A 3-day-old infant presents with abdominal distention, is ...

[chandani]

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]

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.