@PROFDOCDIGITALLIBRARIES
NR 328/ NR328 EXAM 2: (NEW 2025/ 2026
UPDATE) PEDIATRIC NURSING GUIDE | QUESTIONS
& ANSWERS| GRADE A+ | 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Short Bowel Syndrome: Enteral Feedings - ANS ✓- will not take the place of TPN
- small amounts and increase as bowel grows
PR
- stimulate the intestine to keep functioning (keep bowel alive)
2. Short Bowel Syndrome: Phases - ANS ✓1st Phase: total parenteral nutrition via
O
central line
FD
2nd Phase: introduction to enteral formula feeds
*TPN is only discontinued if growth can be maintained with enteral feeds*
O
3. Cleft Lip: Feeding - ANS ✓- assess ability to suck, swallow, handle secretions,
breathe without distress and fluid and calorie intake
C
- modify feeding techniques, obturators and special nipples and feeders (lamb nipple)
4. Cleft Lip: Post Op Care - ANS ✓- protect site
- avoid prone position (suture damage)
- pain management
- clear liquids when fully recovered from anesthesia
- layer of antibiotic ointment for suture
,@PROFDOCDIGITALLIBRARIES
- avoid suction or objects in the mouth
5. Cleft Palate: Post Op Care - ANS ✓- can lie on abdomen
- may resume feedings by special device shortly after surgery
- speech language therapist evaluates child
- humidified air may be used to alleviate edema
- usually discharged on blended or soft diet
6. Pyloric Stenosis: Feedings - ANS ✓- usually begun 4-6 hours postoperatively
PR
- starts with small, frequent feedings of glucose, water or electrolyte solution
- if clear fluids are retained 24 hours after surgery, formula is started
O
- full feeding schedule is reinstated in about 48 hours
FD
7. Pyloric Stenosis: Post Op Care - ANS ✓- vomiting is not uncommon
- iv fluids until baby eats
O
- vitals
- I&O
C
- pain management
- stress management
- may have NG tube
- wound healing
8. Intussusception: S/S - ANS ✓- acute abdominal pain
- screaming and drawing knees to chest
- appears normal between episodes of pain
, @PROFDOCDIGITALLIBRARIES
- vomiting
- letharge
- red, currant - jelly like stools
- tender, distended abdomen
- sausage shaped mass in URQ
- empty LRQ (dance sign)
- eventual fever
9. Lead Poisoning: S/S - ANS ✓- abdominal pain
PR
- vomiting
- constipation
O
- anorexia
- headache
FD
- halted development progress
- pallor
- lead lines on teeth
O
- joint pain
C
10. Lead Poisoning: Early CNS Signs - ANS ✓- hyperactivity
- aggression
- impulsiveness
- decreased interest in play
- irritability
- short attention span
NR 328/ NR328 EXAM 2: (NEW 2025/ 2026
UPDATE) PEDIATRIC NURSING GUIDE | QUESTIONS
& ANSWERS| GRADE A+ | 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Short Bowel Syndrome: Enteral Feedings - ANS ✓- will not take the place of TPN
- small amounts and increase as bowel grows
PR
- stimulate the intestine to keep functioning (keep bowel alive)
2. Short Bowel Syndrome: Phases - ANS ✓1st Phase: total parenteral nutrition via
O
central line
FD
2nd Phase: introduction to enteral formula feeds
*TPN is only discontinued if growth can be maintained with enteral feeds*
O
3. Cleft Lip: Feeding - ANS ✓- assess ability to suck, swallow, handle secretions,
breathe without distress and fluid and calorie intake
C
- modify feeding techniques, obturators and special nipples and feeders (lamb nipple)
4. Cleft Lip: Post Op Care - ANS ✓- protect site
- avoid prone position (suture damage)
- pain management
- clear liquids when fully recovered from anesthesia
- layer of antibiotic ointment for suture
,@PROFDOCDIGITALLIBRARIES
- avoid suction or objects in the mouth
5. Cleft Palate: Post Op Care - ANS ✓- can lie on abdomen
- may resume feedings by special device shortly after surgery
- speech language therapist evaluates child
- humidified air may be used to alleviate edema
- usually discharged on blended or soft diet
6. Pyloric Stenosis: Feedings - ANS ✓- usually begun 4-6 hours postoperatively
PR
- starts with small, frequent feedings of glucose, water or electrolyte solution
- if clear fluids are retained 24 hours after surgery, formula is started
O
- full feeding schedule is reinstated in about 48 hours
FD
7. Pyloric Stenosis: Post Op Care - ANS ✓- vomiting is not uncommon
- iv fluids until baby eats
O
- vitals
- I&O
C
- pain management
- stress management
- may have NG tube
- wound healing
8. Intussusception: S/S - ANS ✓- acute abdominal pain
- screaming and drawing knees to chest
- appears normal between episodes of pain
, @PROFDOCDIGITALLIBRARIES
- vomiting
- letharge
- red, currant - jelly like stools
- tender, distended abdomen
- sausage shaped mass in URQ
- empty LRQ (dance sign)
- eventual fever
9. Lead Poisoning: S/S - ANS ✓- abdominal pain
PR
- vomiting
- constipation
O
- anorexia
- headache
FD
- halted development progress
- pallor
- lead lines on teeth
O
- joint pain
C
10. Lead Poisoning: Early CNS Signs - ANS ✓- hyperactivity
- aggression
- impulsiveness
- decreased interest in play
- irritability
- short attention span
