The nurse is caring for an infant who is admitted for possible ...

[Marty]

The nurse is caring for an infant who is admitted for possible pyloric stenosis. When assessing the infant, which actions are appropriate?
 
  Select all that apply.
  A) Observe the infant's abdomen.
  B) Auscultate bowel sounds.
  C) Provide oral feeding.
  D) Palpate the right upper quadrant of the abdomen.
  E) Pass a nasogastric tube.

Question 2

A new mother brings a male infant, 2-weeks-old, to the pediatric clinic for a check-up. The mother is concerned that her infant may be at risk for pyloric stenosis due to her age and because her husband had surgery for the condition when he was an infant.
 
  Which responses by the nurse are the most appropriate based on this data?
  A) Your baby has a greater risk for the condition due to a familial history.
  B) Your baby would have an increased risk if the infant was a girl.
  C) Due to your age, your son is at an increased risk for the condition.
  D) As long as your baby has bowel movements there is nothing to worry about.

[Amiracle]

Answer to Question 1

Answer: A, B, D

During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.

Answer to Question 2

Answer: A

The infant is at a greater risk for developing pyloric stenosis because of the familial history. Pyloric stenosis is more common in males than females. The mother's age is not correlated with an increased risk of pyloric stenosis. While bowel movements are important, this is not indicative of not having pyloric stenosis.

[Marty]

Excellent

[okolip]

Gracias!