The nurse is preparing to admit a 6-month-old child with ...

[formula1]

The nurse is preparing to admit a 6-month-old child with gastroesophageal reflux disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
 
  a. Spitting up
  b. Bilious vomiting
  c. Failure to thrive
  d. Excessive crying
  e. Respiratory problems

Question 2

The nurse is preparing to admit a 2-month-old child with hypertrophic pyloric stenosis. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
 
  a. Weight loss
  b. Bilious vomiting
  c. Abdominal pain
  d. Projectile vomiting
  e. The infant is hungry after vomiting

[amy.lauersdorf90]

Answer to Question 1

ANS: A, C, D, E
Clinical manifestations of gastroesophageal reflux disease include spitting up, failure to thrive, excessive crying, and respiratory problems. Hematemesis, not bilious vomiting, is a manifestation.

Answer to Question 2

ANS: A, D, E
Clinical manifestations of hypertrophic pyloric stenosis include weight loss, projectile vomiting, and hunger after vomiting. The vomitus is nonbilious, and there is no evidence of pain or discomfort, just chronic hunger.