Ati Peds Proctored Care of Child Retake
Exam: Questions and
Answers 2025|2026
Complications of cleft - correct answer-ear infections and hearing loss -
seen by specialists, Speech therapists o Dental problems - teeth may
not erupt normally
GERD - gastrointestinal reflex disease - correct answer-Usually self
resolves by 1 year of age s/s with infants - spitting up, irritability,
excessive crying, blood in the vomit, arching of back, stiffening, resp.
problems, FTT, apnea s/s with children - heartburn, abd pain, difficulty
swallowing, chronic cough, noncardiac chest pain nursing care small
frequent meals, thicken infant's formula with rice cereal, avoid foods
that can make it worse, head elevated for 30 at least 1 hour after eating
o meds: PPI (omeprazole, pantoprazole); H2-receptor antagonists
(famotidine or ranitidine) Sx - nissen fundoplication
Pyloric stenosis - correct answer-thickening of the pyloric sphincter =
obstruction Projectile vomiting, dehydration and constant hunger, olive
shaped mass in the RUQ Sx - pylorotomy
,Hirschsprung's Disease - correct answer-congenital aganglionic
megacolon structural anomaly of the GI tract caused by lack of ganglion
cells in the segments of the colon resulting in decreased motility and
mechanical obstruction Ribbon like stool, vomiting bile, abd distention
Risk factor infant fails to pass meconium in 24-48 hours of life Nursing
interventions - high calorie, protein & low fiber diet o Surgery remove
bad portion of the colon & may need a colostomy for a while
Intussusception - correct answer-- proximal segment of the bowel
telescopes into a more distal segment, resulting in lymphatic and
venous obstruction causing edema in the area with progression,
ischemia and increase mucous into the intestine will occur Common in
infants and children 3m-6 years Red currant jelly stool, sausage shaped
abd mass CF at risk Air enema is therapeutic procedure
Appendicitis - correct answer-Avg age is around 10 years Abd pain in the
RLQ, ↓ or absent bowel sounds, fever, WBC ↑and inflammatory
markers Diagnosis with CT Avoid heat to the abd Fluids, abx prior to the
stomach Suddenly feeling better - ruptured appendix medical
emergency
,Enuresis - correct answer-uncontrolled or unintentional urination after
the age of 5 years for at least 3m's Primary - never had control of
bladder Secondary - have been potty trained and now they are wetting
their bed o Regression from stress of emotional trauma Self-esteem and
coping strategies Restrict fluids in the evenings, avoid constipation, etc.
UTI's - correct answer-Frequent urination, foul smelling urine, fever,
pallor, poor appetite, vomiting, increase in thirst, swelling of the face,
and seizures Diagnosis - urinalysis nitrates and leukocytes elevation
Educations - females wipe front to back, cotton underwear, avoid
bubble baths, void more, empty bladder fully Important constipation -
high fiber diet
Bladder exstrophy - correct answer-the bladder/urethra/ureteral
orifices are coming through the suprapubic area - medical emergency;
requires immediate surgery Sterile gauze over that area and prepare for
sx
Hypospadias - correct answer-Urethral opening is on the underside
(ventral) side of the penis No circumcision
, Epispadias - correct answer-Urethral opening on the upper part of the
penis (dorsal) side No circumcision
Phimosis - correct answer-narrowing of the opening of the foreskin
can't retract the foreskin
Cryptorchidism - correct answer-undescended testes Sx at 6 and 24m's
Hydrocele - correct answer-fluid in the scrotal sac
Testicular torsion - correct answer-- medical emergency Enlargement of
the effected testical and severe and sudden onset of pain
Acute glomerulonephritis [AGN] - correct answer-Associated with a
strep infection Cloudy tea colored urine, dec urine output, periorbital
Exam: Questions and
Answers 2025|2026
Complications of cleft - correct answer-ear infections and hearing loss -
seen by specialists, Speech therapists o Dental problems - teeth may
not erupt normally
GERD - gastrointestinal reflex disease - correct answer-Usually self
resolves by 1 year of age s/s with infants - spitting up, irritability,
excessive crying, blood in the vomit, arching of back, stiffening, resp.
problems, FTT, apnea s/s with children - heartburn, abd pain, difficulty
swallowing, chronic cough, noncardiac chest pain nursing care small
frequent meals, thicken infant's formula with rice cereal, avoid foods
that can make it worse, head elevated for 30 at least 1 hour after eating
o meds: PPI (omeprazole, pantoprazole); H2-receptor antagonists
(famotidine or ranitidine) Sx - nissen fundoplication
Pyloric stenosis - correct answer-thickening of the pyloric sphincter =
obstruction Projectile vomiting, dehydration and constant hunger, olive
shaped mass in the RUQ Sx - pylorotomy
,Hirschsprung's Disease - correct answer-congenital aganglionic
megacolon structural anomaly of the GI tract caused by lack of ganglion
cells in the segments of the colon resulting in decreased motility and
mechanical obstruction Ribbon like stool, vomiting bile, abd distention
Risk factor infant fails to pass meconium in 24-48 hours of life Nursing
interventions - high calorie, protein & low fiber diet o Surgery remove
bad portion of the colon & may need a colostomy for a while
Intussusception - correct answer-- proximal segment of the bowel
telescopes into a more distal segment, resulting in lymphatic and
venous obstruction causing edema in the area with progression,
ischemia and increase mucous into the intestine will occur Common in
infants and children 3m-6 years Red currant jelly stool, sausage shaped
abd mass CF at risk Air enema is therapeutic procedure
Appendicitis - correct answer-Avg age is around 10 years Abd pain in the
RLQ, ↓ or absent bowel sounds, fever, WBC ↑and inflammatory
markers Diagnosis with CT Avoid heat to the abd Fluids, abx prior to the
stomach Suddenly feeling better - ruptured appendix medical
emergency
,Enuresis - correct answer-uncontrolled or unintentional urination after
the age of 5 years for at least 3m's Primary - never had control of
bladder Secondary - have been potty trained and now they are wetting
their bed o Regression from stress of emotional trauma Self-esteem and
coping strategies Restrict fluids in the evenings, avoid constipation, etc.
UTI's - correct answer-Frequent urination, foul smelling urine, fever,
pallor, poor appetite, vomiting, increase in thirst, swelling of the face,
and seizures Diagnosis - urinalysis nitrates and leukocytes elevation
Educations - females wipe front to back, cotton underwear, avoid
bubble baths, void more, empty bladder fully Important constipation -
high fiber diet
Bladder exstrophy - correct answer-the bladder/urethra/ureteral
orifices are coming through the suprapubic area - medical emergency;
requires immediate surgery Sterile gauze over that area and prepare for
sx
Hypospadias - correct answer-Urethral opening is on the underside
(ventral) side of the penis No circumcision
, Epispadias - correct answer-Urethral opening on the upper part of the
penis (dorsal) side No circumcision
Phimosis - correct answer-narrowing of the opening of the foreskin
can't retract the foreskin
Cryptorchidism - correct answer-undescended testes Sx at 6 and 24m's
Hydrocele - correct answer-fluid in the scrotal sac
Testicular torsion - correct answer-- medical emergency Enlargement of
the effected testical and severe and sudden onset of pain
Acute glomerulonephritis [AGN] - correct answer-Associated with a
strep infection Cloudy tea colored urine, dec urine output, periorbital
