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Exam 2: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 2: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION pyloric stenosis Answer: narrowing of the pyloric sphincter, hypertrophy of pyloric muscle, may lead to obstruction QUESTION pyloric stenosis s/s Answer: • Projectile vomiting • Weight loss • Palpable mass; olive • Peristaltic waves • Hunger • Dehydration • Alkalosis • Electrolyte loss QUESTION pyloric stenosis dx/tx Answer: Ultrasound diagnosis, pyloromyotomy surgery QUESTION pyloromyotomy surgery postop Answer: • Increase feeds slowly sterile water at beginning and add formula/breast milk until full feeds 2-3 days later. • Proper positioning: Fowlers' and on right side • Incision site care: REEDA • Monitor hydration status→ daily weights, I & O's, fontanelles, mucous membranes, skin turgor • Pain management QUESTION celiac disease Answer: malabsorption syndrome caused by an immune reaction to gluten (barley, rye, oats, wheat flour) QUESTION celiac diagnosis Answer: blood test and biopsy, sweat test to rule out cystic fibrosis QUESTION celiac disease symptoms Answer: • Steatorrhea • Inability to absorb nutrients →FTT • Vitamin deficiencies • Osteoporosis • Excessive bleeding abdominal distention, buttocks will be atrophied QUESTION Hirschprung's Disease (Megacolon) Answer: • Congenital absence of ganglionic nerve cells • Sigmoid portion of the bowel • Causing lack of normal peristalsis • Cause unknown QUESTION Hirschsprung disease dx test Answer: •Rectal biopsy; confirms absence of ganglion (nerve) cells QUESTION Hirschsprung disease s/s Answer: • No meconium stool passed at birth • Ribbon-like Stools • Constipation • Abdominal distention • Anorexia • Vomiting; bile • FTT • Decreased bowel sounds • Bowel obstruction QUESTION Hirschsprung disease tx Answer: • Restoration of peristalsis • Surgery • Temporary Colostomy • Resection anastomosis QUESTION Feedings for hirschsprung's Answer: Low fiber, high protein and calories QUESTION Give _____ before bowel surgery Answer: Antibiotics QUESTION intussusception Answer: telescoping of a segment of the bowel, usually at ileocal valve, dx by US QUESTION intussusception s/s Answer: • Currant jelly stools • Palpation of mass (sausaged) • Vomiting • Episodic (patterned) Abdomen rigidity and tenderness • Severe pain FAST • Kicks legs with episodes • Decreased flatus/BMs QUESTION Intussusception treatment Answer: air enema, surgery QUESTION Colic Answer: severe abdominal pain in otherwise healthy baby inconsolable crying 3hrs/day 3days/week QUESTION colic medications Answer: • Gripe water • Simethicone gas relieving drops QUESTION Colic tx/care Answer: • Walk with baby, rock baby

Content preview

Examl 2:l NU170/l NUl 170l (Latestl 2025/l
2026l Update)l Maternal-Childl Nursingl
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l pyloricl stenosis
Answer:
narrowingl ofl thel pyloricl sphincter,l hypertrophyl ofl pyloricl muscle,l mayl leadl tol
obstruction

Q:l pyloricl stenosisl s/s
Answer:
•l Projectilel vomiting
•l Weightl lossl
•l Palpablel mass;l olivel
•l Peristalticl waves
•l Hungerl
•l Dehydrationl
•l Alkalosis
•l Electrolytel loss

Q:l pyloricl stenosisl dx/tx
Answer:
Ultrasoundl diagnosis,l pyloromyotomyl surgery

Q:l pyloromyotomyl surgeryl postop
Answer:
•l Increasel feedsl slowlyl sterilel
waterl atl beginningl andl addl formula/breastl milkl untill fulll
feedsl 2-3l daysl later.
•l Properl positioning:l Fowlers'l andl onl rightl side
•l Incisionl sitel care:l REEDA
•l Monitorl hydrationl status→l dailyl weights,l Il &l O's,l fontanelles,l

,mucousl membranes,l skinl turgor
•l Painl management

Q:l celiacl disease
Answer:
malabsorptionl syndromel causedl byl anl immunel reactionl tol glutenl (barley,l rye,l oats,l
wheatl flour)

Q:l celiacl diagnosis
Answer:
bloodl testl andl biopsy,l sweatl testl tol rulel outl cysticl fibrosis

Q:l celiacl diseasel symptoms
Answer:
•l Steatorrhea
•l Inabilityl tol absorbl nutrientsl →FTT
•l Vitaminl deficiencies
•l Osteoporosis
•l Excessivel bleeding
abdominall distention,l buttocksl willl bel atrophied

Q:l Hirschprung'sl Diseasel (Megacolon)
Answer:
•l Congenitall absencel ofl
ganglionicl nervel cells
•l Sigmoidl portionl ofl thel bowell
•l Causingl lackl ofl normall peristalsis
•l Causel unknown

Q:l Hirschsprungl diseasel dxl test
Answer:
•Rectall biopsy;l confirmsl absencel ofl ganglionl (nerve)l cells

Q:l Hirschsprungl diseasel s/s
Answer:

,•l Nol meconiuml stooll passedl atl birth
•l Ribbon-likel Stools
•l Constipation
•l Abdominall distention
•l Anorexia
•l Vomiting;l bile
•l FTT
•l Decreasedl bowell sounds
•l Bowell obstruction

Q:l Hirschsprungl diseasel tx
Answer:
•l Restorationl ofl peristalsis
•l Surgeryl
•l Temporaryl Colostomy
•l Resectionl anastomosis

Q:l Feedingsl forl hirschsprung's
Answer:
Lowl fiber,l highl proteinl andl calories

Q:l Givel _____l beforel bowell surgery
Answer:
Antibiotics

Q:l intussusception
Answer:
telescopingl ofl al segmentl ofl thel bowel,l usuallyl atl ileocall valve,l dxl byl US

Q:l intussusceptionl s/s
Answer:
•l Currantl jellyl stoolsl
•l Palpationl ofl massl (sausaged)l
•l Vomitingl
•l Episodicl (patterned)l Abdomenl rigidityl andl tenderness
•l Severel painl FAST

, •l Kicksl legsl withl episodes
•l Decreasedl flatus/BMs

Q:l Intussusceptionl treatment
Answer:
airl enema,l surgery

Q:l Colic
Answer:
severel abdominall painl inl otherwisel healthyl babyl
inconsolablel cryingl 3hrs/dayl 3days/week

Q:l colicl medications
Answer:
•l Gripel water
•l Simethiconel gasl relievingl drops

Q:l Colicl tx/care
Answer:
•l Walkl withl baby,l rockl baby
•l Whitel noise
•l Rhythmicl movements
•l Decreasel flatus;l burpl often
•l Warml bathsl andl message
•l Relaxationl music

Q:l appendicitis
Answer:
inflammationl ofl thel appendix,l usuallyl duel tol obstructionl orl infection

Q:l Appendicitisl S/S
Answer:
•l Locationl ofl pain-1stl periumbilicall localizingl tol McBurney'sl Point
•l Legsl drawnl upl whilel lyingl flat
•l Nausea/vomiting

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