Chapter 28

Question 1

What are signs of tracheoesophageal fistula (TEF)?

Answer 1

coughing, choking, cyanosis, apnea

Question 2

What is an extremely common sign of TEF, or an obstructed esophagus?

Answer 2

Drooling

Question 3

Why is the first stool of the newborn documented?

Answer 3

patency of the anus

Question 4

What is pyloric stenosis caused by?

Answer 4

hypertrophy of the pyloric muscles

Question 5

What is a common sign of pyloric stenosis?

Answer 5

projectile vomiting

Question 6

What is nursing care like for a child with pyloric stenosis?

Answer 6

frequent assessment, careful feeding, positioning on the right side after feedings, education and support of the parents

Question 7

What type of stools are characteristic of malabsorption syndroms?

Answer 7

large, bulky, frothy stools

Question 8

Celiac disease is a disease sensitive to what?

Answer 8

gluten

Question 9

How do you prevent the development of water intoxication?

Answer 9

tap water should not be used for enemas with children with megacolon

Question 10

What type of stools characterize intussusception?

Answer 10

currant jelly stool

Question 11

What is hirschsprung’s disease?

Answer 11

absence of ganglionic innervation of the muscle of a bowel segment

Question 12

What is the treatment o GERD?

Answer 12

thickened feedings, burping, and maintaining a Fowler’s position

Question 13

What does diarrheal stools look like within an infant?

Answer 13

water consistency and a greenish color with presence of mucus or blood

Question 14

What is a common side effect of antimicrobial treatment?

Answer 14

C. Diff

Question 15

What is something that can be used with other contact precautions of C. Diff?

Answer 15

Hand washing with soap and water

Question 16

Whay influence does the GI tract have on infants and children?

Answer 16

electrolyte and fluid balance

Question 17

What happens with water exchange and dehydration?

Answer 17

The higher the daily exchange of water, the less volume reserve they have when dehydrated

Question 18

What are some rehydrating solutions?

Answer 18

commercially prepared electrolyte solutions

Question 19

What is isotonic dehydration?

Answer 19

The loss of equal amounts of water and electrolytes.

Question 20

What is hypertonic dehydration?

Answer 20

the loss of more water than electrolytes

Question 21

What is hypotonic dehydration?

Answer 21

the loss of more electrolytes than water

Question 22

Should infants who are fed via IV be picked up, held, or allowed to suck on a pacifier?

Answer 22

Yes, children being fed via IV ned touch to touch care

Question 23

What does I&O record?

Answer 23

oral, parenteral intake and suction, wound drainage, sweating, vomiting, urine, stool output

Question 24

What is Kwashiorkor in a deficiency of?

Answer 24

protein

Question 25

What is Kwashiorkor characterized by?

Answer 25

depigmented white streak of hair

Question 26

What can be used with an infant with thrush?

Answer 26

disposable nipples, pacifiers, and bottles

Question 27

What test is used to diagnose pinworm?

Answer 27

"Scotch tape test"

Question 28

What is a key nursing intervention for pinworm?

Answer 28

preventing the child from scratching the anal area

Question 29

What is characterized by a roundworm life cycle in children?

Answer 29

chronic prooductive cough

Question 30

What should the nurse teach parents not to do with poisonous substances in the household?

Answer 30

DO NOT store poisonous substances in food containers

Question 31

What is Pica?

Answer 31

Eating nonfood items

Question 32

What is Pica characterized by?

Answer 32

lead poisoning

Question 33

What is another name for lead poisoning?

Answer 33

plumbism

Question 34

What can lead poisoning cause?

Answer 34

neurological damage

Question 35

The pathologic disturbance of pyloric stenosis results from:

Answer 35

hypertrophy of the pyloric muscle

Question 36

Which menu selections are best for a child with celiac disease?

Answer 36

corn tortilla and fresh fruit

Question 37

After surgery for pyloric stenosis, the nurse could anticipate that the infant will:

Answer 37

be fed clear liquids within 6 hours

Question 38

Priority teaching for a parent of a child who ingested a foreign body includes:

Answer 38

slicing each stool passed to observe for the foreign body