
ono
tco
meu
nde
rvo
lun
tar
yco
ntr
olb
y2we
ekso
fag
e.
A
I
nco
rre
ct.
Suc
kin
gan
dswa
ll
owi
ngd
ono
tco
meu
nde
rvo
lun
tar
yco
ntr
olb
y4we
ekso
fag
e.
B
C Cor
rec
t.Su
cki
nga
nds
wal
l
owi
nga
rea
uto
mat
i
cre
fle
xesa
tbi
rt
h,b
utt
heyc
omeu
nde
rvo
lun
tar
yco
ntr
olb
y6we
ekso
fag
east
hen
erv
esa
ndmu
scl
esd
eve
lo
I
nco
rre
ct.
Suc
kin
gan
dswa
ll
owi
ngd
ono
tco
meu
nde
rvo
lun
tar
yco
ntr
olb
y8we
ekso
fag
e.
D
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
yOBJ
:Co
gni
t
iveL
eve
l:Kn
owl
edg
e
2.The nurse will teach the caregivers about the need for small, frequent feedings by explaining
to them that newborns and infants have:
a
. as
lowe
rme
tab
oli
cra
tet
hana
dul
t
s
b
. s
lowe
rpe
ri
st
al
si
s
c
. d
ecr
eas
ede
mpt
yi
ngr
at
e
d
. a1
0-t
o20
-mi
l
li
l
it
ers
toma
chc
apa
cit
yat
bir
th
ANS: D
Fe
edba
ck
, I
nco
rre
ct.
Newb
orn
san
din
fan
tsh
aveaf
ast
erme
tab
oli
cra
tet
hana
dul
t
s.
A
I
nco
rre
ct.
Newb
orn
san
din
fan
tsh
aveg
rea
terp
eri
st
al
si
s.
B
I
nco
rre
ct.
Newb
orn
san
din
fan
tsh
avei
ncr
eas
eds
toma
che
mpt
yi
ngr
at
e.
C
D Cor
rec
t.Ne
wbo
rnsa
ndi
nf
ant
sne
edf
ors
mal
l
,fr
equ
ent
fee
din
gsb
eca
uset
heyh
avea1
0-t
o20
-mi
l
li
l
it
ers
toma
chc
apa
cit
yat
bir
th.
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
yOBJ
:Co
gni
t
iveL
eve
l:Kn
owl
edg
e
3.A parent tells the pediatric nurse about her baby spitting up. The nurse will explain that
regurgitation by infants is:
a
. u
nus
ual
andmu
stb
ech
eck
edo
utb
yth
epe
dia
tr
ic
ian
b
. c
ommo
nbe
cau
set
hel
owe
res
oph
age
als
phi
nct
ert
onei
sde
cre
ase
d
c
. u
nus
ual
ifi
toc
cur
smo
ret
hant
wic
ead
ayf
orap
eri
odo
fawe
ek
d
. c
ommo
nbe
cau
set
heb
abyh
asas
hor
te
res
oph
age
alt
ube
ANS: B
Fe
edba
ck
I
nco
rre
ct.
Reg
urg
it
at
io
nbyi
nf
ant
sisc
ommo
n.
A
B Cor
rec
t.Re
gur
gi
ta
ti
onb
yin
fan
tsi
sco
mmo
nbe
cau
set
hel
owe
res
oph
age
als
phi
nct
ert
onei
sde
cre
ase
dorr
el
axe
d.
I
nco
rre
ct.
Reg
urg
it
at
io
nbyi
nf
ant
sisc
ommo
n.
C
I
nco
rre
ct.
Reg
urg
it
at
io
nbyi
nf
ant
sisc
ommo
nbe
cau
set
hel
owe
res
oph
age
als
phi
nct
ert
onei
sde
cre
ase
dorr
el
axe
d.
