Which gastrointestinal defects, often diagnosed shortly after ...

[Alainaaa8]

Which gastrointestinal defects, often diagnosed shortly after birth, should the nurse include in the assessment process of all newborns? Select all that apply.
 
  1. Pyloric stenosis
  2. Biliary atresia
  3. Hirschsprung disease
  4. Umbilical hernia
  5. Diaphragmatic hernia

Question 2

A toddler is admitted to the surgical unit for a planned closure of a temporary colostomy. Which medical prescription should the nurse question?
 
  1. Clear liquids today. NPO tomorrow
  2. Type and cross-match for 1 unit of packed red blood cells.
  3. Rectal temperatures every 4 hours
  4. Start an intravenous line with D5NS at 20 mL per hour.

[fraziera112]

Answer to Question 1

3, 5
Explanation:
1. Pyloric stenosis is not diagnosed in the newborn nursery, but in the 2- to 4-week-old infant.
2. Symptoms of biliary atresia would not be observable until several weeks of age.
3. Symptoms of Hirschsprung disease may be observable in the newborn nursery.
4. Umbilical hernia cannot be diagnosed at birth.
5. Diaphragmatic hernia will show symptoms immediately after birth due to compression of the lung.

Answer to Question 2

3
Explanation:
1. This is appropriate in anticipation of surgery.
2. Although not always required during surgery, this would not be inappropriate planning for the surgical procedure.
3. Rectal temperatures are avoided due to the fragile state of the rectum.
4. An IV is appropriate for surgical access.