NR 328 Exam #2 Pediatric GI Nursing Exam – Meconium Passage,
Hirschsprung Disease, Cystic Fibrosis, Failure to Thrive, Dehydration,
Fluid & Electrolyte Imbalances, Oral & IV Rehydration, Metabolic
Acidosis Alkalosis, Vomiting, Diarrhea, Pyloric Stenosis,
Intussusception, Currant Jelly Stools, Appendicitis, Peritonitis, Meckel
Diverticulum, GER/GERD, Omphalocele, Gastroschisis, Cleft Lip Palate,
Feeding Alterations, Surgical Interventions, Nutritional Management,
Hydration Status, Abdominal Assessment, I&O, Weight Monitoring,
ABCs, Shock Recognition Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
What is meconium? What if this is absent?
Meconium, a thick, greenish-black material consisting of epithelial cells, digestive tract
secretions, & residue of swallowed amniotic fluid, is normally expelled from the intestine
shortly after birth & provides evidence of patency of the GI tract.
*If meconium is absent, this can be a red flag and indicate cystic fibrosis
What is the correct order for assessment of the abdomen?
Inspection
Auscultation
Light palpation
, Deep palpation
What is greatly linked to FTT?
Malnutrition
What electrolyte disorder does diarrhea cause?
Metabolic acidosis
"Bases come out of the butt"
What is the best way to assess hydration status in infants and children?
Count wet diapers and monitor I&O
Management of dehydration
-Oral replacement therapy is best, then IV
-Assess fluid/electrolyte imbalance, rehydration, maintenance fluid therapy, reintroduction of
adequate diet (when diarrhea slows, can slowly return to a normal diet, not a BRAT diet)
If 30 mL of fluid is lost, how much fluid should you give? What if the child is vomiting?
For however many mL of fluid is lost, replace the same amount of fluid via oral rehydration.
If the child vomits after administering oral rehydration, continue to give in small, frequent sips.
If vomiting continues, take child to the hospital.
Hirschsprung Disease, Cystic Fibrosis, Failure to Thrive, Dehydration,
Fluid & Electrolyte Imbalances, Oral & IV Rehydration, Metabolic
Acidosis Alkalosis, Vomiting, Diarrhea, Pyloric Stenosis,
Intussusception, Currant Jelly Stools, Appendicitis, Peritonitis, Meckel
Diverticulum, GER/GERD, Omphalocele, Gastroschisis, Cleft Lip Palate,
Feeding Alterations, Surgical Interventions, Nutritional Management,
Hydration Status, Abdominal Assessment, I&O, Weight Monitoring,
ABCs, Shock Recognition Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
What is meconium? What if this is absent?
Meconium, a thick, greenish-black material consisting of epithelial cells, digestive tract
secretions, & residue of swallowed amniotic fluid, is normally expelled from the intestine
shortly after birth & provides evidence of patency of the GI tract.
*If meconium is absent, this can be a red flag and indicate cystic fibrosis
What is the correct order for assessment of the abdomen?
Inspection
Auscultation
Light palpation
, Deep palpation
What is greatly linked to FTT?
Malnutrition
What electrolyte disorder does diarrhea cause?
Metabolic acidosis
"Bases come out of the butt"
What is the best way to assess hydration status in infants and children?
Count wet diapers and monitor I&O
Management of dehydration
-Oral replacement therapy is best, then IV
-Assess fluid/electrolyte imbalance, rehydration, maintenance fluid therapy, reintroduction of
adequate diet (when diarrhea slows, can slowly return to a normal diet, not a BRAT diet)
If 30 mL of fluid is lost, how much fluid should you give? What if the child is vomiting?
For however many mL of fluid is lost, replace the same amount of fluid via oral rehydration.
If the child vomits after administering oral rehydration, continue to give in small, frequent sips.
If vomiting continues, take child to the hospital.
