Author Question: Pyloric stenosis can best be described as: a. dilation of the pylorus. b. hypertrophy of the ... (Read 22 times)

Shelles · **on:** Jun 28, 2018

Pyloric stenosis can best be described as:

a. dilation of the pylorus.
b. hypertrophy of the pyloric muscle.
c. hypotonicity of the pyloric muscle.
d. reduction of tone in the pyloric muscle.

Question 2

A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing interventions should include:

a. giving medication to suppress lactation.
b. encouraging and helping mother to breastfeed.
c. teaching mother to feed breast milk by gavage.
d. recommending use of a breast pump to maintain lactation until infant can suck.

bigcheese9 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Hypertrophic pyloric stenosis occurs when the circumferential muscle of the pyloric sphincter becomes thickened, resulting in elongation and narrowing of the pyloric channel. Dilation of the pylorus, hypotonicity of the pyloric muscle, and reduction of tone in the pyloric muscle are not the definition of pyloric stenosis.

Answer to Question 2

ANS: B
The mother who wishes to breastfeed may need encouragement and support because the defect does present some logistical issues. The nipple must be positioned and stabilized well back in the infant's oral cavity so that the tongue action facilitates milk expression. Because breastfeeding is an option, if the mother wishes to breastfeed, medications should not be given to suppress lactation. Because breastfeeding can usually be accomplished, gavage feedings are not indicated. The suction required to stimulate milk, absent initially, may be useful before nursing to stimulate the let-down reflex.