During an assessment of a newborn infant, the nurse recalls that ...

[tichca]

During an assessment of a newborn infant, the nurse recalls that pyloric stenosis would be exhibited by:
 
  a. Projectile vomiting.
  b. Hypoactive bowel activity.
  c. Palpable olive-sized mass in the right lower quadrant.
  d. Pronounced peristaltic waves crossing from right to left.

Question 2

The nurse is assessing the abdomen of an older adult. Which statement regarding the older adult and abdominal assessment is true?
 
  a. Abdominal tone is increased.
  b. Abdominal musculature is thinner.
  c. Abdominal rigidity with an acute abdominal condition is more common.
  d. The older adult with an acute abdominal condition complains more about pain than the younger person.

[Chelseyj.hasty]

Answer to Question 1

ANS: A
Significant peristalsis, together with projectile vomiting, in the newborn suggests pyloric stenosis. After feeding, pronounced peristaltic waves cross from left to right, leading to projectile vomiting. One can also palpate an olive-sized mass in the right upper quadrant.

Answer to Question 2

ANS: B
In the older adult, the abdominal musculature is thinner and has less tone than that of the younger adult, and abdominal rigidity with an acute abdominal condition is less common in the aging person. The older adult with an acute abdominal condition often complains less about pain than the younger person.