Digestive Function in Children Huether & McCance
Exam Study Questions Graded A+
1. The family learns that a 3D ultrasound of a 9-week fetus shows incomplete fusion of the nasomedial
process. What is this defect commonly called?
a.
Cleft lip
b.
Nasal passage atresia
c.
Esophageal atresia
d.
Lack of dentition - Answer ANS: A
Cleft lip, not nasal passage atresia, occurs when there is lack of or incomplete fusion of the nasomedial
or intermaxillary process. In esophageal atresia, the esophagus ends in a blind pouch. Lack of dentition is
not due to incomplete fusion of the processes.
REF: p. 950
What term is used to document the condition that exists when the esophagus ends in a blind pouch?
a.
Esophageal atresia
b.
Tracheoesophageal stenosis
c.
Esophagitis
d.
Pyloric stenosis - Answer ANS: A
, When the esophagus ends in a blind pouch, the condition is referred to as esophageal atresia; the
trachea is not involved. Esophagitis is inflammation of the esophagus. Pyloric stenosis is a narrowing of
the connection between the stomach and the duodenum.
Which condition should the nurse assess for in mothers carrying fetuses affected by esophageal
malformations?
a.
Enlarged placentas
b.
Excessive amniotic fluid
c.
Short umbilical cords
d.
Foul-smelling vaginal discharge - Answer ANS: B
Polyhydramnios (excessive amniotic fluid) is reported to occur in mothers of affected infants because of
alterations in fetal swallowing. Esophageal malformations are not associated with enlarged placentas,
short umbilical cords, or vaginal discharge.
REF: p. 951
A 2-week-old infant vomits forcefully immediately after feeding for no apparent reason and is frequently
constipated. These signs support which diagnosis?
a.
Pyloric stenosis
b.
Meconium ileus
c.
Esophageal atresia
d.
Galactosemia - Answer ANS: A