GI

Question Answered step-by-step GI 1. when educating the parents of a newborn who was with a cleft… GI1. when educating the parents of a newborn who was with a cleft palate, the nurse keeps in mind that surgery for clefts of the hard or soft plate are surgically closed at approximately what age.A. 2 monthsB. 6 monthsC. 12 monthsD. 18 months  2. The correct way to assess the mouth and palate of a newborn is:A. Gentle use of a tongue bladeB. with a baby bottle of sterile water to asses sockingC. Direct visualizating with penlightD. Palpates with a gloved finger  3. Following surgical correction of hypertrophic pylone stenosis, the  nurse will instruct the family members to save diapers for the which of the following reason?A. To check the color of the urine as an indicator of bladder functioningB. To determine the number of soaked diapers per shiftC. To measures urine output by weighing the diapersD. To test the urine for ketones 4. which of the following is no common early sign of  hypertrophic pyloric stenosis?A. Infant appears ill and demonstrate weight loss.B. Infant irritable and arching back after feeding.C. Loud burping sounds and milk running out of mouthD. The infant acts hungry and wanting to feed again very soon after vomiting 5. A mother  wants to know why she can’t give her 2 month old cereal as the child seems hungry all the time. Which of the following is the nurses best responses?A. The baby would not drink enough milk if he filled his stomach up with cereal and he would not thrive as well B. Until 4 to 6 month of age babies have insufficient amount of the pancreatic enzyme amylase the enzyme that initially digests carbohydrate.C. Infants are commonly alleagic to food substances except milk until they are 4 months of age and develop their own suffient antibodies.D. Infants get too fat if they started on cerearl before 4 to 5 months of age, and then they have a tendency to remain fat throughout life. 6. The nurse notes on assessment that  a 1-year old child is underweight, with abdominal distention,the leg and arms and foul smelling stools. The nurse suspects failure to thrive associated with which condition.A. IntussusceptionB. Celiac diseaseC. Irritable Bowel SyndromeD. HirchsprungE. Toxic Megacolon 7. Which stool characteristic should the nurse expect to assess with a child diagnosed with intussusception?A. Hard stools positive for guasac (blood in stool)B. Rubbon like stoolsC Current jelly stoolsD. Loose foul smelling StoolsE. Thick sticky bulky stools. 8. Which assessment finding should the nurse expect in an infant with Hirschsprungs disease?A. Frequent  passage of dark mucous stoolsB. Constipation passage of foul-smelling ribbon like stoolsC. Foul smelling fatty stoolsD. Recurrent colicky abdominal pain and firm sausage like mass upper abdomen 9. Which food choice by a parent of a 2-year old child with celiac disease indicates a need for further teachingA. OatmealB. Rice cakeC. Corn muffinD. Tater tots 10. Which condition is characterized by a bloody diarrhea, fever,abdominal pain and low hemoglobin and platelet counts.A. Acute viral gastroenteritisB. Acute glomerulenephritisC. Hemolytic- uremic syndromeD. Acute nephrotic syndrome. 11. A 7- year old child is admitted to the hospital with severe abdominal pain, bloody current jelly diarrhea, and fever. What is his probable diagnosisA. Hirschsprungs diseaseB. Acute appendicitisC. Celiac crisisD. Intussusception 12. Which nursing diagnosis has the highest priority for the child with celiac disease?A. pain related to chronic constipation and flatulenceB. Altered growth and development related to obesityC.Fluid volume excess related to celiac crisisD. Imbalanced nutrition. Less than body requirements related to malabsorption 13. Invagination of one segment of bowel within another is called:A. atresisB. StenosisC. HerniationD. intussusceptionE. GERD 14. The nurse is caring for an infant whose cleft lip was repaired important aspects of this infant’s postoperative care include:A. arm restraints postural drainage, mouth irrigation’sB. Cleaning the suture line,supine and side-lying positions., arm restraintsC. Mouth irrigation’s prone position, cleaning suture lineD. supine and side lying position, postural drainage, arm restraints 15. Pyloric stenosis can best be described as:A. dilation of the pylorusB. hypotonicity of the pyloric muscleC. Hypertrophy of the pyloric muscleD. reduction of the pyloric muscle 16. Which of the following observation is most indicative of pyloric stenosis? Select all that applyA. Abdominal rigidityB. Distention of lower abdomenC. substernal retractionD. palpable olive-like massE. gastric peristaltic wave that move from left to rightF. Tubular like mass right upper gastric regionG. weight loss 17. The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed orders should the nurse anticipate implementing? Select all that applyA. NPO for 24 hoursB. NG tube to intermittent low auctionC. Administration of analgesics for painD. Ice bag to the incissional areaE. IV fluids continued until tolerating POF. Clear liquid as first feeding18. Pherrylketonuria (PKU) is a genetic disease that results in the body inability to correctly metabolize.A glucoseB. lactoseC. phyenylketonesD. thyroxineE. Phenylalamine 19. A young child brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting.  Therapeutic management of this child should begin with:A. intravenous (IV) fluidsB. ORS( oral replacement solution)C administration of antidirrheal medication.D. Clear liquids. I ounce at a time. 20.         Health Science Science Nursing NURS 127 Share QuestionEmailCopy link Comments (0)