Olivia McRitchie
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NCLEX Nursing (Maternal-Newborn) Quiz on Pediatric GI System, created by Olivia McRitchie on 01/11/2019.

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Olivia McRitchie
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Pediatric GI System

Question 1 of 18

1

You are delivering teaching about the newborn infant GI system to a first time mother.

Which of the following statements shows that MORE teaching is needed?

Select one of the following:

  • "My baby's GI system is immature. This includes the liver."

  • "Babies have a shorter large and small intestine. This causes them to absorb less nutrients from food."

  • "Babies can only consume 20 mL of food at one time, and it takes 3 hours for the stomach to empty."

  • "They have a stronger constriction and relaxation of their GI muscles."

Explanation

Question 2 of 18

1

You have delivered teaching about digestive enzymes in infants to a first-time mother.

Which of the following statements shows that MORE teaching is needed?

Select one of the following:

  • "My baby has less of an enzyme called amylase. Because of that, I shouldn't give my baby cereal until she's between 4-6 months old."

  • "Since my baby can handle breast milk, it stands to reason that she can handle pasteurized cow's milk."

  • "My baby has less of an ability to absorb and digest fats due to less of an enzyme called lipase."

  • "I should breast feed because breast is best."

Explanation

Question 3 of 18

1

You have a 3 month old baby that is a failure to thrive.

What symptoms would lead you to believe that this infant has GI dysfunctions?

Select one or more of the following:

  • Spitting up/regurgitation, nausea, and vomiting

  • Jaundice

  • Both diarrhea and constipation

  • Abdominal distension and hypoactive, hyperactive, or absent bowel sounds.

  • GI bleeding

  • Dysphagia

  • Lack of attachment to parental figures.

  • Inconsolable irritability and crying

Explanation

Question 4 of 18

1

When should the first meconium be passed?

Select one of the following:

  • Within 24 hours of birth.

  • 12-24 hours after birth.

  • Within 12 hours of birth.

  • 24-36 hours after birth.

Explanation

Question 5 of 18

1

An infant that is 2 days old has not passed his first meconium.

What disorders would you assess for?

Select one or more of the following:

  • Hirschsprung disease.

  • Hypothyroidism.

  • Meconium plug.

  • Meconium ileus.

  • Cystic fibrosis.

  • Hyperthyroidism.

Explanation

Question 6 of 18

1

You are talking to a woman of Asian descent with a male child who has a bilateral cleft palate.

Select the correct teaching to give to this woman.

Select one or more of the following:

  • "This malformation occurred during embryonic development."

  • "If a baby has a cleft palate, they cannot have a cleft lip."

  • "Cleft palates and lips are more common in people of Asian and Native American descent."

  • "Females are more likely to have it than males are."

  • "Bilateral cleft palate or lip, which is what your baby has, is not as common as unilateral cleft palate or lip."

Explanation

Question 7 of 18

1

Which of the following women would NOT be at risk for delivering a baby with a cleft palate or lip?

Select one of the following:

  • A 16-year-old hospitalized with conformed folic acid and iron-deficiency anemia.

  • A 30-year-old who had a cleft palate corrected in infancy and gave birth to a baby with a severe cleft palate 2 years prior.

  • A 36-year-old whose baby has been confirmed to have Downs syndrome.

  • A 25-year-old who has been diagnosed with gestational diabetes.

Explanation

Question 8 of 18

1

Development of a cleft palate or lip is normally complete by the end of the first trimester of pregnancy.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 18

1

Cleft lip is more common than cleft palate, and the two disorders occur together about 45% of the time.

Select one of the following:

  • True
  • False

Explanation

Question 10 of 18

1

What discharge teaching is needed for a mother who gave birth to a child with a cleft lip and/or palate?

Select one or more of the following:

  • Teaching about breastfeeding and the different special bottles that are available for feeding.

  • Teaching about future speech issues.

  • Teach how to effectively bond with the baby.

  • Teach about prevention of future self-esteem concerns.

  • Teach about the need for genetic testing.

  • Teach about special sleep safety needs.

Explanation

Question 11 of 18

1

A 10-month-old has just undergone surgery to correct his cleft lip and palate. The baby has a Logan bow.

What does this mean?

Select one of the following:

  • The baby has a device in place to stabilize the cheeks and reduce suture stress.

  • The baby has a device in place to prevent the suture from re-opening.

  • The baby has a device in place to correct the cleft lip and palate.

  • The baby has a device in place to improve the functional and cosmetic appearance of scars.

Explanation

Question 12 of 18

1

You have a non-emergency patient admitted to the pediatric unit following a Z-plasty.

What is a Z-plasty?

Select one of the following:

  • A cosmetic surgery that is performed to improve the functional and cosmetic appearance of scars due to cleft lip and/or palate closure.

  • A cosmetic surgery used to close a cleft lip and/or palate.

  • A cleft lip and/or palate has been repaired and this surgery places a device to stabilize the cheeks and reduce suture stress.

  • A cleft lip and/or palate has been repaired and this child had adverse effects and needed another surgery.

Explanation

Question 13 of 18

1

A woman with gestational diabetes mellitus and polyhydramnios has delivered a baby with esophageal atresia and tracheoesophageal fistula.

Which of the following statements, made by the mother, shows that teaching about this defect has been RECEIVED?

Select one of the following:

  • "My baby's esophagus, which is responsible for delivering swallowed food to the stomach, did not develop as a continuous passage."

  • "My baby's pharynx, which is responsible for delivering swallowed food to the stomach, did not develop as a continuous passage."

  • "My baby's esophagus, which is responsible for delivering swallowed food to the stomach, does not connect to the stomach."

  • "My baby's esophagus, which is responsible for delivering swallowed food to the stomach, is connected to the wrong place."

Explanation

Question 14 of 18

1

A newborn baby is breast feeding for the first time.

What symptoms would lead you to request testing for esophageal atresia and/or transesophageal fistula?

Select one or more of the following:

  • Coughing

  • Choking

  • Cyanosis

  • Vomiting

  • Crying

Explanation

Question 15 of 18

1

You have a newborn admitted to the PICU following surgery to repair a transesophageal fistula.

What are the nursing considerations for this baby?

Select one or more of the following:

  • Frequent suctioning is needed.

  • The head of the infant's bed should be elevated.

  • The baby should be prescribed a broad-spectrum antibiotic.

  • Normal post-operative care as per hospital policy needs to be completed.

  • Keep the infant NPO for at least 48 hours following surgery.

  • These infants are always medically fragile.

Explanation

Question 16 of 18

1

You have a 1 month old male admitted to the PICU with severe protein-calorie malnutrition and infant failure to thrive. The mother reports that the infant vomits within 1 hour of every feed and is hungry after. The child's front fontanelle is depressed, and the skin tents when pulled up. Upon abdominal assessment, you can see a mass in the ULQ and visible peristalsis.

Which of the following diagnoses would you expect for this child?

Select one of the following:

  • Transesophageal fistula

  • Hyperthrophic pyloric stenosis

  • Gastroesophageal reflux

  • Intussusception

Explanation

Question 17 of 18

1

How can you explain hypertrophic pyloric stenosis to a mother whose baby has been diagnosed with it?

Select one of the following:

  • "Something called the pyloric sphincter is constricted, causing the part of the stomach connected to the small intestine to be blocked."

  • "The esophagus, which is the tube that connects the mouth to the stomach, did not develop as a continuous passage like it should have."

  • "The contents of the stomach are being pushed back into the esophagus, which is the tube that connects the mouth to the stomach."

  • "One part of the intestine has been pushed into another part of the intestine."

Explanation

Question 18 of 18

1

First born males are most affected by hyperthrophic pyloric stenosis.

Select one of the following:

  • True
  • False

Explanation

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