D
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
y
OBJ
:Co
gni
t
iv
eLe
vel
:Co
mpr
ehe
nsi
on
4.A parent asks why infants have so many soft stools. The nurse explains that this is caused by
infants:
, a
. s
ecr
et
in
gpr
opo
rt
io
nat
el
ymo
refl
uid
san
dab
sor
bi
ngl
essfl
uid
sth
ana
dul
t
sdo
b
. h
avi
ngat
ot
al
lyl
i
qui
ddi
etwi
t
hnob
ulko
rso
li
dso
fan
yki
nd
c
. h
avi
ngamo
res
ens
it
i
veb
owe
lwi
t
hgr
eat
erp
eri
st
al
ti
cwa
vesa
ft
era
nyi
nt
ake
d
. n
eed
ingt
ota
kemi
l
kat
suc
hfr
equ
ent
int
er
val
swi
t
hst
ool
sfo
ll
owi
ngi
nt
akei
nt
er
val
s
ANS: A
Fe
edba
ck
Cor
rect
.I
nfa
ntshav
esoman
yso
fts
too
lsb
eca
uset
heys
ecr
et
epr
opo
rti
ona
tel
ymo
refl
uid
san
dab
sor
ble
ssfl
uid
sth
ana
dul
t
sdu
etoh
avi
ngap
rop
ort
i
ona
A shor
te
rla
rgein
tes
ti
ne.
I
nco
rre
ct.
Inf
ant
sdon
oth
aves
oma
nys
oft
sto
olsb
eca
uset
heyh
aveat
ot
al
lyl
i
qui
ddi
etwi
t
hnob
ulko
rso
li
dso
fan
yki
nd.
B
I
nco
rre
ct.
Inf
ant
sdon
oth
aves
oma
nys
oft
sto
olsb
eca
uset
heyh
aveamo
res
ens
it
iv
ebo
wel
wit
hgr
eat
erp
eri
st
al
ti
cwa
vesa
ft
era
nyi
nt
ake
.
C
I
nco
rre
ct.
Inf
ant
sdon
oth
aves
oma
nys
oft
sto
olsb
eca
uset
heyn
eedt
ota
kemi
l
kat
suc
hfr
equ
ent
int
er
val
swi
t
hst
ool
sfo
ll
owi
ngi
nt
akei
nt
er
val
s.
D
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
y
OBJ
:Co
gni
t
iv
eLe
vel
:Co
mpr
ehe
nsi
on
5.A mother wants to know why she cant give her 1-month-old child cereal as the child seems
hungry all the time. Which of the following is the nurses best response?
a
.Un
ti
l4t
o6mo
nth
sof
age
,ba
bie
sha
vei
nsu
ffic
ien
tamo
unt
sof
thep
anc
rea
ti
cen
zymea
myl
ase
,th
een
zymet
hat
ini
t
ial
l
ydi
ges
tsc
arb
ohy
dra
te.
b
. Th
eba
bywo
uldn
otd
ri
nke
nou
ghmi
l
kif
hefi
ll
edh
iss
toma
chu
pwi
t
hce
rea
l,a
ndh
ewo
uldn
ott
hr
iv
easwe
ll
.
c
.In
fan
tsa
rea
ll
er
gi
ctoa
llf
oods
ubs
tan
cese
xce
ptmi
l
kun
ti
lt
heya
re6mo
nth
sof
agea
ndd
eve
lops
uffic
ien
tan
ti
bod
ies
.
d
.In
fan
tsg
ett
oof
ati
ft
heya
res
tar
te
donc
ere
alb
efo
re4t
o5mo
nth
sof
age
,an
dth
ent
heyh
aveat
end
enc
ytor
ema
inf
att
hr
oug
hou
tli
f
e.
ANS: A
Fe
edba
ck
ER2
3:GASTROI
NTEST
INALAL
TERATI
ONSMyNur
singT
estBa
nks
CHAPT
ER2
3:GASTROI
NTEST
INALAL
TERATI
ONS
MUL
TIPLECHOI
CE
1.Sucking and swallowing are automatic reflexes at birth, but they come under voluntary
control by how many weeks of age?
a
. 2 c
. 6
b
. 4 d
. 8
ANS: C
Fe
edba
ck
I
nco
rre
ct.
