20030901
Description
Quiz by Olivia McRitchie, updated more than 1 year ago
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Created by Olivia McRitchie
about 5 years ago
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Question 1
Question
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?
Answer
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"My baby's GI system is immature. This includes the liver."
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"Babies have a shorter large and small intestine. This causes them to absorb less nutrients from food."
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"Babies can only consume 20 mL of food at one time, and it takes 3 hours for the stomach to empty."
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"They have a stronger constriction and relaxation of their GI muscles."
Question 2
Question
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?
Answer
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"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."
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"Since my baby can handle breast milk, it stands to reason that she can handle pasteurized cow's milk."
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"My baby has less of an ability to absorb and digest fats due to less of an enzyme called lipase."
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"I should breast feed because breast is best."
Question 3
Question
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?
Answer
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Spitting up/regurgitation, nausea, and vomiting
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Jaundice
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Both diarrhea and constipation
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Abdominal distension and hypoactive, hyperactive, or absent bowel sounds.
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GI bleeding
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Dysphagia
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Lack of attachment to parental figures.
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Inconsolable irritability and crying
Question 4
Question
When should the first meconium be passed?
Answer
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Within 24 hours of birth.
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12-24 hours after birth.
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Within 12 hours of birth.
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24-36 hours after birth.
Question 5
Question
An infant that is 2 days old has not passed his first meconium.
What disorders would you assess for?
Answer
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Hirschsprung disease.
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Hypothyroidism.
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Meconium plug.
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Meconium ileus.
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Cystic fibrosis.
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Hyperthyroidism.
Question 6
Question
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.
Answer
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"This malformation occurred during embryonic development."
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"If a baby has a cleft palate, they cannot have a cleft lip."
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"Cleft palates and lips are more common in people of Asian and Native American descent."
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"Females are more likely to have it than males are."
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"Bilateral cleft palate or lip, which is what your baby has, is not as common as unilateral cleft palate or lip."
Question 7
Question
Which of the following women would NOT be at risk for delivering a baby with a cleft palate or lip?
Answer
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A 16-year-old hospitalized with conformed folic acid and iron-deficiency anemia.
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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.
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A 36-year-old whose baby has been confirmed to have Downs syndrome.
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A 25-year-old who has been diagnosed with gestational diabetes.
Question 8
Question
Development of a cleft palate or lip is normally complete by the end of the first trimester of pregnancy.
Answer
- True
- False
Question 9
Question
Cleft lip is more common than cleft palate, and the two disorders occur together about 45% of the time.
Answer
- True
- False
Question 10
Question
What discharge teaching is needed for a mother who gave birth to a child with a cleft lip and/or palate?
Answer
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Teaching about breastfeeding and the different special bottles that are available for feeding.
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Teaching about future speech issues.
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Teach how to effectively bond with the baby.
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Teach about prevention of future self-esteem concerns.
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Teach about the need for genetic testing.
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Teach about special sleep safety needs.
Question 11
Question
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?
Answer
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The baby has a device in place to stabilize the cheeks and reduce suture stress.
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The baby has a device in place to prevent the suture from re-opening.
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The baby has a device in place to correct the cleft lip and palate.
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The baby has a device in place to improve the functional and cosmetic appearance of scars.
Question 12
Question
You have a non-emergency patient admitted to the pediatric unit following a Z-plasty.
What is a Z-plasty?
Answer
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A cosmetic surgery that is performed to improve the functional and cosmetic appearance of scars due to cleft lip and/or palate closure.
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A cosmetic surgery used to close a cleft lip and/or palate.
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A cleft lip and/or palate has been repaired and this surgery places a device to stabilize the cheeks and reduce suture stress.
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A cleft lip and/or palate has been repaired and this child had adverse effects and needed another surgery.
Question 13
Question
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?
Answer
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"My baby's esophagus, which is responsible for delivering swallowed food to the stomach, did not develop as a continuous passage."
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"My baby's pharynx, which is responsible for delivering swallowed food to the stomach, did not develop as a continuous passage."
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"My baby's esophagus, which is responsible for delivering swallowed food to the stomach, does not connect to the stomach."
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"My baby's esophagus, which is responsible for delivering swallowed food to the stomach, is connected to the wrong place."
Question 14
Question
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?
Answer
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Coughing
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Choking
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Cyanosis
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Vomiting
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Crying
Question 15
Question
You have a newborn admitted to the PICU following surgery to repair a transesophageal fistula.
What are the nursing considerations for this baby?
Answer
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Frequent suctioning is needed.
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The head of the infant's bed should be elevated.
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The baby should be prescribed a broad-spectrum antibiotic.
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Normal post-operative care as per hospital policy needs to be completed.
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Keep the infant NPO for at least 48 hours following surgery.
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These infants are always medically fragile.
Question 16
Question
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?
Answer
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Transesophageal fistula
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Hyperthrophic pyloric stenosis
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Gastroesophageal reflux
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Intussusception
Question 17
Question
How can you explain hypertrophic pyloric stenosis to a mother whose baby has been diagnosed with it?
Answer
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"Something called the pyloric sphincter is constricted, causing the part of the stomach connected to the small intestine to be blocked."
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"The esophagus, which is the tube that connects the mouth to the stomach, did not develop as a continuous passage like it should have."
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"The contents of the stomach are being pushed back into the esophagus, which is the tube that connects the mouth to the stomach."
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"One part of the intestine has been pushed into another part of the intestine."
Question 18
Question
First born males are most affected by hyperthrophic pyloric stenosis.
Answer
- True
- False
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