« previous next »

Author Question: A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium ... (Read 66 times)

chandani

  • Hero Member
  • *****
  • Posts: 541
on: Jun 28, 2018
A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse suspect?
 
  a. Pyloric stenosis
  b. Intussusception
  c. Hirschsprung disease
  d. Celiac disease

Question 2

The nurse is preparing to care for a newborn with an omphalocele. The nurse should understand that care of the infant should include what intervention?
 
  a. Initiating breast- or bottle-feedings to stabilize the blood glucose level
  b. Maintaining pain management with an intravenous opioid
  c. Covering the intact bowel with a nonadherent dressing to prevent injury
  d. Performing immediate surgery


amynguyen1221

  • Sr. Member
  • ****
  • Posts: 355
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
The clinical manifestations of Hirschsprung disease in a 3-day-old infant include abdominal distention, vomiting, and failure to pass meconium stools. Pyloric stenosis would present with vomiting but not distention or failure to pass meconium stools. Intussusception presents with abdominal cramping and celiac disease presents with malabsorption.

Answer to Question 2

ANS: C
Nursing care of an infant with an omphalocele includes covering the intact bowel with a nonadherent dressing to prevent injury or placing a bowel bag or moist dressings and a plastic drape if the abdominal contents are exposed. The infant is not started on any type of feeding but has a nasogastric tube placed for gastric decompression. Pain management is started after surgery, but surgery is not done immediately after birth. The infant is medically stabilized before different surgical options are considered.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Examples of portal hypertension vascular distention complications. Examples of portal hypertension vascular distention complications.
Madonna and Child with St. Anne and Infant St. John the Baptist. Madonna and Child with St. Anne and Infant St. John the Baptist.
Abdominal muscles. Abdominal muscles.
Measuring an infant’s length Measuring an infant’s length
Single-serve pods of infant formula Single-serve pods of infant formula
Video: Four Giant Convection Cells oF Earth

For a complete list of videos, visit our video library