NURSING 213 FINAL ACTUAL
EXAMINATION 2026 QUESTIONS WITH
VERIFIED ANSWERS GRADED A+
⫸ examples of short term GI disorders Answer: appendicitis, diarrhea,
constipation, vomiting
⫸ what are long term GI disorders Answer: lead to complications that
prevent or interfere with optimal growth and development
⫸ an example of a long term GI disorder Answer: hirchsprung disease
⫸ most common craniofacial birth defect Answer: cleft lip and palate
⫸ cleft palate and cleft lip can occur by themselves or together - t or f
Answer: true
⫸ most common presentation of cleft lip and palate Answer: left sided
unilateral cleft lip with palate
⫸ cleft lip and palate are common in what races Answer: american
indians, alaskan natives, asian infants
⫸ complications of cleft lip/palate Answer: - feeding difficulties
,- otological manifestations (otitis media)
- dental/orthodontic complications
- speech development
⫸ risk factors for cleft lip/palate Answer: - folic acid deficiency
- genetics
- advanced maternal or paternal age
- anticonvulsants
- alcohol
- smoking
⫸ Interventions and Treatment for cleft lip/palate Answer: - surgical
repair
- feeding
- prevention of aspiration
- suctioning
- referrals for SLP or dietary, dental
⫸ when can child have cleft lip surgical repair Answer: 2 - 6 months old
⫸ when can child have cleft palate surgical repair Answer: 9 months -
18 months
⫸ Nursing care focus for child with cleft lip/palate Answer: - feeding
,- maintaining adequate nutritional intake
- preventing aspiration and infection
- helping parents cope with defect
- pre and post op care
⫸ feeding child with cleft lip/palate Answer: - plug the cleft lip while
the baby is nursing
- Elicit the letdown reflex before nursing
- Place nipple of the bottle against the inside of the cheek, toward the
back of the tongue
• Instruct all parents to hold the infant upright during feeding (aspiration
precautions)
⫸ post op interventions/assessment for cleft repair Answer: - assess
patency of airways
- VS
- reposition every 2 hours and place elbow restraints
- assess s/s of infection
- clean sutures with NSS or water
- NO pacifiers
- hand hygiene
- pain assessment and control to minimize crying which will pull and
stretch on lip muscles
, ⫸ GERD Answer: reflux is common and occurs at least once a day by 4
months of age
- infants will show failure to gain weight
- may refuse to eat
- hx of resp symptoms such as wheezing, apnea and cyanotic spells
- esophagitis
⫸ what are contributing factors for reflux? Answer: - smaller stomach
- shorter esophagus
- immature lower sphincter esophageal tone
- large volume feedings
- supine positioning
⫸ conditions with increased risk for GERD Answer: - hiatal hernia
- asthma
- cystic fibrosis
- epilepsy
- congenital esophageal disorders
- prematurity
⫸ s/s of GERD Answer: - frequent hunger
- inconsolable crying
- arching of the neck during feedings
EXAMINATION 2026 QUESTIONS WITH
VERIFIED ANSWERS GRADED A+
⫸ examples of short term GI disorders Answer: appendicitis, diarrhea,
constipation, vomiting
⫸ what are long term GI disorders Answer: lead to complications that
prevent or interfere with optimal growth and development
⫸ an example of a long term GI disorder Answer: hirchsprung disease
⫸ most common craniofacial birth defect Answer: cleft lip and palate
⫸ cleft palate and cleft lip can occur by themselves or together - t or f
Answer: true
⫸ most common presentation of cleft lip and palate Answer: left sided
unilateral cleft lip with palate
⫸ cleft lip and palate are common in what races Answer: american
indians, alaskan natives, asian infants
⫸ complications of cleft lip/palate Answer: - feeding difficulties
,- otological manifestations (otitis media)
- dental/orthodontic complications
- speech development
⫸ risk factors for cleft lip/palate Answer: - folic acid deficiency
- genetics
- advanced maternal or paternal age
- anticonvulsants
- alcohol
- smoking
⫸ Interventions and Treatment for cleft lip/palate Answer: - surgical
repair
- feeding
- prevention of aspiration
- suctioning
- referrals for SLP or dietary, dental
⫸ when can child have cleft lip surgical repair Answer: 2 - 6 months old
⫸ when can child have cleft palate surgical repair Answer: 9 months -
18 months
⫸ Nursing care focus for child with cleft lip/palate Answer: - feeding
,- maintaining adequate nutritional intake
- preventing aspiration and infection
- helping parents cope with defect
- pre and post op care
⫸ feeding child with cleft lip/palate Answer: - plug the cleft lip while
the baby is nursing
- Elicit the letdown reflex before nursing
- Place nipple of the bottle against the inside of the cheek, toward the
back of the tongue
• Instruct all parents to hold the infant upright during feeding (aspiration
precautions)
⫸ post op interventions/assessment for cleft repair Answer: - assess
patency of airways
- VS
- reposition every 2 hours and place elbow restraints
- assess s/s of infection
- clean sutures with NSS or water
- NO pacifiers
- hand hygiene
- pain assessment and control to minimize crying which will pull and
stretch on lip muscles
, ⫸ GERD Answer: reflux is common and occurs at least once a day by 4
months of age
- infants will show failure to gain weight
- may refuse to eat
- hx of resp symptoms such as wheezing, apnea and cyanotic spells
- esophagitis
⫸ what are contributing factors for reflux? Answer: - smaller stomach
- shorter esophagus
- immature lower sphincter esophageal tone
- large volume feedings
- supine positioning
⫸ conditions with increased risk for GERD Answer: - hiatal hernia
- asthma
- cystic fibrosis
- epilepsy
- congenital esophageal disorders
- prematurity
⫸ s/s of GERD Answer: - frequent hunger
- inconsolable crying
- arching of the neck during feedings
