Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
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Chapter 28: The Child with a Gastrointestinal Condition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Failure to pass meconium in 24 hours |
| b. | Choking on the first feeding |
| c. | Palpable mass in the sternal area |
| d. | Visible peristalsis across abdomen |
ANS: B
After birth, a newborn with tracheoesophageal fistula will vomit and choke when the first feeding is introduced.
DIF: Cognitive Level: Comprehension REF: Page 644 OBJ: 2
TOP: Esophageal Atresia KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | Hyperkalemia |
| b. | Hypernatremia |
| c. | Acidosis |
| d. | Alkalosis |
ANS: D
Hydrochloric acid and sodium chloride from the stomach are lost from persistent vomiting. This results in alkalosis.
DIF: Cognitive Level: Comprehension REF: Page 650-651 | Page 658, Table 28-5
OBJ: 9 TOP: Acid-Base Balance
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Weight loss of 4 ounces |
| b. | Dry mucous membranes |
| c. | Decreased skin turgor |
| d. | Depressed fontanelle |
ANS: A
Weight loss is the most significant indicator of dehydration because an infant’s weight comprises 77% water.
DIF: Cognitive Level: Application REF: Page 656, Table 28-2
OBJ: 9 TOP: Dehydration KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | They prevent the child from drinking. |
| b. | They increase circulation, thus increasing urine production. |
| c. | They cause evaporation of fluid on the mucous membranes. |
| d. | They often lead to vomiting. |
ANS: C
Rapid respirations cause increased insensible fluid loss.
DIF: Cognitive Level: Comprehension REF: Page 656 OBJ: 9
TOP: Dehydration KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Position the infant in the crib on his or her abdomen, with the head elevated. |
| b. | Administer medication as ordered to stimulate the pyloric sphincter. |
| c. | Give thin rice cereal with formula before feeding solid foods. |
| d. | Place the infant in an infant seat after feedings. |
ANS: A
After feedings, the infant is placed in a prone position to avoid increased intraabdominal pressure.
DIF: Cognitive Level: Application REF: Page 651 OBJ: 7
TOP: Gastroesophageal Reflux KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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