20030901
Descripción
Test por Olivia McRitchie, actualizado hace más de 1 año
|
Creado por Olivia McRitchie
hace alrededor de 5 años
|
|
Pregunta 1
Pregunta
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?
Respuesta
-
"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."
Pregunta 2
Pregunta
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?
Respuesta
-
"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."
Pregunta 3
Pregunta
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?
Respuesta
-
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
Pregunta 4
Pregunta
When should the first meconium be passed?
Respuesta
-
Within 24 hours of birth.
-
12-24 hours after birth.
-
Within 12 hours of birth.
-
24-36 hours after birth.
Pregunta 5
Pregunta
An infant that is 2 days old has not passed his first meconium.
What disorders would you assess for?
Respuesta
-
Hirschsprung disease.
-
Hypothyroidism.
-
Meconium plug.
-
Meconium ileus.
-
Cystic fibrosis.
-
Hyperthyroidism.
Pregunta 6
Pregunta
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.
Respuesta
-
"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."
Pregunta 7
Pregunta
Which of the following women would NOT be at risk for delivering a baby with a cleft palate or lip?
Respuesta
-
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.
Pregunta 8
Pregunta
Development of a cleft palate or lip is normally complete by the end of the first trimester of pregnancy.
Respuesta
- True
- False
Pregunta 9
Pregunta
Cleft lip is more common than cleft palate, and the two disorders occur together about 45% of the time.
Respuesta
- True
- False
Pregunta 10
Pregunta
What discharge teaching is needed for a mother who gave birth to a child with a cleft lip and/or palate?
Respuesta
-
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.
Pregunta 11
Pregunta
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?
Respuesta
-
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.
Pregunta 12
Pregunta
You have a non-emergency patient admitted to the pediatric unit following a Z-plasty.
What is a Z-plasty?
Respuesta
-
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.
Pregunta 13
Pregunta
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?
Respuesta
-
"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."
Pregunta 14
Pregunta
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?
Respuesta
-
Coughing
-
Choking
-
Cyanosis
-
Vomiting
-
Crying
Pregunta 15
Pregunta
You have a newborn admitted to the PICU following surgery to repair a transesophageal fistula.
What are the nursing considerations for this baby?
Respuesta
-
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.
Pregunta 16
Pregunta
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?
Respuesta
-
Transesophageal fistula
-
Hyperthrophic pyloric stenosis
-
Gastroesophageal reflux
-
Intussusception
Pregunta 17
Pregunta
How can you explain hypertrophic pyloric stenosis to a mother whose baby has been diagnosed with it?
Respuesta
-
"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."
Pregunta 18
Pregunta
First born males are most affected by hyperthrophic pyloric stenosis.
Respuesta
- True
- False
¿Quieres crear tus propios Tests gratis con GoConqr? Más información.