Author Question: The nurse is performing a comprehensive physical examination on a young child in the hospital. At ... (Read 40 times)

xroflmao · **on:** Jun 27, 2018

The nurse is performing a comprehensive physical examination on a young child in the hospital. At what age can the nurse expect a child's head and chest circumferences to be almost equal?

a. Birth
b. 6 months
c. 1 year
d. 3 years

Question 2

Therapeutic management of most children with Hirschsprung disease is primarily

a. Daily enemas
b. Low-fiber diet
c. Permanent colostomy
d. Surgical removal of the affected section of the bowel

vish98 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
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A Head circumference is larger than chest circumference until approximately 12
months of age.
B Chest circumference is smaller than head circumference until approximately 1
year of age.
C Head and chest measurements are almost equal at 1 year of age.
D By 3 years of age, the chest circumference exceeds the head circumference.

Answer to Question 2

D
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A Preoperative management may include enemas and a low-fiber, high-calorie,
high-protein diet, until the child is physically ready for surgery.
B Preoperative management may include enemas and low-fiber, high-calorie,
high-protein diet, until the child is physically ready for surgery.
C The colostomy that is created in Hirschsprung disease is usually temporary.
D Most children with Hirschsprung disease require surgical rather than medical
management. Surgery is done to remove the aganglionic portion of the bowel,
relieve obstruction, and restore normal bowel motility and function of the
internal anal sphincter.