Chapter 14: Gastrointestinal Disorders

Chapter 14: Gastrointestinal Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The home health nurse reminds the new mother that her baby needs small, frequent feedings because the infant’s stomach empties in:

a.	1/2 hour
b.	1 hour
c.	3 hours
d.	Over 4 hours

 

 

ANS:   C

The infant’s stomach empties in 2 to 4 hours.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 264              OBJ:    1

TOP:    Healthy Childbearing                         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

2. When a new mother tells the home health nurse that her baby has frequent loose stools, the nurse’s response will be based on the knowledge that:

a.	Loose stools in an infant indicate a digestive disorder
b.	Infants have a short large intestine and absorb less water
c.	Infants are particularly prone to infectious diarrhea
d.	The infant is reacting to a change in the formula

 

 

ANS:   B

Infants have a shorter large intestine than the adult, which absorbs less water from the bowel content and results in loose stools.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 264              OBJ:    1

TOP:    Loose Stools                                       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

3. The nurse is aware that after the first few weeks the infant’s liver can conjugate bilirubin and excrete bile. This advancing development will:

a.	Allow the child to digest solid foods
b.	Cause a brief period of jaundice
c.	Cause the baby’s stool to darken
d.	Increase the baby’s appetite

 

 

ANS:   C

The presence of bile salts will cause the infant’s stool to darken.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 265              OBJ:    1

TOP:    Liver Maturity                                    KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

4. The nurse explains to parents of a newborn with a cleft lip and a cleft palate that the lip will be repaired first because the lip repair will:

a.	Improve the child’s cosmetic appearance
b.	Facilitate the palate repair
c.	Ensure better-aligned tooth eruption
d.	Allow the child to suck

 

 

ANS:   D

By repairing the lip, the baby can create suction and be able to nurse. Certainly the baby’s appearance is improved, but this is not the reason behind the timing of the surgery.

 

DIF:    Cognitive Level: Application             REF:    p. 265              OBJ:    3

TOP:    Repair of Cleft Lip                             KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

5. The nurse chooses a Ross Cleft Palate Nurser to feed the baby with a cleft palate because the nurser has:

a.	A large squeezable slit-cut nipple with a one-way valve
b.	A Y-cut nipple with a valve to prevent collapse
c.	A NUK orthodontic nipple allowing easy flow
d.	A tubelike nipple that delivers milk beyond the cleft

 

 

ANS:   D

The Ross Cleft Palate Nurser has a tubelike nipple that delivers milk beyond the cleft.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 266              OBJ:    3

TOP:    Feeding with a Cleft Palate                KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort