« previous next »

Author Question: A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium ... (Read 67 times)

chandani

  • Hero Member
  • *****
  • Posts: 541
on: Jun 28, 2018
A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse suspect?
 
  a. Pyloric stenosis
  b. Intussusception
  c. Hirschsprung disease
  d. Celiac disease

Question 2

The nurse is preparing to care for a newborn with an omphalocele. The nurse should understand that care of the infant should include what intervention?
 
  a. Initiating breast- or bottle-feedings to stabilize the blood glucose level
  b. Maintaining pain management with an intravenous opioid
  c. Covering the intact bowel with a nonadherent dressing to prevent injury
  d. Performing immediate surgery


amynguyen1221

  • Sr. Member
  • ****
  • Posts: 355
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
The clinical manifestations of Hirschsprung disease in a 3-day-old infant include abdominal distention, vomiting, and failure to pass meconium stools. Pyloric stenosis would present with vomiting but not distention or failure to pass meconium stools. Intussusception presents with abdominal cramping and celiac disease presents with malabsorption.

Answer to Question 2

ANS: C
Nursing care of an infant with an omphalocele includes covering the intact bowel with a nonadherent dressing to prevent injury or placing a bowel bag or moist dressings and a plastic drape if the abdominal contents are exposed. The infant is not started on any type of feeding but has a nasogastric tube placed for gastric decompression. Pain management is started after surgery, but surgery is not done immediately after birth. The infant is medically stabilized before different surgical options are considered.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Nine Abdominal Anatomic Regions Nine Abdominal Anatomic Regions
Imitation in an Infant Imitation in an Infant
Perform Infant Rescue Breathing Perform Infant Rescue Breathing
Place the infant faceup on a soft surface, such as a towel, and remove his or her clothing. With one ... Place the infant faceup on a soft surface, such as a towel, and remove his or her clothing. With one ...
Weighing an infant Weighing an infant
Infant bonding and attachment to the caregiver Infant bonding and attachment to the caregiver
Video: Arthritis

For a complete list of videos, visit our video library