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Pediatric GI DisordersMaternity & Pediatric Nursing

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Question Answer
To chart bowel sounds as absent in the pediatric population, you must auscultate bowel sounds for _______.
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5 minutes
T/F For a child with diarrhea, the best treatments are fluids and anti-diarrheal agents.
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False, fluids are the best treatment. Anti-diarrheal agents should never be given without a physician's order
________ is either an increase in frequency or a decrease in consistency of stool.
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Diarrhea
________ is the leading cause of death for children worldwide.
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Gastroenteritis (acute diarrhea)
What type of organism is the most common cause of diarrhea?
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Viruses
________ cause diarrhea by inuring the absorptive surface of the mature villous cells, resulting in decreased fluid absorption and disaccharidase deficiency.
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Viruses
________ cause diarrhea by directly invading the mucosa and damaging the villou surface or by releasing toxins.
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Bacteria
What are the four common risk factors for acute diarrhea (gastroenteritis)?
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Recent ingestion of undercooked meat, foreign travel, daycare attendance or well water use.
Chronic diarrhea is diarrhea that lasts longer than...
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2 weeks
What characteristic(s) is/are associated with clostridium difficile cases in the pediatric population?
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Immunosuppression or other chronic illness
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What is the priority intervention for children with gastroenteritis?
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Fluid rehydration therapy
What are the signs and symptoms of diarrhea-induced shock?
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Increased pulse Increased respiration Decreased blood pressure Prolonged cap refill
What causes the presence of occult blood in stool?
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Inflammation or ulceration in the GI tract
If a stool sample is positive for the presence of leukocytes, what can this indicate?
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Inflammation or infection
What are the most common causes of chronic diarrhea?
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Excessive intake of formula, water, or fruit juice
________ is a failure to achieve complete evacuation of the lower colon, usually associated with passing hard, dry stool.
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Constipation
How soon after birth should a newborn pass meconium?
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24 hours, if they don't they are at risk for an underlying GI disorder
Babies that are breastfed or bottle fed tend to produce more stools daily?
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Breastfed (usually with every feeding, vs. 1-2 times daily with formula fed babies)
_________ is the soiling of fecal contents into the underwear beyond the age of 4-5.
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Encopresis
________ is a form of constipation often seen as a result of a child withholding stool or ignoring the urge to go.
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Encopresis
T/F Using a fleet enema to treat constipation won't get immediate response. A SMOG enema does get immediate results.
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True
  
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