Campus Collusion
Review Questions for Test Preparation

       
    

  



Pediatric GI DisordersMaternity & Pediatric Nursing

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 4
Skip Navigation Links
Question Answer
What is the most common cause of neonatal intestinal obstructions?
Show Answer
Hirschsrpung's disease
What genetic abnormality has Hirschsrpung's Disease been linked with?
Show Answer
Down's Syndrome
What condition should you suspect if a breastfed baby has diarrhea?
Show Answer
Hirschsprung's Disease
How is Hirschsrpung's Disease treated?
Show Answer
Surgical resection of the aganglionic bowel portion then reanastomosis to the remaining bowel portion
Why is it important to get the history of meconium passage when assessing a child for Hirschsprung's disease?
Show Answer
Most children with Hirschsprung's don't pass a meconium stool in the first 24-48 hours of life. If a child required rectal stimulation to pass meconium or had a meconium plug, they are also at higher risk.
What abdominal findings would you expect in a child with Hirschsprung's Disease?
Show Answer
A distended abdomen, and palpable stool masses
T/F Normally a child with Hirschsprung's disease won't have any stool in the rectal vault.
Show Answer
True, after a DRE they may forcefully expel feces when the examiner's finger is withdrawn (so look out!)
A child is complaining of abdominal pain. What is the first assessment question that should be asked?
Show Answer
When was your last BM/when was the last BM?
Why is stool that is black and tarry more of a concern than stool that has bright red blood?
Show Answer
Stool that is black/tarry has been passed through the stomach. Bright red stool is usually from a fissure.
T/F Cleft lip and cleft palate are the most common congenital craniofacial anomalies and occur about once in every 550 births.
Show Answer
True
Download these questions to your phone here
What are the complications associated with cleft lip and palate?
Show Answer
Feeding difficulties, altered dentition, delayed/altered speech development and otitis media
What are the signs and symptoms of Hirschsprung's disease that may be observed in a newborn?
Show Answer
Failure to pass meconium Refusal to feed Bilious vomiting Abdominal distention
What are the signs and symptoms of Hirschsprung's Disease in infants?
Show Answer
Failure to thrive Constipation Abdominal distention Episodes of diarrhea and vomiting Signs of enterocolitis (fever, bleeding) Explosive watery diarrhea Fever Appears significantly ill
What is the diagnostic test for Hirschsprung's Disease?
Show Answer
A rectal suction biopsy with an absence of ganglion cells
What are signs and symptoms of Hirschsprung's in a child (preschool aged)?
Show Answer
Constipation Ribbonlike foul smelling stools Abdominal distention Visible peristalsis Easily palpable fecal mass Undernourished, anemic appearance
Enterocolitis is a known complication of Hirschsprung's disease and manifests as a fever, abdominal distention, chronic diarrhea, explosive stools, rectal bleeding and straining. How is it treated?
Show Answer
(notify the doctor)-bowel rest, administer IV fluids and antibiotics, measure stool output, prevent skin breakdown
In order to prevent infection in a baby post-operatively for a bowel resection, how should the diaper be positioned?
Show Answer
It should be pinned below the surgical dressing
To avoid dehydration, most patients with Hirschsprung's disease are prescribed what type of medications?
Show Answer
Those that slow down stool output
T/F GER is not considered a normal physiologic process that occurs in healthy infants and children and is often treated aggressively with medications.
Show Answer
False. It is considered normal.
Most infants outgrow GER by age _______.
Show Answer
6 months
________ is caused by transient relaxation of the LES during swallowing, crying or any other Valsalva maneuver that increases intraabdominal pressure.
Show Answer
Gastroesophageal Reflux
  
Page 4 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links