An infant born 2 days ago has not passed meconium stool. The ...

[Zulu123]

An infant born 2 days ago has not passed meconium stool. The nurse recognizes this as a symptom of
 
  a. constipation c. imperforate anus
  b. omphalocele d. esophageal atresia

Question 2

Which strategies can a nurse teach to parents of a child experiencing uncomplicated school refusal? Select all that apply.
 
  a. The child should be allowed to stay home until the anxiety about going to school
  is resolved.
  b. Parents should be empathetic yet firm in their insistence that the child attends
  school.
  c. A modified school attendance may be necessary.
  d. Parents need to pick the child up at school whenever the child wants to come
  home.
  e. Parents need to communicate with the teachers about the situation.

[AISCAMPING]

Answer to Question 1

C
Failure to pass meconium stool is a classic manifestation of imperforate anus. In some instances, in female infants, there is a fistula between the rectum and the vagina and the baby may have documented stools, so visual inspection of the anal opening is imperative. Additional clinical findings may include the inability of the rectum to allow insertion of a thermometer or a gloved small finger.

Answer to Question 2

B, C, E
Feedback
Correct In uncomplicated cases of school refusal, the parent needs to return the
child to school as soon as possible. If symptoms are severe, a limited
period of part-time or modified school attendance may be necessary. For
example, part of the day may be spent in the counselor's or school nurse's
office, with assignments obtained from the teacher. Parents should be
empathetic yet firm and consistent in their insistence that the child attend
school.
Incorrect Parents should not pick the child up at school once the child is there. The
principal and teacher should be told about the situation so that they can
cooperate with the treatment plan.

[Zulu123]

TYSM

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