1. 1. The parent of an infant asks about using a probiotic D. There is no conclusive
medication. What will the primary care pediatric nurse evidence about using pro-
practitioner tell this parent? biotics to treat colic.
A. Probiotic medications have demonstrated efficacy in
treating colic.
B. Probiotics are not safe to use to treat infants who
have colic.
C. There are no studies showing usefulness of probi-
otics to manage colic.
D. There is no conclusive evidence about using probi-
otics to treat colic.
2. A toddler who was born prematurely refuses most D. Videofluoroscopy swal-
solid foods and has poor weight gain. A barium swal- lowing study
low study reveals a normal esophagus. What will the
primary care pediatric nurse practitioner consider next
to manage this child's nutritional needs?
A. Consultation with a dietician
B. Fiberoptic endoscopy evaluation
C. Magnetic resonance imaging
D. Videofluoroscopy swallowing study
3. A toddler is seen in the clinic after a 2day history of D.Oral rehydration solu-
intermittent vomiting and diarrhea. An assessment re- tion with followup in 24
veals an irritable child with dry mucous membranes, hours
1/8
, Burns - Chapter 40 - GI Disorders exam with ans 2025
3second capillary refill, 2 second recoil of skin, mild
tachycardia and tachypnea, and cool hands and feet.
The child has had two wet diapers in the past 24 hours.
What will the primary care pediatric nurse practitioner
recommend?
A. Antidiarrheal medication and clear fluids for 24
hours
B. Bolus of IV normal saline in the clinic until improve-
ment
C. Hospital admission for IV rehydration and oral flu-
ids
D. Oral rehydration solution with followup in 24 hours
4. A 9yearold girl has a history of frequent vomiting and D. Refer to a pediatric gas-
her mother has frequent migraine headaches. The troenterologist for further
child has recently begun having more frequent and workup.
prolonged episodes accompanied by headaches. An
exam reveals abnormal eye movements and mild atax-
ia. What is the correct action?
A. Begin using an antimigraine medication to prevent
headaches.
B. Prescribe ondansetron and lorazepam to help man-
age symptoms.
C. Reassure the parent that this is expected with cyclic
vomiting syndrome.
2/8