Suc
kin
gan
dswa
ll
owi
ngd
ono
tco
meu
nde
rvo
lun
tar
yco
ntr
olb
y2we
ekso
fag
e.
A
I
nco
rre
ct.
Suc
kin
gan
dswa
ll
owi
ngd
ono
tco
meu
nde
rvo
lun
tar
yco
ntr
olb
y4we
ekso
fag
e.
B
C Cor
rec
t.Su
cki
nga
nds
wal
l
owi
nga
rea
uto
mat
i
cre
fle
xesa
tbi
rt
h,b
utt
heyc
omeu
nde
rvo
lun
tar
yco
ntr
olb
y6we
ekso
fag
east
hen
erv
esa
ndmu
scl
esd
eve
lo
I
nco
rre
ct.
Suc
kin
gan
dswa
ll
owi
ngd
ono
tco
meu
nde
rvo
lun
tar
yco
ntr
olb
y8we
ekso
fag
e.
D
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
yOBJ
:Co
gni
t
iveL
eve
l:Kn
owl
edg
e
2.The nurse will teach the caregivers about the need for small, frequent feedings by explaining
to them that newborns and infants have:
a
. as
lowe
rme
tab
oli
cra
tet
hana
dul
t
s
b
. s
lowe
rpe
ri
st
al
si
s
c
. d
ecr
eas
ede
mpt
yi
ngr
at
e
d
. a1
0-t
o20
-mi
l
li
l
it
ers
toma
chc
apa
cit
yat
bir
th
ANS: D
Fe
edba
ck
, I
nco
rre
ct.
Newb
orn
san
din
fan
tsh
aveaf
ast
erme
tab
oli
cra
tet
hana
dul
t
s.
A
I
nco
rre
ct.
Newb
orn
san
din
fan
tsh
aveg
rea
terp
eri
st
al
si
s.
B
I
nco
rre
ct.
Newb
orn
san
din
fan
tsh
avei
ncr
eas
eds
toma
che
mpt
yi
ngr
at
e.
C
D Cor
rec
t.Ne
wbo
rnsa
ndi
nf
ant
sne
edf
ors
mal
l
,fr
equ
ent
fee
din
gsb
eca
uset
heyh
avea1
0-t
o20
-mi
l
li
l
it
ers
toma
chc
apa
cit
yat
bir
th.
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
yOBJ
:Co
gni
t
iveL
eve
l:Kn
owl
edg
e
3.A parent tells the pediatric nurse about her baby spitting up. The nurse will explain that
regurgitation by infants is:
a
. u
nus
ual
andmu
stb
ech
eck
edo
utb
yth
epe
dia
tr
ic
ian
b
. c
ommo
nbe
cau
set
hel
owe
res
oph
age
als
phi
nct
ert
onei
sde
cre
ase
d
c
. u
nus
ual
ifi
toc
cur
smo
ret
hant
wic
ead
ayf
orap
eri
odo
fawe
ek
d
. c
ommo
nbe
cau
set
heb
abyh
asas
hor
te
res
oph
age
alt
ube
ANS: B
Fe
edba
ck
I
nco
rre
ct.
Reg
urg
it
at
io
nbyi
nf
ant
sisc
ommo
n.
A
B Cor
rec
t.Re
gur
gi
ta
ti
onb
yin
fan
tsi
sco
mmo
nbe
cau
set
hel
owe
res
oph
age
als
phi
nct
ert
onei
sde
cre
ase
dorr
el
axe
d.
I
nco
rre
ct.
Reg
urg
it
at
io
nbyi
nf
ant
sisc
ommo
n.
C
I
nco
rre
ct.
Reg
urg
it
at
io
nbyi
nf
ant
sisc
ommo
nbe
cau
set
hel
owe
res
oph
age
als
phi
nct
ert
onei
sde
cre
ase
dorr
el
axe
d.
D
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
y
OBJ
:Co
gni
t
iv
eLe
vel
:Co
mpr
ehe
nsi
on
4.A parent asks why infants have so many soft stools. The nurse explains that this is caused by
infants:
, a
. s
ecr
et
in
gpr
opo
rt
io
nat
el
ymo
refl
uid
san
dab
sor
bi
ngl
essfl
uid
sth
ana
dul
t
sdo
b
. h
avi
ngat
ot
al
lyl
i
qui
ddi
etwi
t
hnob
ulko
rso
li
dso
fan
yki
nd
c
. h
avi
ngamo
res
ens
it
i
veb
owe
lwi
t
hgr
eat
erp
eri
st
al
ti
cwa
vesa
ft
era
nyi
nt
ake
d
. n
eed
ingt
ota
kemi
l
kat
suc
hfr
equ
ent
int
er
val
swi
t
hst
ool
sfo
ll
owi
ngi
nt
akei
nt
er
val
s
ANS: A
Fe
edba
ck
Cor
rect
.I
nfa
ntshav
esoman
yso
fts
too
lsb
eca
uset
heys
ecr
et
epr
opo
rti
ona
tel
ymo
refl
uid
san
dab
sor
ble
ssfl
uid
sth
ana
dul
t
sdu
etoh
avi
ngap
rop
ort
i
ona
A shor
te
rla
rgein
tes
ti
ne.
I
nco
rre
ct.
Inf
ant
sdon
oth
aves
oma
nys
oft
sto
olsb
eca
uset
heyh
aveat
ot
al
lyl
i
qui
ddi
etwi
t
hnob
ulko
rso
li
dso
fan
yki
nd.
B
I
nco
rre
ct.
Inf
ant
sdon
oth
aves
oma
nys
oft
sto
olsb
eca
uset
heyh
aveamo
res
ens
it
iv
ebo
wel
wit
hgr
eat
erp
eri
st
al
ti
cwa
vesa
ft
era
nyi
nt
ake
.
C
I
nco
rre
ct.
Inf
ant
sdon
oth
aves
oma
nys
oft
sto
olsb
eca
uset
heyn
eedt
ota
kemi
l
kat
suc
hfr
equ
ent
int
er
val
swi
t
hst
ool
sfo
ll
owi
ngi
nt
akei
nt
er
val
s.
D
PTS:
1REF:
p.7
40Al
t
era
ti
onsi
nMo
ti
li
t
y
OBJ
:Co
gni
t
iv
eLe
vel
:Co
mpr
ehe
nsi
on
5.A mother wants to know why she cant give her 1-month-old child cereal as the child seems
hungry all the time. Which of the following is the nurses best response?
a
.Un
ti
l4t
o6mo
nth
sof
age
,ba
bie
sha
vei
nsu
ffic
ien
tamo
unt
sof
thep
anc
rea
ti
cen
zymea
myl
ase
,th
een
zymet
hat
ini
t
ial
l
ydi
ges
tsc
arb
ohy
dra
te.
b
. Th
eba
bywo
uldn
otd
ri
nke
nou
ghmi
l
kif
hefi
ll
edh
iss
toma
chu
pwi
t
hce
rea
l,a
ndh
ewo
uldn
ott
hr
iv
easwe
ll
.
c
.In
fan
tsa
rea
ll
er
gi
ctoa
llf
oods
ubs
tan
cese
xce
ptmi
l
kun
ti
lt
heya
re6mo
nth
sof
agea
ndd
eve
lops
uffic
ien
tan
ti
bod
ies
.
d
.In
fan
tsg
ett
oof
ati
ft
heya
res
tar
te
donc
ere
alb
efo
re4t
o5mo
nth
sof
age
,an
dth
ent
heyh
aveat
end
enc
ytor
ema
inf
att
hr
oug
hou
tli
f
e.
ANS: A
Fe
edba
ck
