Nursing Care of Children: Principles and Practice, 4e
Chapter 19: The Child with a Gastrointestinal Alteration My Nursing Test Banks
Chapter 19: The Child with a Gastrointestinal Alteration
Test Bank
MULTIPLE CHOICE
1. Which is the best nursing response to a mother asking about the cause of her infants
bilateral cleft lip?
b. Do you know of anyone in your or the fathers family born with cleft lip or palate
problems?
ANS: B
2. Which nursing intervention is most helpful to parents of a neonate with bilateral cleft
lip?
b. Show the parents before-and-after pictures of an infant whose cleft lip has been
successfully repaired.
ANS: B
Showing the parents pictures of successful lip repair promotes bonding and enhances
coping ability.
3. The postoperative care plan for an infant with surgical repair of a cleft lip includes
which intervention?
c. Elbow restraints to keep the infants fingers away from the mouth
ANS: C
Keeping the infants hands away from the incision reduces potential complications at the
surgical site.
4. A nurse is teaching a group of parents about tracheoesophageal fistula. Which
statement, made by the nurse, is accurate about tracheoesophageal fistula (TEF)?
, a.
This defect results from an embryonal failure of the foregut to differentiate into the
trachea and esophagus.
ANS: A
When the foregut does not differentiate into the trachea and esophagus during the fourth
to fifth week of gestation, a TEF occurs. TEF is an abnormal connection between the
esophagus and trachea. There is no connection between the trachea and esophagus in
normal fetal development. Tracheoesophageal fistula occurs early in pregnancy during
the fourth to fifth week of gestation.
5. Which maternal assessment is related to the infants diagnosis of TEF?
c. Maternal history of polyhydramnios
ANS: C
A maternal history of polyhydramnios is associated with TEF.
6. What clinical manifestation should a nurse should be alert for when a diagnosis of
esophageal atresia is suspected?
c. A nasogastric tube fails to pass at birth.
ANS: C
Atresia is suspected when a nasogastric tube fails to pass 10 to 11 centimeters beyond the
gum line.
7. The nurse admits an infant with vomiting and the diagnosis of hypertrophic pyloric
stenosis. Which metabolic alteration should the nurse plan to assess for with this infant?
a. Metabolic alkalosis
ANS: A Frequent projectile vomiting, characteristic of pyloric stenosis, results in a loss
of nonvolatile acids that decreases hydrogen ion concentration. This results in an excess
of bicarbonate that increases arterial pH above 7.45 (metabolic alkalosis).
Chapter 19: The Child with a Gastrointestinal Alteration My Nursing Test Banks
Chapter 19: The Child with a Gastrointestinal Alteration
Test Bank
MULTIPLE CHOICE
1. Which is the best nursing response to a mother asking about the cause of her infants
bilateral cleft lip?
b. Do you know of anyone in your or the fathers family born with cleft lip or palate
problems?
ANS: B
2. Which nursing intervention is most helpful to parents of a neonate with bilateral cleft
lip?
b. Show the parents before-and-after pictures of an infant whose cleft lip has been
successfully repaired.
ANS: B
Showing the parents pictures of successful lip repair promotes bonding and enhances
coping ability.
3. The postoperative care plan for an infant with surgical repair of a cleft lip includes
which intervention?
c. Elbow restraints to keep the infants fingers away from the mouth
ANS: C
Keeping the infants hands away from the incision reduces potential complications at the
surgical site.
4. A nurse is teaching a group of parents about tracheoesophageal fistula. Which
statement, made by the nurse, is accurate about tracheoesophageal fistula (TEF)?
, a.
This defect results from an embryonal failure of the foregut to differentiate into the
trachea and esophagus.
ANS: A
When the foregut does not differentiate into the trachea and esophagus during the fourth
to fifth week of gestation, a TEF occurs. TEF is an abnormal connection between the
esophagus and trachea. There is no connection between the trachea and esophagus in
normal fetal development. Tracheoesophageal fistula occurs early in pregnancy during
the fourth to fifth week of gestation.
5. Which maternal assessment is related to the infants diagnosis of TEF?
c. Maternal history of polyhydramnios
ANS: C
A maternal history of polyhydramnios is associated with TEF.
6. What clinical manifestation should a nurse should be alert for when a diagnosis of
esophageal atresia is suspected?
c. A nasogastric tube fails to pass at birth.
ANS: C
Atresia is suspected when a nasogastric tube fails to pass 10 to 11 centimeters beyond the
gum line.
7. The nurse admits an infant with vomiting and the diagnosis of hypertrophic pyloric
stenosis. Which metabolic alteration should the nurse plan to assess for with this infant?
a. Metabolic alkalosis
ANS: A Frequent projectile vomiting, characteristic of pyloric stenosis, results in a loss
of nonvolatile acids that decreases hydrogen ion concentration. This results in an excess
of bicarbonate that increases arterial pH above 7.45 (metabolic alkalosis).
